Artilog

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Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Artilog

Artilog is a synthetic compound classified as a Nonsteroidal Anti-inflammatory Drug (NSAID) that functions as a Selective Cyclooxygenase-2 (COX-2) Inhibitor. This classification places it within a modern group of anti-inflammatory agents designed for targeted action.

Property Description
Active ingredient Celecoxib (INN)
Form Capsules (for oral administration)
Pharmacological class Selective Cyclooxygenase-2 (COX-2) Inhibitor
Common use Pain management and inflammation reduction
Origin Synthetic sulfonamide derivative

What Type of Medicine is Artilog?

Artilog, containing the active ingredient Celecoxib, is a prescription-only medication identified by its targeted mechanism, which is clinically recognized for its preferential activity on the COX-2 enzyme. Unlike older NSAIDs, Artilog exhibits this selectivity, with a molecular structure identified as a sulfonamide derivative. This classification positions it distinctly within the analgesic agent therapeutic class.

Artilog: Composition and Physical Form

The core of Artilog is the compound Celecoxib, which is its official generic name (INN). This synthetic compound is consistently formulated as a single active ingredient product, supplied in capsules designed for oral administration. The capsule is a standardized pharmaceutical preparation that ensures a precise dose of the active compound is delivered systemically to exert its therapeutic effects. The formulation of Celecoxib in this solid form is necessary to facilitate its intended preferential activity and systemic absorption.

General Purpose and Mechanism Principle

The general purpose of Artilog is to provide relief through generalized Pain management and the reduction of Inflammation. Its mechanism involves the selective inhibition of COX-2, which limits the synthesis of pain- and swelling-inducing prostaglandins. It functions as an anti-inflammatory agent for conditions requiring the modulation of the inflammatory response. This targeted action provides both an anti-inflammatory effect and an antipyretic effect (fever reduction), offering systemic relief of inflammatory symptoms.

What side effects are possible with Artilog?

Possible Side Effects and Safety Information

The safety profile of Artilog, a selective Cyclooxygenase-2 (COX-2) Inhibitor, is officially documented by regulatory agencies and focuses on categorized adverse reactions and specific risks associated with its class.

Regulatory Classification of Adverse Reactions

Side effects are classified by frequency and grouped into System-Organ Classes (SOC) as per official regulatory documents. Reactions classified as Common include manifestations such as hypertension, peripheral oedema, dyspepsia, insomnia, dizziness, and upper respiratory tract infection. Serious adverse events, which are generally categorized as Rare, involve risks to major organ systems.

Serious Adverse Reactions and Safety Constraints

Official labeling carries specific warnings concerning serious cardiovascular thrombotic events, including myocardial infarction and stroke, which may increase in risk with the duration of use. Separately, serious gastrointestinal events such as bleeding, ulceration, and perforation are also documented and can occur at any time during treatment. Severe skin reactions, including Stevens-Johnson syndrome (SJS), are documented as rare, but serious, risks.

The medicine is subject to specific safety constraints. It is contraindicated in patients with a known hypersensitivity to sulfonamides (as it is a derivative) or those with a history of allergic-type reactions to aspirin or other NSAIDs. Use is also restricted in cases of severe congestive heart failure or active gastrointestinal ulceration.

Population-Specific Safety Notes

The official profile notes that older adults are documented as being at a greater risk for serious gastrointestinal adverse events. Furthermore, safety considerations highlight that Artilog is not a substitute for aspirin for cardiovascular prophylaxis due to its lack of effects on platelet aggregation at approved doses. These classifications reflect how regulatory documents organize and communicate the official safety profile.

Overdose and Emergency Response

Overdose and When to Seek Help

The regulatory information for Artilog (Celecoxib) overdose describes both generally reversible and severe potential manifestations. Symptoms following an acute nonsteroidal anti-inflammatory drug (NSAID) overdose are often limited to common signs such as lethargy, drowsiness, nausea, vomiting, and epigastric pain. These clinical presentations are typically managed with supportive care.

Immediate Action and Severe Outcomes

Immediate medical attention is required for the management of any overdose. Urgent care must be sought if the overdose involves a large amount or if severe, potentially life-threatening outcomes are observed. These documented severe outcomes include gastrointestinal bleeding, acute renal failure, hypertension, respiratory depression, coma, and anaphylactoid reactions.

