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What is Bextra used for?
Bextra is used to relieve:

symptoms of osteoarthritis and rheumatoid arthritis in adults
painful menstrual cycles
Who should not take Bextra?

You should not take Bextra if you:

had asthma, hives or allergic reactions after taking aspirin or other NSAIDs (nonsteroidal anti-inflammatory drugs) or COX-2 inhibitors. Some examples of NSAIDs are ibuprofen (Motrin, Advil), naproxen (Naprosyn, Aleve), diclofenac (Voltaren, Cataflam), nabumetone (Relafen), ketoprofen (Orudis), celecoxib (Celebrex), and rofecoxib (Vioxx). You can ask your doctor or pharmacist for a complete list of these medications
are allergic to valdecoxib (Bextra) or to any of the ingredients in Bextra
Special Warnings with Bextra:

Bextra and all NSAID medications can cause stomach ulcers that bleed. The chance of this serious problem increases the longer you take Bextra, but it can also happen suddenly. Stop taking Bextra and call your doctor right away if you get:

a burning stomach pain
black bowel movements that look like tar
vomit that looks like blood or coffee grounds
General Precautions with Bextra:

Bextra and other NSAID medications can cause serious problems such as liver damage. Some of the warning signs of liver damage are nausea, vomiting, tiredness, loss of appetite, itching, yellow coloring of skin or eyes, “flu-like” symptoms and dark urine. If this happens, stop taking Bextra and call your doctor right away.

Bextra can cause fluid retention (holding of water in your body). Fluid retention can be a serious problem if you have high blood pressure or heart failure.
Do not use Bextra if you have asthma and are allergic to aspirin. If an aspirin-sensitive asthmatic takes aspirin it can cause severe narrowing of the airway (bronchospasm), and even death. The same reactions to aspirin and other NSAID medicines happened in aspirin-sensitive patients.

What should I tell my health care provider?

Tell your health care provider if you:

have heart problems or high blood pressure
have liver or kidney problems
have or had stomach ulcers or stomach bleeding
have asthma
are allergic to aspirin or other NSAID medicines
are pregnant or planning to become pregnant
are breast-feeding
Tell your health care provider about all the medicines that you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements. Your health care provider may have to adjust your dose or watch you more closely if you take the following medications:

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certain blood pressure medicines called ACE inhibitors
furosemide (Lasix)
fluconazole or ketoconazole
lithium
warfarin (coumadin)
aspirin
What are some possible side effects of Bextra? (This is NOT a complete list of side effects reported with Bextra. Your health care provider can discuss with you a more complete list of side effects.)

Side effects can include:

Indigestion
Nausea
Stomach pain
Upper respiratory tract infection
Diarrhea
Headache
Rarely serious ulcers and stomach bleeding have occurred in patients taking Bextra.

For more detailed information about Bextra, ask your health care provider or pharmacist.

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