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- Disturbances of the gut such as indigestion, diarrhoea, constipation, nausea, vomiting or abdominal pain.
- Excess gas in the stomach and intestines (flatulence).
- Inflammation of the lining of the mouth (stomatitis).
- Headache.
- Dizziness.
- Visual disturbances.
- Skin reactions such as rash and itch.
- Abnormal reaction of the skin to light, usually a rash (photosensitivity).
- Difficulty in sleeping (insomnia).
- Drowsiness.
- Confusion.
- Depression.
- Retention of water in the body tissues (fluid retention), resulting in swelling (oedema).
- Sensation of ringing, or other noise in the ears (tinnitus).
- Difficulty in breathing (dyspnoea).
- Ulceration or bleeding in the stomach or intestines.
- Allergic reactions such as severe skin rashes, swelling of the lips, tongue and throat (angioedema) or narrowing of the airways (bronchospasm).
- Kidney, liver or blood disorders.
The side effects listed above may not include all of the side effects reported by the drug's manufacturer.
How can this medicine affect other medicines?
It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before taking this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to ensure that the combination is safe.
Etodolac should not be used in combination with painkilling doses of aspirin or any other NSAID taken by mouth, eg ibuprofen, as this increases the risk of side effects on the stomach and intestines. Selective inhibitors of COX-2 such as celecoxib or etoricoxib should also be avoided for the same reason.
There may be an increased risk of ulceration or bleeding from the gut if etodolac is taken with corticosteroids such as prednisolone.
There may also be an increased risk of bleeding from the gut if etodolac is taken with the following medicines:
- anti-blood-clotting (anticoagulant) medicines such as warfarin
- anti-platelet medicines to reduce the risk of blood clots or 'thin the blood', eg low-dose aspirin, clopidogrel, dipyridamole
- SSRI antidepressants, eg fluoxetine, paroxetine, citalopram
- venlafaxine.
Etodolac may enhance the effect of blood-thinning or anti-clotting medicines (anticoagulants) such as warfarin. As this may increase the risk of bleeding, people taking etodolac with an anticoagulant should be closely monitored by their doctor. The dose of anticoagulant may need reducing.
There may be an increased risk of side effects on the kidneys if etodolac is used with any of the following medicines:
- ACE inhibitors, eg enalapril
- angiotensin II receptor antagonists, eg losartan
- ciclosporin
- diuretics, eg furosemide
- tacrolimus.
Etodolac may oppose the blood pressure lowering effects of certain medicines to treat high blood pressure, including the following:
- ACE inhibitors such as captopril
- angiotensin II receptor antagonists, eg losartan
- beta-blockers such as propranolol
- diuretics such as furosemide.
Etodolac may reduce the removal of the following medicines from the body and so may increase the blood levels and risk of side effects of these medicines. People using etodolac with any of these should be closely monitored by their doctor:
- digoxin
- lithium
- methotrexate.
Other medicines containing the same active ingredient
| Eccoxolac | Etopan XL |
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