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Should we switch to lower-dose etoricoxib?

I was interested to read Pulse's coverage about the recent NICE guidance on osteoarthritis. It states that patients shouldn't be on the 60mg dose of etoricoxib but that the 30mg dose might be okay. I don't prescribe cox-2 inhibitors very often but have a few patients who are well settled on 60mg etoricoxib – which they started on before the 30mg dose became available. Should I leave them well alone – or is it worth trying to switch them to the lower dose?

OA patients who have their pain controlled with 60mg etoricoxib could try the lower dose OA hands

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