 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST] acist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: asthma (including a history of worsening breathing after taking aspirin or other NSAIDs), blood disorders (such as anemia, bleeding/clotting problems), brain disorders (such as head injury, tumor, seizures), breathing problems (such as sleep apnea, chronic obstructive pulmonary disease-COPD), diabetes, gallbladder disease, growths in the nose (nasal polyps), heart disease (such as heart failure, previous heart attack), high blood pressure, kidney disease, liver disease, mental/mood disorders (such as confusion, depression, suicidal thoughts), disease of the pancreas (pancreatitis), stroke, thyroid disease, personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), stomach/intestinal/esophagus problems (such as bleeding, blockage, constipation, ulcers), difficulty urinating (such as due to enlarged prostate). Kidney problems can sometimes occur with the use of NSAID medications, including celecoxib. Problems are more likely to occur if you are dehydrated, have heart failure or kidney disease, are an older adult, or </s>