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Tired of cycling your patients through migraine treatments?

ELYXYB may be an option

ELYXYB: AN ORAL SOLUTION FOR MIGRAINE.
The first and only COX‑2 inhibitor formulated as a fast-onset, ready‑to‑use oral solution for the acute treatment of migraine with or without aura in adults.1-5

Scroll down to see Limitations of Use.

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Supine woman with illustration of pills circling her head.

Head in a new direction with the only COX-2 inhibitor formulated for fast migraine relief2-4

Cycling through migraine treatment options can be exasperating. ELYXYB is different.

First icon

FIRST oral solution with COX-2 selectivity3,5

Selective inhibition of COX-2 may help stop inflammation and pain while preserving important functions of COX-15,6

The MOA of ELYXYB is not fully understood.

  • BLOCKS prostaglandin synthesis, which reduces pain and inflammation5
  • REDUCES risk of serious GI toxicity and impact on platelet aggregation functions of COX-12,6,7
  • RELIEVES migraine pain as the only drug in the coxib class for the acute treatment of migraine2,5
Explore ELYXYB MOA
Fast icon

Formulated for FAST onset of action with a unique delivery system3,4

Median Tmax was 60 minutes following administration of ELYXYB 120 mg under fasting conditions in healthy individuals (N=24)3,5


In a single-dose, randomized crossover PK study (N=16) vs 400-mg celecoxib capsules, ELYXYB 120 mg delivered3,5:

  • 3.5x faster Tmax
  • Greater bioavailability at 30% of the dose
  • 1.7x higher peak plasma concentrations
Understand the PK Difference

When patients are looking for relief, ELYXYB can be an option

See how ELYXYB addresses certain needs of adult patients with migraine. Convenience to take on the go, speed of efficacy, and tolerability all make ELYXYB a treatment option for acute symptom relief.5,8,9

Fast icon

Formulated for fast relief

  • Delivers pain relief for many patients within 1 hour8,9
  • Delivers pain freedom for many patients within 2 hours5

Nonsteroidal anti-inflammatory drugs (NSAIDs), including ELYXYB, cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal.

Safety icon

Safety established in clinical studies

  • Low incidence of GI side effects in clinical trials8,9
  • No drowsiness reported in clinical trials5
See More Safety Information

Big relief. Small bottle.

A ready-made solution that's ready to go5

ELYXYB bottle imageImage not actual size.

Formulated for fast-onset relief that lasts

Relief as soon as 1 hour, sustained for 2 to 24 hours post-dose.8,9

2.5-inch, single-dose bottle

Ready to use. No premixing, shaking, or measuring required.5

<1 teaspoon dose

Can be taken with food or on an empty stomach. After a dose, patients may sip up to 8 ounces of water if desired.5

No prep. No steps.

Just open and drink.5

See Prescribing ELYXYB

Head in a new direction with ELYXYB

Learn more about the steps you can take to get started with ELYXYB.

Request an ELYXYB Representative

Submit a request online and an ELYXYB Representative will follow up with you.

Request a Representative

Access ELYXYB educational resources and savings

Collegium is committed to ensuring patients have access to start and stay on ELYXYB. Learn more about the resources available to your patients and office staff.

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INDICATION

ELYXYB (celecoxib) oral solution is a nonsteroidal anti-inflammatory drug (NSAID) indicated for the acute treatment of migraine with or without aura in adults.

Limitations of Use

ELYXYB is not indicated for the preventive treatment of migraine.

IMPORTANT SAFETY INFORMATION about ELYXYB

WARNING: RISK OF SERIOUS CARDIOVASCULAR and GASTROINTESTINAL EVENTS

Cardiovascular Thrombotic Events

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal. This risk may occur early in the treatment and may increase with duration of use.
  • ELYXYB is contraindicated in the setting of coronary artery bypass graft (CABG) surgery.

Gastrointestinal Bleeding, Ulceration, and Perforation

  • NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients and patients with a prior history of peptic ulcer disease and/or GI bleeding are at greater risk for serious (GI) events.

INDICATION

ELYXYB (celecoxib) oral solution is a nonsteroidal anti-inflammatory drug (NSAID) indicated for the acute treatment of migraine with or without aura in adults.