Official Management Guidance

Management must be symptomatic and supportive, as official documentation confirms that no specific antidotes are known for Celecoxib overdose. For patients seen within four hours of ingestion with symptoms, or following a large overdose, certain procedural steps may be indicated, such as the use of activated charcoal and an osmotic cathartic. Regulatory information also notes that dialysis is unlikely to be useful due to the drug’s high plasma protein binding.

Therapeutic Uses of Artilog

What Artilog Treats: Main Uses and Benefits

Artilog is commonly used in areas where additional symptomatic support is needed in situations involving certain distressing symptoms, including those related to inflammatory or irritative states.

The medication is applicable within clinical settings that involve acute or disruptive symptom patterns, and is used for managing the signs and symptoms of several conditions characterized by periods of heightened symptoms. These include Osteoarthritis (OA), Rheumatoid Arthritis (RA), Ankylosing Spondylitis (AS), Juvenile Idiopathic Arthritis (JIA) in pediatric patients 2 years of age and older, Primary Dysmenorrhea, and acute migraine headaches.

Artilog helps address symptom clusters that create noticeable physiological strain, such as joint pain, tenderness, and stiffness. This support may assist with maintaining functional stability and contributes to easing the overall symptom load during symptomatic periods.

“Applied during phases when symptoms become more noticeable, it may offer symptomatic relief that helps patients cope more steadily with symptom fluctuations.”

Quick Fact: Symptomatic Support for Pain and Inflammation

Artilog is commonly used across conditions presenting with chronic or acute episodes where inflammatory symptoms interfere with daily functioning, and may provide support during periods of heightened discomfort.

Regulatory References

  1. MedlinePlus Drug Information

Eligibility and Restrictions for Use

Who Can and Cannot Use Artilog?

Official regulatory documentation strictly defines the eligible population for Artilog (Celecoxib).

Eligibility Classification Population Group Status
Allowed Adults; Pediatric patients 2 years of age and older (for JIA). Established for use
Contraindicated Known Hypersensitivity to Artilog/Sulfonamides/NSAIDs; Patients with active peptic ulceration/GI bleeding; Patients after CABG surgery; Severe Hepatic Impairment (Child-Pugh Class C); Pregnancy 30 weeks or later. Prohibited from use
Restricted Use Moderate Hepatic Impairment (Child-Pugh Class B); CYP2C9 Poor Metabolizers. Requires dose reduction
Not Recommended Severe Renal Insufficiency; Lactating Mothers. Limited clinical experience

Official eligibility statements: Artilog is contraindicated in patients with a known sulfonamide allergy or a history of aspirin-sensitive asthma. Use is not established in children under two years of age. Treatment must be avoided in the third trimester of pregnancy.

Connection to the overall eligibility profile: Regulatory labels establish mandatory exclusions based on allergy history and the presence of severe comorbidities, such as active gastrointestinal disease or severe organ impairment. Eligibility is strictly defined by these criteria, restricting use to established age groups and requiring modifications for specific metabolic conditions.

What should I know about interactions with other medicines?

Artilog (celecoxib) interacts with a number of other medications, potentially affecting either Artilog's levels or the efficacy and safety of the other drug. Due to the potential for increased side effects, the use of Artilog with any other non-aspirin Non-Steroidal Anti-Inflammatory Drug (NSAID) should be avoided.

Interactions Requiring Caution and Monitoring

  • Anticoagulants: Co-administration with oral anticoagulants, such as warfarin, increases the risk of serious bleeding events. Close monitoring of blood clotting time (INR/Prothrombin Time) is necessary.
  • Blood Pressure Medications and Diuretics: Artilog may reduce the effectiveness of certain blood pressure medications, including ACE inhibitors, Angiotensin Receptor Blockers (ARBs), and Beta-Blockers. It can also diminish the water-losing effects of diuretics (e.g., furosemide, thiazides), requiring blood pressure and diuretic response monitoring.
  • Cytochrome P450 Enzymes: Artilog's metabolism is primarily dependent on the liver enzyme CYP2C9. Combining it with strong CYP2C9 inhibitors (e.g., fluconazole) can significantly raise Artilog's concentration. Conversely, Artilog can inhibit the enzyme CYP2D6, potentially increasing the levels of drugs metabolized by this pathway (e.g., certain antidepressants or anti-arrhythmics).
  • Other Medications: Caution is required when combining Artilog with cyclosporin or tacrolimus, as this may increase the risk of kidney damage. Co-administration with Digoxin requires monitoring due to a potential increase in digoxin serum concentration.

