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PIROX CAPSULE 20MG
PIROX CAPSULE 20MG

PIROX CAPSULE 20MG is used to relieve symptoms like pain, inflammation, and joint stiffness associated with rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis. It contains Piroxicam, which stops the production of prostaglandins (chemicals) that are produced at injury sites and cause pain and swelling. In some cases, you may experience common side effects, such as diarrhoea, stomach upset, headache, dizziness, ringing in the ears, heartburn, nausea, vomiting, and constipation. Before taking this medicine, inform your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and any pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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Health Queries

I have arthritis with pain in all my body joints. What should I do?

Vikas Singh

Vikas Singh

M Pharmacy

Arthritis, which causes pain in multiple joints, is usually due to ongoing inflammation that requires proper long-term care. Stay active with gentle exercises, do regular stretching, and use a warm compress to ease stiffness and pain. Maintain a healthy weight and follow a balanced diet to reduce stress on joints. A doctor may prescribe appropriate medications to control inflammation, and regular follow-up helps prevent further joint damage.

My mother has had rheumatoid arthritis for the past 5 years and has severe pain in her shoulder, knees, and finger joints. She is taking Pirox capsule and calcium tablets. Is this enough, or should her treatment be changed?

Vikas Singh

Vikas Singh

M Pharmacy

Rheumatoid arthritis is a long-term condition where joint inflammation needs proper control, and pain relief medicines like Pirox only help reduce pain but do not control the disease itself. If she is having severe pain in multiple joints, it may mean the condition is not fully controlled. She may need specific medicines that slow the disease and protect the joints, along with regular follow-up. It would be better to review her treatment plan so the right medicines can be added to prevent further damage and improve her comfort.

Have a query?

Side effects of Pirox Capsule 20mg
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.
Here are the steps to manage Gastrointestinal Air and Swelling (GAS) caused by medication:
  • Tell your doctor about your GAS symptoms. They may change your medication regimen or prescribe additional drugs to help you manage them.
  • To manage GAS symptoms, eat a balanced diet of fibre, vegetables, and fruits.
  • Drink enough water throughout the day to avoid constipation and treat GAS symptoms.
  • Regular exercise like yoga and walking may help stimulate digestion and alleviate GAS symptoms.
  • Take probiotics only if your doctor advises, as they may help alleviate GAS symptoms by promoting gut health.
  • Take medication for GAS symptoms only if your doctor advises, as certain medications can interact with your existing prescriptions or worsen symptoms.
  • If symptoms persist, worsen, or are accompanied by severe abdominal pain, vomiting, or bleeding, seek immediate medical attention.

Drug-Drug Interactions

verifiedApollotooltip
PiroxicamKetorolac tromethamine
Critical
PiroxicamCidofovir
Critical

Drug-Drug Interactions

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PiroxicamKetorolac tromethamine
Critical
How does the drug interact with Pirox Capsule 20mg:
Using ketorolac tromethamine together with Pirox Capsule 20mg may increase the risk of side effects.

How to manage the interaction:
Taking Pirox Capsule 20mg with Ketorolac tromethamine is not recommended as it can cause an interaction, it can be taken if prescribed by the doctor. Consult a doctor if you experience any unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness. Do not stop using any medications without talking to a doctor.
PiroxicamCidofovir
Critical
How does the drug interact with Pirox Capsule 20mg:
Co-administration of Cidofovir with Pirox Capsule 20mg can increase the risk of kidney problems.

How to manage the interaction:
Taking Pirox Capsule 20mg with Cidofovir is not recommended as it can cause an interaction, it can be taken together if prescribed by a doctor. However, if you experience nausea, vomiting, loss of hunger, increased or decreased urination, sudden weight gain or loss, fluid retention, swelling, shortness of breath, muscle cramps, tiredness, dizziness, confusion, or an irregular heart rhythm, consult a doctor. Do not discontinue any medications without consulting a doctor.
PiroxicamWarfarin
Severe
How does the drug interact with Pirox Capsule 20mg:
Coadministration of Warfarin with Pirox Capsule 20mg can increase the risk of bleeding.