Limitations of Use

ELYXYB is not indicated for the preventive treatment of migraine.

CONTRAINDICATIONS

ELYXYB is contraindicated in the following patients:

  • Known hypersensitivity to celecoxib or any components of the drug product or sulfonamides.
  • History of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs.
  • In the setting of coronary artery bypass graft (CABG) surgery.

WARNINGS AND PRECAUTIONS

Post-MI Patients: Avoid the use of ELYXYB in patients with a recent MI unless the benefits are expected to outweigh the risk of recurrent CV thrombotic events. If ELYXYB is used in patients with a recent MI, monitor patients for signs of cardiac ischemia.

Hepatotoxicity: Elevations of ALT or AST have been reported in patients with NSAIDs. In addition, rare, sometimes fatal, cases of severe hepatic injury, including fulminant hepatitis, liver necrosis, and hepatic failure, have been reported. Inform patients of warning signs and symptoms of hepatotoxicity. Discontinue if abnormal liver tests persist or worsen or if clinical signs and symptoms of liver disease develop.

IMPORTANT SAFETY INFORMATION about ELYXYB

WARNING: RISK OF SERIOUS CARDIOVASCULAR and GASTROINTESTINAL EVENTS

Cardiovascular Thrombotic Events

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal. This risk may occur early in the treatment and may increase with duration of use.
  • ELYXYB is contraindicated in the setting of coronary artery bypass graft (CABG) surgery.

Gastrointestinal Bleeding, Ulceration, and Perforation

  • NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients and patients with a prior history of peptic ulcer disease and/or GI bleeding are at greater risk for serious (GI) events.

Hypertension: NSAIDs, including ELYXYB, can lead to new onset of hypertension or worsening of preexisting hypertension, either of which may contribute to the increased incidence of CV events. Patients taking some antihypertension medications may have impaired response to these therapies when taking NSAIDs. Monitor blood pressure.

Heart Failure and Edema: Avoid the use of ELYXYB in patients with severe heart failure unless the benefits are expected to outweigh the risk of worsening heart failure. If ELYXYB is used in patients with severe heart failure, monitor patients for signs of worsening heart failure.

Renal Toxicity: Long-term administration of NSAIDs has resulted in renal papillary necrosis and other renal injury and may cause a dose-dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may precipitate overt renal decompensation. Monitor renal function in patients with renal or hepatic impairment, heart failure, dehydration, or hypovolemia. Avoid use of ELYXYB in patients with severe renal impairment unless benefits are expected to outweigh the risk of worsening renal function. If ELYXYB is used in patients with advanced renal disease, monitor patients for signs of worsening renal function.

Hyperkalemia: Increases in serum potassium concentration, including hyperkalemia, have been reported with use of NSAIDs, even in some patients without renal impairment. In patients with normal renal function, these effects have been attributed to a hyporeninemic-hypoaldosteronism state.

Anaphylactic Reactions: Celecoxib has been associated with anaphylactic reactions in patients with and without known hypersensitivity to celecoxib and in patients with aspirin-sensitive asthma. Celecoxib is a sulfonamide and both NSAIDs and sulfonamides may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people.

Exacerbation of Asthma Related to Aspirin Sensitivity: ELYXYB is contraindicated in patients with aspirin-sensitive asthma. Monitor patients with preexisting asthma (without known aspirin sensitivity).

Serious Skin Reactions: Serious skin reactions have occurred following treatment with celecoxib, including erythema multiforme, exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), toxic epidermal necrolysis (TEN), drug reaction with eosinophilia and systemic symptoms (DRESS) and acute generalized exanthematous pustulosis (AGEP). These serious events may occur without warning and can be fatal. Discontinue ELYXYB at the first appearance of skin rash or any other sign of hypersensitivity.

Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS): DRESS has been reported in patients taking NSAIDs. Some of these events have been fatal or life-threatening. DRESS typically, although not exclusively, presents with fever, rash, lymphadenopathy, and/or facial swelling. Eosinophilia is often present. If such signs or symptoms are present, discontinue ELYXYB and evaluate the patient immediately.

