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Celebrex (generic name: Celecoxib; brand name: Celebra / Cobix / Celcoxx / Selecap) belongs to a group of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs).

Celebrex is indicated for:

• Osteoarthritis
• Rheumatoid Arthritis
• Juvenile Rheumatoid Arthritis in patients 2 years and older
• Ankylosing Spondylitis
• Acute Pain
• Primary Dysmenorrhea
• Familial Adenomatous Polyposis - adjunct to usual care

Recommendations

Follow the directions for using this medicine provided by your doctor. Take Celebrex exactly as directed.

The usual dosage is:

For osteoarthritis - 200 mg once daily or 100 mg twice daily

For rheumatoid arthritis - 100 to 200 mg twice daily

For juvenile rheumatoid arthritis: 50 mg twice daily in patients 10-25 kg, 100 mg twice daily in
patients more than 25 kg

For ankylosing spondylitis - 200 mg once daily single dose or 100 mg twicedaily. If no effect
is observed after 6 weeks, a trial of 400 mg (single or divided doses)
may be of benefit

For acute pain and primary dysmenorrhea - 400 mg initially, followed by 200 mg dose if needed on first
day. On subsequent days, 200 mg twice daily as needed

For familial adenomatous polyposis: 400 mg twice daily with food, as an adjunct to usual care

Precautions

Before taking Celebrex, tell your doctor if:

• you are allergic to any medicines;
• you have heart problems, or a history of stroke;
• you have a history of ulcers.

Ingredients

• Active ingredient: celecoxib.

Soma works to relax the muscles by blocking pain messages sent to the brain. The ingredient Carisoprodol is a pain reliever that changes the way a body senses pain. The onset of action is rapid and lasts four to six hours.

Soma is useful against various types of pain (whether or not related to muscle spasm).

Soma may be prescribed for other uses; ask your doctor or pharmacist for more information.

Recommendations

Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.

Soma is taken orally. Usually it is taken three times daily and at bedtime and may be taken with or without food. The usual adult dosage of soma is one 350 mg tablet, three times daily and at bedtime.

Usage in patients under age 12 is not recommended. It is recommended that you take Soma with food, or with milk, to minimize the likelihood that you will suffer an upset stomach as a result of taking the medication.

If you forget to take Soma, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Store this medicine at controlled room temperature 20 to 25 C.

Precautions

Tell your doctor before taking Soma, if:

you are allergic to carisoprodol, meprobamate (Equanil, Meprospan, Miltown, Neuramate), or any other drugs; you have or have ever had kidney or liver disease; you are pregnant, plan to become pregnant, or are breast-feeding.

Ingredients

• Active ingredient: carisoprodol.

Tramadol (brand names include: Tramjet / Adolan / Anadol / Contramal / Dolol / Dolzam / Dromadol / Ixprim / Ralivia / Tramadex / Tramal / Tridural / Utram / Ultram ER / Zamadol / Zydol / Zytrim / Zendol-SR) is a pain relief medication that is meant to help alleviate moderate to moderately severe pain.

Tramadol is a synthetic analgesic, not an anti-inflammatory, which means that people who cannot take anti-inflammatories due to the side effects can often take Tramadol to help relieve their pain.

Tramadol does not have gastrointestinal side effects associated with NSAIDs (nonsteroidal anti-inflammatory drugs).

Recommendations

Follow the directions for using Tramadol provided by your doctor. Take Tramadol exactly as directed. Do not take more medication as a single dose or take more doses per day than prescribed by your doctor.

Your doctor may start you on a low dose of Tramadol and gradually increase the amount of medication you take. Elderly people over 75 years of age may require a lower daily dose.

Swallow the tablets whole; do not split, chew, or crush them.

Do not stop taking Tramadol without talking to your doctor. Your doctor will probably decrease your dose gradually.

If you forget to take Tramadol, take your dose as soon as you remember and then go on as before. Do not take a double dose to make up for the forgotten dose.

Store this medicine at room temperature, away from heat and light.

Precautions

Before taking Tramadol, tell your doctor if:

• you are allergic to Tramadol or other medicines;

• you have had a head injury;
• you are also taking monoamine oxidase inhibitors or other antidepressant drugs;
• you have kidney or liver disease; epilepsy; or asthma;

• you are pregnant or breast-feeding.

Ingredients

• Active ingredient: tramadol hydrochloride.