PijnvizierPain relief in dental care
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NSAIDs and salicylates

COX-2 inhibitors

Celecoxib and etoricoxib · specific indications.

Prescription options

Check the indication by product

These medicines have different authorised indications. The general NHG pain guidance prefers conventional NSAIDs to COX-2 inhibitors. Before use, check the product-specific indication and cardiovascular contraindications.

Prescription options

Draft for your prescribing system. Check patient details, contraindications and medication safety before prescribing.

Etoricoxib following dental surgery

An authorised option for moderate pain after a dental procedure moderate pain after dental surgery in suitable adults with normal hepatic function. The general pain policy prefers classic NSAIDs.

Checks before prescribing

Do not use in NYHA class II–IV heart failure, estimated creatinine clearance below 30 mL/min, persistent uncontrolled blood pressure above 140/90 mmHg, or established arterial vascular disease. Etoricoxib is also contraindicated during pregnancy or breastfeeding. See the complete contraindications in SmPC §4.3. KIMO advises against NSAID use after a dental procedure that causes bleeding in patients taking antithrombotics, even if antithrombotic therapy has been temporarily interrupted. Discuss over-the-counter NSAIDs as well. See When taking antithrombotics. Check gastrointestinal risk, hypersensitivity and interactions. Don't combine two NSAIDs.

  • R/ Etoricoxib 90 mg film-coated tablet

    Per dose
    90 mg by mouth (1 tablet)
    Frequency and interval in this example
    Once daily, about 24 hours between doses
    Maximum per 24 hours
    90 mg (1 tablet)
    Quantity in this draft
    Maximum 3 tablets

Maximum duration of use: 3 days. Stop earlier if the medicine is no longer needed. Reassess if pain relief is inadequate or pain worsens.

Sources for this topic

Reference for dentists on acute dental pain and pain after treatment.