How to manage the interaction:
Although taking Pirox Capsule 20mg with Warfarin together can result in an interaction, they can be taken together if prescribed by a doctor. However, if you experience unusual bleeding or bruising, vomiting, blood in your urine or stools, headache, dizziness, or weakness consult a doctor immediately. Do not stop using any medications without consulting a doctor.
PiroxicamKetoprofen
Severe
How does the drug interact with Pirox Capsule 20mg:
Coadministration of Pirox Capsule 20mg with Ketoprofen can increase the risk of side effects such as inflammation(swelling with redness and pain), bleeding, ulceration.

How to manage the interaction:
Although there is a possible interaction between Pirox Capsule 20mg and Ketoprofen, you can take these medicines together if prescribed by a doctor. However, if you experience unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness, consult the doctor. Do not stop using any medications without talking to a doctor.
PiroxicamEnoxaparin
Severe
How does the drug interact with Pirox Capsule 20mg:
Taking Pirox Capsule 20mg with Enoxaparin can increase the risk or severity of bleeding.

How to manage the interaction:
Although there is a possible interaction between Enoxaparin and Pirox Capsule 20mg, you can take these medicines together if prescribed by your doctor. If you notice any of these signs, it's important to contact a doctor right away: bleeding, bruising, swelling, throwing up, headache, feeling lightheaded, weakness, or seeing blood in your urine or stools. Do not discontinue any medications without consulting a doctor.
PiroxicamApixaban
Severe
How does the drug interact with Pirox Capsule 20mg:
Coadministration of Pirox Capsule 20mg and Apixaban may raise the risk of bleeding.

How to manage the interaction:
Combination of Pirox Capsule 20mg and Apixaban may cause an interaction, it can be taken if a doctor has prescribed it. However, consult a doctor if you experience symptoms like blood in your urine or stool (or a black stool), severe bruising, prolonged nosebleeds, feeling dizzy or lightheaded, weakness or severe headache, vomiting blood or coughing up blood, heavy menstrual bleeding (in women), difficulty breathing, or chest pain. Without consulting a doctor, never stop taking any medications.
PiroxicamDasatinib
Severe
How does the drug interact with Pirox Capsule 20mg:
Using Dasatinib together with Pirox Capsule 20mg may increase the risk of bleeding.

How to manage the interaction:
Taking Pirox Capsule 20mg with Dasatinib together can result in an interaction, but it can be taken if a doctor has advised it. If you experience bruising, feeling dizzy or lightheaded, dark or bloody stools, headaches, contact a doctor right away. Do not stop using any medications without talking to a doctor.
PiroxicamCelecoxib
Severe
How does the drug interact with Pirox Capsule 20mg:
Coadministration of celecoxib with Pirox Capsule 20mg can increase the risk and severity of gastrointestinal toxicity.

How to manage the interaction:
Although there is a interaction between Pirox Capsule 20mg and Celecoxib, but it can be taken if your doctor has advised it. However, consult a doctor if you experience symptoms like blood in your urine or stool (or a black stool), severe bruising, prolonged nosebleeds, feeling dizzy or lightheaded, weakness or severe headache, vomiting blood or coughing up blood, heavy menstrual bleeding (in women), difficulty breathing, or chest pain. Do not discontinue any medication without consulting a doctor.
PiroxicamIodixanol
Severe
How does the drug interact with Pirox Capsule 20mg:
Coadministration of Pirox Capsule 20mg and Iodixanol can increase the risk of kidney problems.

How to manage the interaction:
Although taking Pirox Capsule 20mg and Iodixanol together can cause an interaction, it can be taken if a doctor has suggested it. If you experience nausea, vomiting, loss of hunger, increased or decreased urination, sudden weight gain or weight loss, swelling, breathing difficulty, muscle cramps, tiredness, dizziness, confusion, and irregular heart rhythm consult a doctor. Do not stop using any medications without a doctor's advice.
PiroxicamDiclofenac
Severe
How does the drug interact with Pirox Capsule 20mg:
Taking diclofenac and Pirox Capsule 20mg can increase the risk of side effects such as ulcers, inflammation (redness, swelling), bleeding.

How to manage the interaction:
Co-administration of Diclofenac and Pirox Capsule 20mg can lead to an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness, consult a doctor immediately. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Bayyarapu Mahesh KumarDoctor badge

Reviewed By

Bayyarapu Mahesh Kumar

M Pharmacy

Last Updated

Apr 6, 2026 | 11:34 AM IST

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