December 2004 – In the midst of the Vioxx fallout, some suggestions for patients who needed a COX-2:
If Celebrex and the other COX-2’s are pulled in the near future, here are the options you want to discuss with your physician:
1) Switch to Tylenol.
2) Switch to Lodine, Mobic, or Relafen which are COX-2 preferential; or,
3) Switch to a non-selective NSAID, i) in combination with a PPI or misoprostol if you are at high risk for GI bleeding, or ii) in combination with a PPI if you have a history of GI bleeding.
