A white capsule marked “A 136” is a common way to identify a medication. This article provides information about its identity, medical applications, proper usage, and safety considerations.
Understanding This Medication
The white capsule marked “A 136” is Celecoxib 200 mg. This medication is a selective COX-2 inhibitor, a type of nonsteroidal anti-inflammatory drug (NSAID). It functions by targeting specific enzymes involved in the production of inflammation and pain.
Medical Applications
Celecoxib 200 mg is primarily prescribed for managing pain and inflammation associated with various conditions. It is commonly used to treat the symptoms of osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis in adults. The medication also finds application in addressing moderate to moderately severe acute pain, such as pain following surgery, sprains, or dental extractions.
Proper Administration and Dosing
Celecoxib 200 mg should be taken exactly as prescribed by a healthcare professional. For osteoarthritis, a typical dosage is 200 mg once daily or 100 mg twice daily. For rheumatoid arthritis, the dosage ranges from 100 mg to 200 mg twice daily.
When treating ankylosing spondylitis, the usual dose is 200 mg once daily or 100 mg twice daily, which can be increased if needed. The medication can be taken with or without food, though taking it with food might help reduce stomach upset.
For acute pain or primary dysmenorrhea, an initial dose of 400 mg might be given, followed by an additional 200 mg if necessary on the first day, then 200 mg twice daily as needed. If a dose is missed, it should be taken as soon as remembered unless it is almost time for the next scheduled dose, in which case the missed dose should be skipped.
Side Effects and Important Safety Information
Like all medications, Celecoxib 200 mg can cause side effects, ranging from common to more serious reactions. Common side effects may include stomach problems such as indigestion, nausea, diarrhea, or abdominal pain. Headaches, dizziness, and swelling in the hands or feet (edema) are also reported by some individuals. These effects are usually mild and may subside as the body adjusts.
More serious side effects require immediate medical attention. These include signs of stomach or intestinal bleeding, such as black, tarry stools or vomiting blood. Cardiovascular risks, such as an increased risk of heart attack and stroke, are a concern, especially with long-term use or in individuals with existing heart conditions. Kidney problems, such as changes in urination frequency or amount, or swelling, can also occur. Allergic reactions, including rash, itching, severe dizziness, or trouble breathing, necessitate urgent medical evaluation.
Discuss all existing medical conditions, especially a history of heart disease, stroke, stomach ulcers, or kidney problems, with a doctor before starting Celecoxib. The medication should not be shared with others, and its use should be monitored by a healthcare provider. Combining Celecoxib with other NSAIDs or blood thinners can increase the risk of adverse effects, particularly gastrointestinal bleeding. Women who are pregnant or planning to become pregnant should discuss the risks with their doctor, as Celecoxib use later in pregnancy may increase the risk of kidney damage in the developing baby.