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Uses
Vioxx is a nonsteroidal anti-inflammatory drug (NSAID) which relieves pain and swelling (inflammation). It is used to treat arthritis, menstrual pain or other acute pain.

How To Use
Take Vioxx by mouth, generally once daily as directed. To decrease the chance of stomach upset, Vioxx is best taken with food. Dosage is based on your medical condition and response to therapy. Take Vioxx with 6 to 8 ounces (180-240ml) of water. Do not lie down for at least 30 minutes after taking Vioxx.

Side Effects
Stomach upset or tiredness may occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: severe headache, change in the amount of urine. Very unlikely but report promptly: dark urine, yellowing eyes or skin. If you notice any of the following unlikely but very serious side effects, stop taking Vioxx and consult your doctor or pharmacist immediately: black stools, persistent stomach abdominal pain, vomit that looks like coffee grounds. In the unlikely event you have an allergic reaction to Vioxx, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Tell your doctor your medical history, including: allergies (especially to aspirin/other NSAIDs), liver problems, kidney problems, heart disease, stomach/intestinal ulcers or bleeding, history of smoking, alcoholism, asthma, high blood pressure, growths in the nose (e.g., nasal polyps), serious infections, swelling (edema), blood disorders (anemia), poorly controlled diabetes.Vioxx may cause stomach bleeding. Daily use of alcohol, especially when combined with Vioxx, may increase your risk for stomach bleeding. Check with your doctor or pharmacist for more information.Caution is advised when Vioxx is used in the elderly, as this group may be more sensitive to drug side effects.Vioxx should be used only when clearly needed during the first six months of pregnancy. It should not be used during the last three months of pregnancy. Discuss the risks and benefits with your doctor.It is not known whether Vioxx is excreted into breast milk. Because of the potential risk to the infant, breast-feeding while using Vioxx is not recommended. Consult your doctor before breast-feeding.

Drug Interactions
Inform your doctor about all the medicines you take with and without a prescription.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe stomach pain, coffee ground-like vomit, dark stool, ringing in the ears, change in amount of urine, unusually fast or slow heartbeat, muscle weakness, slow or shallow breathing, confusion, severe headache or loss of consciousness.

Notes
Do not share Vioxx with others. Laboratory or medical tests may be performed to monitor your progress.

Missed Dose
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage
Store at room temperature (77 degrees F or 25 degrees C) away from light and moisture.

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