1.2. Pediatrics

Celecoxib is FDA-approved for use in pediatric patients 2 years of age and older with a diagnosis of juvenile rheumatoid arthritis (JRA), now also known as juvenile arthritis (JA) or juvenile idiopathic arthritis (JIA). However, celecoxib long-term cardiovascular toxicity as well as extended treatment for greater than six months have not been evaluated in pediatric patients. Therefore, the lowest celecoxib dose for the shortest treatment duration should be employed. Celecoxib safety and efficacy have not been determined in pediatric patients younger than 2 years of age1-3. Recommended celecoxib pediatric dosages are summarized in Table 2.

Table 2. Recommended COX-2 Inhibitor Pediatric Daily Dosages1-3
Drug Name Dosage Form/Strength Treatment Indication Maximum Recommended Dosage
celecoxib (Celebrex®) 50 mg, 100 mg capsules juvenile rheumatoid arthritis (JRA)/ juvenile arthritis (JA)/juvenile idiopathic arthritis (JIA)    

Greater than or equal to 2 years of age:

  • 10 kg to less than or equal to 25 kg:
    • 50 mg twice daily
  • Greater than 25 kg:
    • 100 mg twice daily