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Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them. These factors may affect how you should use this medication. Allergy: Some people who are allergic to sulfonamide medications such as certain antibiotics also experience allergic reactions to Celebrex Celecoxib.

Blood counts: Celebrex Celecoxib can decrease the number of neutrophils a type of white blood cell that helps fight infection, red blood cells which carry oxygen, and platelets which help your blood to clot. Your doctor will do blood tests to monitor this. Stopping the medication allows the body's chemistry to return to normal which often resolves this issue. Fluid retention: Celebrex Celecoxib may cause fluid retention and swelling, possibly worsening high blood pressure, Congestive Heart Failure, or decreased heart function.

If you have any of these conditions, discuss with your doctor how Celebrex Celecoxib may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Celebrex Celecoxib, and whether any special monitoring is needed. Consult your doctor immediately if you develop shortness of breath, fatigue, excessive weight gain, chest pain, or swelling of the legs, feet, or ankles while taking Celebrex Celecoxib.

The risk is increased with higher total daily doses and when taking the medication over long periods of time. If you have kidney disease, discuss with your doctor how Celebrex Celecoxib may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Celebrex Celecoxib, and whether any special monitoring is needed. Liver function: Celebrex Celecoxib may worsen liver disease. If you have liver disease or decreased liver function, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Celebrex Celecoxib, and whether any special monitoring is needed.

Meningitis: On rare occasions, people taking NSAIDs such as Celebrex Celecoxib experience symptoms of inflammation of the tissues surrounding the brain meningitis. This appears to be more likely for people who have an autoimmune disorder. Potassium levels: Celebrex Celecoxib may increase the risk of high potassium levels in the blood, especially for seniors, people who have conditions such as diabetes or kidney failure, or people taking certain other types of medications. People who have been diagnosed with having high potassium levels in their blood should not take Celebrex Celecoxib.

Stomach problems: Celebrex Celecoxib may cause stomach problems such as ulcers or bleeding. If you have stomach problems, discuss with your doctor how Celebrex Celecoxib may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Celebrex Celecoxib, and whether any special monitoring is needed.

Using acetylsalicylic acid ASA at the same time as Celebrex Celecoxib increases the risk of stomach ulcers and bleeding.

While celecoxib may be appropriate for a small number of patients, our reservations about it remain strong. Here's why: It's probably harder on the heart. Although the evidence is mixed, some meta-analyses, which assess the combined data from many clinical trials, have linked celecoxib at higher or more frequent doses to an increased likelihood of heart attack compared with either a placebo or naproxen. And the AHA says celecoxib should be used to treat people at risk of heart attack only if other measures have failed.

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