Mechanism of Action

Selective Inhibition of the COX-2 Enzyme

Artilog (Celecoxib) operates by engaging the Cyclooxygenase-2 (COX-2) enzyme, acting as a selective inhibitor. This interaction primarily targets the inducible COX-2 pathway, which is activated during inflammatory responses. By occupying the enzyme’s active site, the drug suppresses its ability to synthesize pro-inflammatory prostaglandins, particularly PGE2, thereby modifying the molecular signals that contribute to downstream physiological effects.


Modulating Pain Signaling and Thermoregulation

The resulting reduction of PGE2 impacts key physiological systems both centrally and peripherally. This molecular cascade reduces the PGE2-mediated sensitization of peripheral sensory nerve endings (nociceptors), affecting the threshold for signal transmission. Furthermore, the inhibition of PGE2 synthesis within the central nervous system facilitates a change in the central thermoregulatory set point, resulting in a physiological adjustment of elevated body temperature.


Constraints on Homeostatic COX-2 Function

While Artilog's mechanism favors the inducible COX-2 enzyme, it still engages with the same enzyme when it is constitutively expressed in organs such as the kidney and vascular endothelium. This interaction affects the COX-2-regulated homeostatic functions, including the modulation of renal fluid and electrolyte balance and the regulation of vascular tone.

Dosage and Administration Information

Administration Guidelines for Artilog Capsules

Artilog (celecoxib) is an oral medication with specific administration protocols. The standard route is oral ingestion of the whole capsule. For patients experiencing difficulty swallowing, the entire capsule contents may be opened, sprinkled onto a level teaspoon of specific soft foods (e.g., applesauce or yogurt), and consumed immediately with water.

Standard Regimens and Frequency

The administration frequency is typically once daily (QD) or twice daily (BID), varying by indication. For Osteoarthritis, the dose is generally 200 mg daily, while Rheumatoid Arthritis and Ankylosing Spondylitis often involve twice-daily dosing or titration up to a maximum chronic use dose of 400 mg per day. For Acute Pain or Primary Dysmenorrhea, a loading dose of 400 mg is prescribed, followed by 200 mg taken as needed.

Procedural Constraints and Adjustments

Administration is generally without regard to the timing of meals for doses up to 200 mg BID. Several population-specific adjustments apply. The daily dose is reduced by 50% for patients with moderate hepatic impairment (Child-Pugh Class B). For Juvenile Rheumatoid Arthritis (in patients aged 2 years and older), dosing is strictly weight-based. The overall principle governing use is to maintain the lowest effective dosage for the shortest duration consistent with individual treatment goals, requiring periodic re-evaluation.


Connection to the overall use protocol:

These instructions define the standardized delivery of the medicine by establishing precise dose ranges, administration frequency tiers, and standardized physiologic dose adjustments. This structure ensures adherence to protocols regarding the method, timing, and duration of the treatment course.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Artilog

This overview describes the types of research and general findings for Artilog, focusing only on how the evidence has been studied, without providing any clinical guidance, promised results, or personal predictions. Findings should be viewed as observations made under specific study conditions.


Evidence for Use in Osteoarthritis (OA) and Rheumatoid Arthritis (RA)

Research involving Artilog has been applied in studies examining patient-reported experiences related to Osteoarthritis (OA) and Rheumatoid Arthritis (RA). For both conditions, studies were conducted primarily through short-term randomized controlled trials (lasting 4 to 12 weeks), which compared Artilog to a control or other substances. Additionally, researchers monitored these conditions in longer comparative trials that sometimes extended up to three years.

In these studies, researchers examined how symptoms evolved in the observed populations, particularly measuring outcomes related to physical discomfort and daily functioning or activity level. Findings describe patterns observed in the studies where measured changes in pain intensity and functional indices were reported. Long-term data related to the underlying condition's progression is not fully established, and whether some small reported changes in functional scores represent a meaningful difference remains uncertain.


