Product image of Meticel (Celecoxib) supplied by GNH India

Meticel

Active Ingredient:
Celecoxib
Origin:
EU

Meticel (Celecoxib)

Celecoxib, the active ingredient in Meticel, is a COX‑2 inhibitor presented as an oral tablet for oral use. It provides anti‑inflammatory, analgesic and antipyretic effects for adults suffering from osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, acute pain and dysmenorrhea.

GNH India supplies Meticel as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Manufactured under EU GMP standards, the product meets European regulatory requirements and is distributed to health‑care providers across multiple continents. Its consistent purity and bioavailability support reliable clinical outcomes.

Manufacturer / TM Owner

Laboratorios Alter, S.A.

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Indications & Clinical Uses

Celecoxib is a selective COX‑2 inhibitor used to manage inflammatory and painful conditions affecting the musculoskeletal system.

  • Osteoarthritis: reduces joint pain and improves functional mobility in patients with degenerative joint disease.
  • Rheumatoid arthritis: alleviates inflammatory joint pain and swelling in adults with autoimmune arthritis.
  • Ankylosing spondylitis: decreases spinal stiffness and pain associated with chronic inflammatory back disease.
  • Acute pain: provides short‑term relief of moderate to severe pain from injuries or surgical procedures.
  • Dysmenorrhea: lessens menstrual cramps and associated pelvic discomfort in women.

How It Works

  • Celecoxib selectively inhibits the cyclooxygenase‑2 (COX‑2) enzyme, which is responsible for converting arachidonic acid to prostaglandins that mediate inflammation, pain and fever. By sparing COX‑1 activity, it preserves protective gastric prostaglandins while reducing the production of inflammatory prostaglandins in synovial tissue and other inflamed sites, resulting in anti‑inflammatory, analgesic and antipyretic effects. The inhibition is reversible and dose‑dependent, allowing titration to achieve therapeutic benefit while minimizing systemic exposure.

Side Effects

Celecoxib may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild stomach upset or queasiness.
  • Headache: transient pain in the head region.
  • Hypertension: increase in blood pressure readings.
  • Edema: mild swelling of the ankles or feet.
  • Diarrhea: loose stools occurring intermittently.

Serious or Rare Side Effects

  • Cardiovascular events: increased risk of heart attack or stroke.
  • Gastrointestinal bleeding: ulceration or bleeding in the stomach or intestines.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Liver enzyme elevation: significant rise in ALT or AST levels.
  • Renal impairment: reduced kidney function or acute kidney injury.

Precautions & Warnings

Before prescribing celecoxib, clinicians should evaluate several safety considerations.

  • Cardiovascular risk assessment: review patient history of heart disease or stroke.
  • Blood pressure monitoring: check and record blood pressure regularly during therapy.
  • Gastro‑intestinal protection: consider ulcer prophylaxis in patients with prior GI bleeding.
  • Renal function evaluation: assess baseline kidney function and adjust use if impairment exists.
  • Hepatic safety: monitor liver enzymes periodically, especially in patients with liver disease.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Celecoxib can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): may increase bleeding risk.
  • Other NSAIDs or aspirin: additive gastrointestinal toxicity.
  • Lithium: can raise lithium serum concentrations.

Moderate Interactions (Monitor Closely)

  • Antihypertensives (e.g., ACE inhibitors, diuretics): may reduce blood pressure control.
  • Methotrexate: potential for increased toxicity at high doses.
  • Cyclosporine: may elevate cyclosporine levels and nephrotoxicity.

Frequently Asked Questions

Meticel, containing celecoxib, is prescribed for several inflammatory and painful disorders, including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, acute musculoskeletal pain, and dysmenorrhea. It is intended for adult patients who require a COX‑2 selective NSAID to manage pain and inflammation while minimizing gastrointestinal side effects associated with non‑selective NSAIDs.

Celecoxib works by selectively blocking the cyclooxygenase‑2 (COX‑2) enzyme, which converts arachidonic acid into prostaglandins that drive inflammation, pain, and fever. By inhibiting COX‑2 while sparing COX‑1, celecoxib reduces the production of inflammatory prostaglandins in affected tissues without significantly disrupting the protective prostaglandins that maintain gastric lining integrity.

The appropriate dose of Meticel is determined by the prescribing healthcare professional based on the specific indication, severity of symptoms, patient age, weight, renal and hepatic function, and any concomitant medications. Dosage adjustments may be required for patients with cardiovascular risk factors or organ impairment, and the prescriber will tailor the regimen to achieve optimal therapeutic benefit.

Safety data for celecoxib during pregnancy and lactation are limited. Generally, celecoxib is avoided in the first and third trimesters because of potential risks to the fetus, and it is not recommended while breastfeeding unless the benefits outweigh the risks. Women who are pregnant, planning pregnancy, or nursing should discuss alternative therapies with their physician.

To place an order, submit an enquiry on the Meticel product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including any cold‑chain requirements) and assists with import documentation.

Meticel (celecoxib) is a COX‑2 selective NSAID, which means it targets the COX‑2 enzyme responsible for inflammation while sparing COX‑1, the enzyme that protects the stomach lining. In contrast, ibuprofen is a non‑selective NSAID that inhibits both COX‑1 and COX‑2, potentially leading to higher gastrointestinal risk. Celecoxib may be preferred for patients needing NSAID therapy with reduced GI irritation, though cardiovascular risk considerations remain.

Meticel should be stored at room temperature, below 25 °C (77 °F). Keep the tablets in the original blister pack or container, protect them from moisture, excessive heat and direct sunlight. Do not store in bathrooms or near kitchen appliances that generate steam, and keep out of reach of children.

Meticel is taken orally, usually as a whole tablet swallowed with a glass of water. It can be taken with or without food; however, taking it with food may reduce occasional stomach discomfort. Patients should follow the dosing schedule prescribed by their healthcare provider and should not split, crush, or chew the tablets unless specifically instructed.

The most serious risks of Meticel include cardiovascular events such as heart attack or stroke, especially in patients with existing heart disease or risk factors. It can also cause serious gastrointestinal complications like bleeding or ulceration, severe skin reactions (e.g., Stevens‑Johnson syndrome), liver enzyme elevations, and renal impairment. Patients should be monitored closely for any signs of these adverse events.

Meticel should be avoided in individuals with known hypersensitivity to celecoxib or any COX‑2 inhibitors, those with active cardiovascular disease (e.g., recent myocardial infarction, uncontrolled hypertension), severe hepatic or renal impairment, and patients with a history of gastrointestinal bleeding or ulcer disease unless protective measures are in place. Pregnant women in the first and third trimesters and nursing mothers should also refrain from using it unless directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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