Question 1

What is this medicine for, and how does it work?

Accepted Answer

This is a non-steroidal anti-inflammatory drug (NSAID). It inhibits the inflammatory enzyme cyclooxygenase (COX). It's used to treat acute pain.

Question 2

When and how should this medicine be taken?

Accepted Answer

• Must be reconstituted before use • For intramuscular or intravenous injection • Given by healthcare professionals • Monitor after administration

Question 3

When should this medicine not be used?

Accepted Answer

• In heart disease • In liver disease • In last trimester of pregnancy • In peptic ulcer

Question 4

What precautions should be taken before using this medicine?

Accepted Answer

• Do not use if you have severe heart or liver disease • May increase risk of stomach bleeding • Use lowest effective dose for shortest duration • May increase risk of heart attack or stroke

Question 5

Is it safe to use this medicine during pregnancy?

Accepted Answer

• Not recommended during third trimester • May cause fetal harm and complications during labor • Use only if potential benefit justifies potential risk

Question 6

Can this medicine be used while breastfeeding?

Accepted Answer

• Do not use if you have severe heart or liver disease • May increase risk of stomach bleeding • Use lowest effective dose for shortest duration • May increase risk of heart attack or stroke

Question 7

What should be done if a dose is missed?

Accepted Answer

• If you miss a dose, take it as soon as you remember. • However, if it's almost time for your next dose, skip the missed dose. • Never take two doses together. • For once-daily dosing: If you remember on the same day, take the dose. • For twice-daily dosing: If more than 8 hours until your next dose, take the missed dose. • Take your next dose at the regular time. • If you miss multiple doses, contact your doctor.

Question 8

What should be done in case of an overdose?

Accepted Answer

• Symptoms: Gastric bleeding, renal effects. • Treatment: Gastric protection, monitor renal function.

Question 9

What should be done if side effects are experienced?

Accepted Answer

• Common side effects: Nausea, skin reactions, kidney problems, heart problems, stomach pain, dizziness • What to do: Monitor blood pressure; Report chest pain; Take shortest duration needed; Regular kidney function tests; Stop taking the medication and seek medical advice if any severe side effect or unusual symptoms occur.

Question 10

What is Coxpar 40mg used for?

Accepted Answer

Coxpar 40mg (Parecoxib) is a pharmaceutical medicine manufactured by Incepta Pharmaceuticals Ltd. in Bangladesh. It is primarily prescribed for Abdominal Hysterectomy, Appendectomy, Diagnostic Laparoscopy, Gastrectomy, General Surgery, Hemithyroidectomy, Hernioplasty, Inguinal Hernia Repair, Laparoscopic Cholecystectomy, Myomectomy, Oral Surgery, Prevention or Reduction of Post-Operative Pain, Reduction of Opioid Requirements, Short Term Treatment of Acute Pain & Post-Operative Pain, Splenectomy, Total Hip Arthroplasty, Total Knee Replacement.

Question 11

What is the active generic component of Coxpar?

Accepted Answer

The active ingredient in Coxpar is Parecoxib, belonging to the Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) drug class.

Question 12

What is the retail price of Coxpar 40mg in Bangladesh?

Accepted Answer

The official retail price of Coxpar 40mg (Injection) is ৳200.00 in Bangladesh (prices may vary slightly by pack size and authorized pharmacy).

Question 13

What is the recommended dosage for Coxpar?

Accepted Answer

Standard adult dosage: Parenteral intravenous/intramuscular – Initially 40 mg (followed by 20 or 40 mg every 6-12 hours as required). Pediatric dosage: No approved pediatric dosage available. Always consult a registered physician for individualized dosage adjustments based on clinical assessment.

Question 14

Is Coxpar safe during pregnancy and breastfeeding?

Accepted Answer

Coxpar is classified under Pregnancy Category "Not Assigned". Always consult your healthcare provider or OB/GYN before taking this medication during pregnancy or lactation.

Question 15

What are the common side effects of Coxpar?

Accepted Answer

Nausea; pharyngitis; alveolar osteitis (dry socket); anaemia post-op; hypokalaemia; agitation; insomnia; hypoaesthesia; dizziness; HTN; hypotension; resp insufficiency; abdominal pain; vomiting; constipation; dyspepsia;

Clinical Information	Administration Information
Indication: Management of acute pain Age: Adult	Dose: Parenteral intravenous/intramuscular – Initially 40 mg Frequency: followed by 20 or 40 mg every 6-12 hours as required Note: Maximum: 80 mg/day
Indication: Prevention or reduction of post-operative pain Age: Adult	Dose: Parenteral intravenous/intramuscular – 40 mg Frequency: 30-45 minutes prior to surgical incision Note: May be continued post-operatively as needed for adequate effect

Drug Name	Risk Factors
CYP3A4 & 2C9 inhibitors	Increased AUC
Oral Anticoagulants (Warfarin, Heparin, Dabigatran, Rivaroxaban, Apixaban, Edoxaban) including warfarin/coumarin-type & novel oral Anticoagulants (Warfarin, Heparin, Dabigatran, Rivaroxaban, Apixaban, Edoxaban) (e.g. apixaban, dabigatran & rivaroxaban)	Increased risk of bleeding

Disease Name	Risk Factors
History of CVA, MI, CABG, Uncontrolled HTN, CHF (NYHA II-IV)	Increased risk of cardiovascular events
Active Peptic Ulceration or GI Bleeding	Risk of gastrointestinal complications

Medicine Overview

Indication

What is this medicine for, and how does it work?

When and how should this medicine be taken?

When should this medicine not be used?

What precautions should be taken before using this medicine?

Is it safe to use this medicine during pregnancy?

Can this medicine be used while breastfeeding?

What should be done if a dose is missed?

What should be done in case of an overdose?

What should be done if side effects are experienced?

Adult Dose

Child Dose

Renal Dose

Drug Interaction

Disease Interaction

Pregnancy

Data Sources