Evidence for Acute Pain Management and Primary Dysmenorrhea

Artilog was studied for outcomes describing episodic or acute changes in contexts like acute pain (such as pain following surgery) and primary dysmenorrhea. Research was relevant in trials assessing short-term or episodic symptom patterns, focusing on very short observation intervals (often hours or days).

In these studies, researchers monitored changes in acute pain intensity and the use of supplemental pain medication. Research highlights patterns where the measure of physical discomfort changed during the observation period. This research provides insight into short-term changes, but the study results reflect the specific conditions under which they were conducted. Results apply only to the acute, single-dose or short-course contexts studied, and evidence is limited regarding chronic or repeated use for these specific pain types.


Evidence in Special Populations, Including Pediatric Use

Artilog was evaluated in special populations, particularly children aged 2 to 17 years with Juvenile Idiopathic Arthritis (JIA). The available data are based on a modest number of patients and clinical trials in this specific group. Trials focused on the acute phase of symptom activity, meaning that there is limited information for long-term outcomes and sustained changes in this pediatric population.

Key Studies & References

  1. MedlinePlus Drug Information: Celecoxib (Used to confirm and scope approved indications)

Frequently Asked Questions (FAQ)

Common questions about Artilog (FAQ)

Q: Does Artilog affect weight?

A: Official documents list peripheral oedema, or swelling due to fluid retention, as a common side effect of Artilog. Fluid retention can be associated with changes in weight. Weight gain or loss is not explicitly listed as a common adverse reaction in the product information.

Q: Is it okay to drive or operate machinery while taking Artilog?

A: Regulatory labeling lists common side effects that can affect a person’s ability to concentrate and function. These reported effects include dizziness and insomnia (difficulty sleeping). Individuals taking Artilog are advised to be aware of these possible effects on mental and motor skills.

Q: Can Artilog be taken with acid reducers like omeprazole?

A: The official label details that co-administration with an aluminum- and magnesium-containing antacid can reduce Artilog's concentration in the body. No specific interaction with acid-reducing medications like omeprazole is explicitly listed. Regulatory information emphasizes the importance of careful review of all concomitant medications.

Q: If I am taking vitamins or supplements, can Artilog interact with them?

A: Patient counseling information states that Artilog may interact with other medications. This category includes not only prescription and over-the-counter medicines, but also vitamins or herbal supplements. Regulatory information emphasizes the importance of informing a healthcare provider about all products being taken.

Q: What kind of monitoring is usually required when starting Artilog?

A: Monitoring of blood pressure is described in the product information as a practice during Artilog treatment. Additional lab monitoring is typically required when Artilog is taken alongside certain other drugs, such as warfarin or diuretics.

Q: What is the purpose of the [excipient name] in the Artilog tablet?

A: The official label lists the inactive ingredients, also known as excipients, that are used in the formulation of the capsules. These substances provide structure, stability, and proper delivery of the active drug, Artilog, but they do not contribute to its therapeutic effect.

Q: What is Artilog's primary mechanism of action as described in official sources?

A: Artilog’s mechanism is officially described as the inhibition of prostaglandin synthesis. It achieves this primarily by selectively targeting and inhibiting the cyclooxygenase-2 (COX-2) enzyme. This action is the basis for its anti-inflammatory and analgesic effects.

Q: Is Artilog the same kind of drug as [similar common drug name]?

A: Artilog is officially classified as a Nonsteroidal Anti-inflammatory Drug (NSAID) and specifically as a selective COX-2 inhibitor. This classification defines its targeted function, which is different from non-selective NSAIDs.

Q: How long does it typically take for a person to notice the effects of Artilog?

A: Clinical studies for acute pain reported that a single dose of Artilog provided pain relief within 60 minutes. For chronic conditions, studies described the onset of significant change in pain within 24 to 48 hours of starting treatment.

Q: Does Artilog stay in your system for a long time?

A: The apparent terminal half-life of Artilog (celecoxib) is approximately 11 hours under fasted conditions. This measurement describes the typical time it takes for the amount of the drug in the body to be reduced by half.

Q: Is Artilog available in different strengths?

A: Yes, official regulatory documents list Artilog as being available in multiple oral capsule strengths. These typically include 50 mg, 100 mg, 200 mg, and 400 mg.

Q: What are the most common reasons someone might stop taking Artilog?

