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rofecoxib

COX-2 inhibitor (coxib) · Anti-inflammatory, Analgesic

COX-2 inhibitor (coxib)Anti-inflammatory, Analgesic
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
incl. contraindicated
PREGNANCY
not curated
Top interactionssee all 12
  • Other Nsaids (non Selective Or Other Cox 2 Inhibitors)ContraindicatedDatabase
  • CidofovirSevereDatabaseDDInter
  • DeferasiroxSevereDatabaseDDInter
  • DiatrizoateSevereDatabaseDDInter

Mechanism

Selectively inhibits cyclooxygenase-2 (COX-2).

Contraindications

  • Withdrawn from market due to cardiovascular risk profile

Side effects

Serious
  • Increased incidence of myocardial infarction
  • Increased incidence of stroke
  • Increased incidence of vascular death
  • Cardiovascular risk

Drug interactions

Other Nsaids (non Selective Or Other Cox 2 Inhibitors)
Contraindicated
Database

Significantly increased risk of serious gastrointestinal adverse events (ulcers, bleeding, perforation) and renal impairment without additional therapeutic benefit.

Concomitant use is contraindicated. Avoid using rofecoxib with any other NSAID, including other COX-2 selective inhibitors.

Cidofovir
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Deferasirox
Severe
Database

Clinical effect not specified

Source: DDInter

Diatrizoate
Severe
Database

Clinical effect not specified

Source: DDInter

Everolimus
Severe
Database

Clinical effect not specified

Source: DDInter

Human Cytomegalovirus Immune Globulin
Severe
Database

Clinical effect not specified

Source: DDInter

Inotersen
Severe
Database

Clinical effect not specified

Source: DDInter

Iohexol
Severe
Database

Clinical effect not specified

Source: DDInter

Iopamidol
Severe
Database

Clinical effect not specified

Source: DDInter

Iopromide
Severe
Database

Clinical effect not specified

Source: DDInter

Iothalamic Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Ioversol
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other COX-2 inhibitor (coxib) drugs

Ask House about rofecoxib

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team