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Molecule

Celecoxib

Anti-Inflammatory Agents
Available on requestOncologyRheumatology
Presentations
10
Brands
3
Manufacturers
3
Available from stock
0

Celecoxib is a nonsteroidal anti-inflammatory drug indicated cELEBREX is a nonsteroidal anti-inflammatory drug indicated for osteoarthritis (OA), among other approved uses. It is available as capsules, oral liquid and oral suspension. MedsAcross supplies Celecoxib for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Anti-Inflammatory Agents, Nonsteroidal Anti-inflammatory Drug, Cyclooxygenase Inhibitors
ATC classification
L01XX33 Celecoxib · Cancer medicines (antineoplastics), subgroup L01X, subgroup L01XXM01AH01 Celecoxib · COX-2 inhibitor
US FDA first approval
31 December 1998
EU status
Withdrawn
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule, Oral liquid, Oral suspension
Identifiers
UNII JCX84Q7J1LRxCUI 140587CAS 169590-42-5DrugBank DB00482Q408801

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

CELEBREX is indicated CELEBREX is a nonsteroidal anti-inflammatory drug indicated for: • Osteoarthritis (OA). • Rheumatoid Arthritis (RA). • Juvenile Rheumatoid Arthritis (JRA) in patients 2 years and older. • Ankylosing Spondylitis (AS). • Acute Pain (AP). • Primary Dysmenorrhea (PD)

Source: US FDA prescribing information

How it works

Celecoxib has analgesic, anti-inflammatory, and antipyretic properties. The mechanism of action of CELEBREX is believed to be due to inhibition of prostaglandin synthesis, primarily via inhibition of COX-2. Celecoxib is a potent inhibitor of prostaglandin synthesis in vitro. Celecoxib concentrations reached during therapy have produced in vivo effects. Prostaglandins sensitize afferent nerves and potentiate the action of bradykinin in inducing pain in animal models. Prostaglandins are mediators of inflammation. Since celecoxib is an inhibitor of prostaglandin synthesis, its mode of action may be due to a decrease of prostaglandins in peripheral tissues.

Source: US FDA prescribing information

Dosing overview

• Use the lowest effective dosage for shortest duration consistent with individual patient treatment goals. • OA: 200 mg once daily or 100 mg twice daily. • RA: 100 mg to 200 mg twice daily. • JRA: 50 mg twice daily in patients 10 kg to 25 kg. 100 mg twice daily in patients more than 25 kg. • AS: 200 mg once daily single dose or 100 mg twice daily. If no effect is observed after 6 weeks, a trial of 400 mg (single or divided doses) may be of benefit. • AP and PD: 400 mg initially, followed by 200 mg dose if needed on first day. On subsequent days, 200 mg twice daily as needed. Hepatic Impairment: Reduce daily dose by 50% in patients with moderate hepatic impairment (Child-Pugh Class B). Poor Metabolizers of CYP2C9 Substrates: Consider a dose reduction by 50% (or alternative management for JRA) in patients who are known or suspected to be CYP2C9 poor metabolizers.

Source: US FDA prescribing information

Contraindications

CELEBREX is contraindicated in the following patients: • Known hypersensitivity (e.g., anaphylactic reactions and serious skin reactions) to celecoxib, any components of the drug product. • History of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Severe, sometimes fatal, anaphylactic reactions to NSAIDs, have been reported in such patients. • In the setting of CABG surgery. • In patients who have demonstrated allergic-type reactions to sulfonamides. • Known hypersensitivity to celecoxib, or any components of the drug product or sulfonamides. • History of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (risk of serious cardiovascular and gastrointestinal events): Cardiovascular Thrombotic Events • Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction, and stroke, which can be fatal. This risk may occur early in the treatment and may increase with duration of use. • Hepatotoxicity: Inform patients of warning signs and symptoms of hepatotoxicity. Discontinue if abnormal liver tests persist or worsen or if clinical signs and symptoms of liver disease develop. • Hypertension: Patients taking some antihypertensive medications may have impaired response to these therapies when taking NSAIDs. Monitor blood pressure. • Heart Failure and Edema: Avoid use of CELEBREX in patients with severe heart failure unless benefits are expected to outweigh risk of worsening heart failure.