A: Data from controlled clinical trials indicates the most common reasons patients discontinued treatment were due to adverse events (side effects). Lack of efficacy, meaning the drug did not work as expected, was another key reason for stopping use.

Q: What happens if I forget to take Artilog?

A: Standard patient information advises taking the missed dose as soon as the patient remembers, unless it is closer to the time of the next scheduled dose, in which case the missed dose should be skipped. Official patient information often advises consulting a healthcare provider before taking any action regarding a missed dose.

Q: Is Artilog known to cause mood changes?

A: The official list of adverse reactions includes neurological effects such as insomnia and dizziness. However, 'mood changes,' such as depression or anxiety, are not explicitly listed as a common reaction in the regulatory documentation.

Q: Are there any specific foods or drinks to avoid while taking Artilog?

A: Official documents state that Artilog can generally be administered without regard to the timing of meals. No specific dietary restrictions are listed in the product information.

Q: How does Artilog compare to placebo in clinical trials?

A: Clinical studies were conducted as randomized, double-blind, placebo-controlled trials. These studies demonstrated that Artilog provided a statistically significant reduction in symptoms compared to placebo in its approved uses.

Q: Is Artilog safe to use long-term?

A: The official label contains a warning that the risk of serious cardiovascular and gastrointestinal adverse events may increase with the duration of use. Official labeling states that use is generally advised at the lowest effective dosage for the shortest duration consistent with individual treatment goals.

Q: Is it true that Artilog is a controlled substance?

A: Artilog (celecoxib) is not classified as a controlled substance by the Drug Enforcement Administration (DEA) or equivalent international regulatory agencies.

Q: What information is usually given to patients about Artilog's side effects?

A: Official labeling mandates that a Medication Guide be dispensed to patients. This guide provides important safety information, a list of common side effects, and warnings about the risk of serious adverse events.

Q: Does Artilog interact with alcohol?

A: Official patient warnings state that consuming three or more alcoholic drinks every day while taking Artilog may increase the risk of serious stomach bleeding. This is a safety caution described in the patient counseling materials.

Q: How is Artilog eliminated from the body?

A: Artilog is eliminated predominantly through hepatic metabolism, meaning it is broken down by the liver (via the CYP2C9 enzyme). The resulting inactive metabolites are then excreted from the body in both the urine and feces.

Q: Is it common to experience [specific minor side effect] when taking Artilog?

A: Official documents classify side effects by their reported frequency in clinical trials. A common reaction is defined as one that was reported in ge 1% of patients who took the drug during the studies. Reactions that occur less often are classified as uncommon or rare.

Q: Do I need to change my diet while taking Artilog?

A: Official documents state that Artilog can be taken without regard to the timing of meals. No specific dietary changes are required or listed in the product information.

Q: Why did the FDA approve Artilog?

A: The Food and Drug Administration (FDA) approved Artilog based on clinical evidence. The evidence demonstrated the drug’s effectiveness in treating its specific indications and confirmed that its therapeutic benefits outweighed its risks under the conditions of its prescribed use.

Q: What should I do if I think Artilog is not working for me?

A: Patient information resources advise contacting the healthcare provider to discuss concerns about the drug’s effectiveness. The decision to change or adjust therapy is a clinical one that should be discussed with a healthcare provider.

Q: How long has Artilog been on the market?

A: The original brand-name product containing the active ingredient in Artilog received FDA approval on December 31, 1998.

How should Artilog be stored and disposed of?

Storage and Protection

Artilog (celecoxib) capsules must be stored below 30 C (86 F), adhering to the standard room temperature range defined by regulatory guidelines. The product must be protected from both moisture and light. It is essential to keep the medicine in its original container and ensure the container is tightly closed when not in use. Do not refrigerate or freeze the capsules, as this can compromise product integrity. For safety, Artilog must be kept out of the sight and reach of children and pets at all times.


Disposal Instructions

Unused or expired Artilog should be disposed of via a drug take-back program or a local collection site as the preferred method. If a take-back option is unavailable, the official protocol is to mix the product with an undesirable substance (such as used coffee grounds or dirt), place the mixture in a sealed bag or container, and discard it in the household trash. Do not flush Artilog down the toilet or sink, as it is not on the list of medicines approved for wastewater disposal.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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