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Celecoxib (sell-le-cox-ib) is an anti-inflammatory medicine that is used to treat pain and inflammation (swelling). Your child may be prescribed celecoxib to treat pain after surgery or for other conditions such as arthritis.
Celecoxib is made by many different companies, and different brands of the same medicine have different names (e.g. Celebrex, Celexi, Celaxib).
Before giving your child celecoxib, you should tell your doctor if your child has an allergy to celecoxib, other anti-inflammatory medicines including ibuprofen (e.g. Nurofen) or sulphonamide medicines such as sulphamethoxazole (e.g. Bactrim).
Your child’s doctor will work out the amount (the dose) of celecoxib that is right for your child. The dose will be shown on the medicine label.
Celecoxib is usually only prescribed for a few days to a week after surgery. It can be used for longer when it is prescribed for other conditions (e.g. arthritis). Celecoxib will start to work about 30 minutes to one hour after it is given.
Celecoxib is available as 100mg and 200mg capsules. The Royal Children’s Hospital (RCH) pharmacy department also prepares a 10mg/mL mixture for children who require small doses, but this is only available for patients who have a prescription written by an RCH doctor. Your doctor or pharmacist will advise which product is most suitable for your child.
Celecoxib is usually given twice each day, as directed by your doctor. It is recommended that your child takes celecoxib with food and has plenty of water to drink throughout the day to reduce the chance of unwanted side effects.
Try to give celecoxib around the same times each day. If more than one person usually gives your child their medication, make sure that you communicate and write down doses given so that you don’t give extra doses by mistake.
If you miss a dose of celecoxib, it can be given as soon as you remember, as long as this is at least six hours before the next dose is due. Otherwise, skip the missed dose and continue giving the medicine at the normal times.
If you think you have given your child too much celecoxib, call the Poisons Information Centre on 13 11 26 as soon as possible, even if your child shows no symptoms. In the case of an emergency, call an ambulance or take your child to the nearest hospital emergency department. Have the medicine container or packaging with you, even if it is empty, as this information will be useful.
Medicines are designed to make us better, but sometimes they have unwanted effects (side effects). Some side effects will go away with time, or after the dose has been changed.
Speak to your child’s doctor if you are worried about any of the following:
Contact your doctor or hospital immediately if your child has the following:
There may be other side effects that are not listed in this fact sheet. If you notice anything unusual or are concerned about your child, contact your doctor.
What if my child vomits after taking celecoxib?
If your child vomits within 30 minutes of having a dose of celecoxib, give the same dose again. If your child vomits more than 30 minutes after having a dose of celecoxib, you do not need to give them another dose.
Can other medicines be given at the same time as celecoxib?
Care must be taken when using celecoxib with some other medicines. Tell your doctor and pharmacist about any other medicines your child is taking before starting celecoxib. This includes prescription medicine, medicine purchased from a pharmacy or supermarket without a prescription, and herbal or complementary medicines.
My child is a patient of the RCH, how do I order more celecoxib?
Celecoxib is usually only required for short-term treatment. Patients who have a prescription written by an RCH doctor may have celecoxib mixture prepared by the RCH pharmacy department as needed. Please contact RCH pharmacy department on (03) 9345 5449 or email@example.com to arrange another supply at least five working days before you will run out of the mixture.
Developed by The Royal Children's Medication Safety Committee and Children’s Pain Management Service. We acknowledge the input of RCH consumers and carers.
Developed March 2019.
Kids Health Info is supported by The Royal Children’s Hospital Foundation. To donate, visit www.rchfoundation.org.au.