Source: US FDA prescribing information

Side effects

The following adverse reactions are discussed in greater detail in other sections of the labeling: • Cardiovascular Thrombotic Events • GI Bleeding, Ulceration and Perforation • Hepatotoxicity • Hypertension • Heart Failure and Edema • Renal Toxicity and Hyperkalemia • Anaphylactic Reactions • Serious Skin Reactions • Hematologic Toxicity Most common adverse reactions in arthritis trials (>2% and >placebo) are: abdominal pain, diarrhea, dyspepsia, flatulence, peripheral edema, accidental injury, dizziness, pharyngitis, rhinitis, sinusitis, upper respiratory tract infection, rash.

Source: US FDA prescribing information

Interactions

See Table 3 for clinically significant drug interactions with celecoxib. Table 3: Clinically Significant Drug Interactions with Celecoxib Drugs that Interfere with Hemostasis Clinical Impact: • Celecoxib and anticoagulants such as warfarin have a synergistic effect on bleeding. The concomitant use of Celecoxib and anticoagulants have an increased risk of serious bleeding compared to the use of either drug alone. • Serotonin release by platelets plays an important role in hemostasis. Case-control and cohort epidemiological studies showed that concomitant use of drugs that interfere with serotonin reuptake and an NSAID may potentiate the risk of bleeding more than an NSAID alone. Intervention: Monitor patients with concomitant use of CELEBREX with anticoagulants (e.g., warfarin), antiplatelet drugs (e.g., aspirin), SSRIs, and SNRIs for signs of bleeding.

Source: US FDA prescribing information

Storage

Storage Store at room temperature 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C to 30°C (59°F to 86°F).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

10 presentations of Celecoxib, sorted by availability.

MedicineManufacturerRegisterAvailability
Celecoxib 200 mg capsuleOralGeneric name—US FDAAvailable on request
Celecoxib 100 mg capsuleOralGeneric name—US FDAAvailable on request
Celecoxib 400 mg capsuleOralGeneric name—US FDAAvailable on request
Celecoxib 50 mg capsuleOralGeneric name—US FDAAvailable on request
Celebrex 100 mg capsuleOralViatris SpecialtyUS FDAAvailable on request
Celebrex 200 mg capsuleOralViatris SpecialtyUS FDAAvailable on request
Celebrex 400 mg capsuleOralViatris SpecialtyUS FDAAvailable on request
Celebrex 50 mg capsuleOralViatris SpecialtyUS FDAAvailable on request
ELYXYB - celecoxib 120 mg/4.8 mL oral liquidOralScilex PharmaceuticalsUS FDAAvailable on request
Vyscoxa 10 mg/mL oral suspensionOralCarwin Pharmaceutical AssociatesUS FDAAvailable on request

Brands by market

3 brand names across 1 markets.

Brand names by country

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 31 December 1998Drugs@FDA
EU (EMA)WithdrawnEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenWithdrawnEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Celecoxib in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Celecoxib available for export from India?

Yes, on request. MedsAcross lists 10 presentations of Celecoxib and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Celecoxib have?

The catalogue lists 3 brand names for Celecoxib, including Celebrex, ELYXYB - celecoxib, Vyscoxa.

Is Celecoxib approved by the US FDA?

Yes. The US FDA first approved Celecoxib on 31 December 1998, according to Drugs@FDA.

Does Celecoxib need cold chain shipping?

No listed presentation of Celecoxib is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Celecoxib in?

Celecoxib is classified under ATC code L01XX33 (Celecoxib).

References

  1. CELEBREX prescribing information (Viatris Specialty). U.S. National Library of Medicine, DailyMed. Retrieved 22 November 2024

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