Medication Overuse Headache: Overuse of acute migraine drugs (e.g., ergotamine, triptans, opioids, NSAIDs, or combination of these drugs for 10 or more days per month), including ELYXYB, may lead to exacerbation of headache (medication overuse headache). Detoxification of patients, including withdrawal of the overused drugs and treatment of withdrawal symptoms may be necessary.

Premature Closure of Fetal Ductus Arteriosus: ELYXYB may cause premature closure of the fetal ductus arteriosus. Avoid use of NSAIDs, including ELYXYB, in pregnant women starting at about 30 weeks gestation and later.

Oligohydramnios/Neonatal Renal Impairment: Use of NSAIDs, including ELYXYB, at about 20 weeks gestation or later in pregnancy may cause fetal renal dysfunction leading to oligohydramnios and, in some cases, neonatal renal impairment. If NSAID treatment is necessary between about 20 weeks and 30 weeks gestation, limit ELYXYB use to the lowest effective dose and shortest duration possible. Discontinue ELYXYB if oligohydramnios occurs.

Hematological Toxicity: Anemia has occurred in NSAID-treated patients. Monitor hemoglobin or hematocrit in patients with any signs or symptoms of anemia or blood loss. NSAIDs, including ELYXYB, may increase the risk of bleeding events. Monitor patients for signs of bleeding.

Masking of Inflammation and Fever: The pharmacological activity of celecoxib in reducing inflammation, and possibly fever, may diminish the utility of diagnostic signs in detecting infections.

Laboratory Monitoring: Because serious GI bleeding, hepatotoxicity, and renal injury can occur without warning symptoms or signs, consider monitoring patients on long-term NSAID, including ELYXYB, treatment with a CBC and a chemistry profile periodically.

Disseminated Intravascular Coagulation (DIC): ELYXYB is not indicated in pediatric patients or for the treatment of juvenile rheumatoid arthritis (JRA). Disseminated intravascular coagulation has occurred with use of celecoxib capsules in pediatric patients with systemic-onset JRA, which required monitoring for signs and symptoms of abnormal clotting or bleeding.

DRUG INTERACTIONS

Drugs that Interfere with Hemostasis (e.g., warfarin, aspirin, SSRIs/SNRIs): Monitor patients for bleeding who are concomitantly taking ELYXYB with drugs that interfere with hemostasis. Concomitant use of ELYXYB and oral corticosteroids, antiplatelet drugs (e.g., aspirin), anticoagulants, or selective serotonin reuptake inhibitors (SSRIs), is not recommended.

ACE Inhibitors, Angiotensin Receptor Blockers (ARB), or Beta-Blockers: Concomitant use with ELYXYB may diminish the antihypertensive effect of these drugs. Monitor blood pressure.

ACE Inhibitors and ARBs: Concomitant use with ELYXYB in the elderly, volume-depleted, or those with renal impairment may result in deterioration of renal function. In such high-risk patients, monitor for signs of worsening renal function.

Diuretics: NSAIDs can reduce natriuretic effect of furosemide and thiazide diuretics. Monitor patients to assure diuretic efficacy including antihypertensive effects.

Digoxin: Concomitant use with ELYXYB can increase serum concentration and prolong half-life of digoxin. Monitor serum digoxin levels.

USE IN SPECIFIC POPULATIONS

Pregnancy: Use of NSAIDs during the third trimester of pregnancy increases the risk of premature closure of the fetal ductus arteriosus. Avoid use of NSAIDs in pregnant women starting at 30 weeks gestation.

Infertility: NSAIDs are associated with reversible infertility. Consider withdrawal of ELYXYB in women who have difficulties conceiving.

ADVERSE REACTIONS

Most common adverse reaction (at least 3% and greater than placebo) reported by patients treated with ELYXYB in the clinical trials was dysgeusia.

Please see full Prescribing Information, including Boxed Warning and Medication Guide for ELYXYB.

To report SUSPECTED ADVERSE REACTIONS, contact Collegium Pharmaceutical, Inc. at 1‑855‑331‑5615 or FDA at 1‑800‑FDA‑1088 or www.fda.gov/safety/medwatch.

Intended for healthcare professionals of the United States of America only.

AE=adverse event; COX=cyclooxygenase; GI=gastrointestinal; MOA=mechanism of action; NSAID=nonsteroidal anti-inflammatory drug.