Tory 60 mg tablet should be swallowed whole with water, with or without food. Taking it with food may help reduce gastrointestinal upset.

Etoricoxib is a selective cyclooxygenase-2 (COX-2) inhibitor. It inhibits prostaglandin synthesis by blocking the COX-2 enzyme, which is primarily responsible for the production of prostaglandins that cause pain, inflammation, and fever. Unlike non-selective NSAIDs, it spares COX-1, which is involved in protecting the stomach lining.

• •Hypersensitivity to etoricoxib or any component of the tablet
• •Active peptic ulceration or gastrointestinal bleeding
• •Severe hepatic dysfunction
• •Severe renal dysfunction (creatinine clearance <30 mL/min)
• •Congestive heart failure (NYHA Class II-IV)
• •Established ischaemic heart disease, peripheral arterial disease, and/or cerebrovascular disease
• •Pregnancy and lactation

Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.

Symptoms may include gastrointestinal disturbances, renal toxicity, and cardiovascular effects. Treatment is symptomatic and supportive; there is no specific antidote. Gastric decontamination may be considered within the first hour of ingestion.

Contraindicated during pregnancy and lactation. NSAIDs, including etoricoxib, should be avoided in the third trimester due to risk of premature closure of the ductus arteriosus and renal dysfunction in the fetus. Excreted in breast milk, thus not recommended during breastfeeding.