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compositionComposition:PIROXICAM-20MG
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Prescription Medicine
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Philflex 20 mg Tablet 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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More about the Product

Composition :

PIROXICAM-20MG

Manufacturer/Marketer :

Startos Healthcare Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Philflex 20 mg Tablet

Philflex 20 mg Tablet is a prescription medication used to reduce pain, swelling, and joint stiffness caused by arthritis. It belongs to a group of medicines that target inflammation directly to help you maintain your daily mobility. It is primarily prescribed to manage chronic, long-term joint symptoms.

For the best results, take Philflex 20 mg Tablet consistently at the same time every day. It is highly recommended to take this medicine with food or a glass of milk to protect your stomach from irritation. Incorporating low-impact physical exercise and managing your weight can also help improve your joint health.

While Philflex 20 mg Tablet is effective, it can cause mild side effects like an upset stomach, nausea, or headaches. You must contact your doctor immediately if you experience serious symptoms like severe stomach pain, black stools, or sudden shortness of breath.

Talk to your doctor before starting Philflex 20 mg Tablet if you have a history of stomach ulcers, heart disease, high blood pressure, or kidney issues. Do not take this medicine if you are allergic to aspirin or similar pain relievers, or if you recently had heart bypass surgery.

Philflex 20 mg Tablet can interact with blood thinners, other pain relievers, and alcohol, increasing the risk of stomach bleeding. If you are pregnant, breastfeeding, or over 65, talk to your doctor or pharmacist before taking this medicine to ensure it is safe for you.

Uses of Philflex 20 mg Tablet

Below are some of the common conditions for which Philflex 20 mg Tablet may be prescribed: 

  • Osteoarthritis: Philflex 20 mg Tablet helps reduce painful joint swelling, stiffness, and tenderness, allowing for easier movement and improved daily physical function.
  • Rheumatoid Arthritis: It targets chronic joint inflammation, helping to ease morning stiffness and relieve ongoing joint pain.
  • Ankylosing Spondylitis: This medicine reduces inflammation and stiffness in the spine, helping you maintain flexibility and posture.

Key Benefits

Using Philflex 20 mg Tablet can provide several practical benefits that help you manage chronic joint pain and improve your physical comfort:

  • Long-lasting pain relief: Because this medicine stays active in your body for a long time, it provides steady, round-the-clock relief from chronic pain with just a single daily dose.
  • Improved joint mobility: By reducing swelling and morning stiffness in your joints, it makes daily activities like walking, climbing stairs, and bending much easier.
  • Reduced joint inflammation: It directly targets the inflammatory processes that cause discomfort, helping to protect your joints from ongoing strain.
Side effects of Philflex 20 mg Tablet
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Get help from a health care professional.
  • Manage your feelings and things that trigger them.
  • Fuel your body with good food like fruits, veggies, and whole grains.
  • Find calm through activities like meditation or yoga.
  • Work on changing negative patterns and thoughts.
  • Focus on being healthy overall, not just how you look.
  • 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.

Directions for Use

To ensure you take Philflex 20 mg Tablet safely and effectively, follow these step-by-step instructions:

  • Swallow the capsule or tablet whole with a full glass of water. Do not crush, chew, or break it.
  • Take this medication with food, a meal, or a glass of milk to reduce the risk of stomach upset.
  • Take your dose at the same time every day to maintain a consistent level of medicine in your body.
  • Always follow your doctor's exact instructions regarding your dose. Talk to your doctor or pharmacist if you have any questions about how to take this medicine.

How Philflex 20 mg Tablet Works

Philflex 20 mg Tablet belongs to a group of medicines called nonsteroidal anti-inflammatory drugs (NSAIDs). When your joints are inflamed, your body produces chemical messengers called prostaglandins. These chemicals are directly responsible for causing pain, swelling, and redness in the affected areas. This medication works by blocking the specific enzymes that produce these prostaglandins. By stopping the production of these chemicals, Philflex 20 mg Tablet effectively calms inflammation at its source. This reduction in swelling and chemical activity leads to significantly less pain and stiffness in your joints, allowing you to move more freely and comfortably.
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Alcohol

Unsafe

Avoid alcohol consumption while taking Philflex 20 mg Tablet , as it may cause increased dizziness and drowsiness. It may also cause an increase in the risk of stomach/intestinal ulcers and bleeding.

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Pregnancy

Caution

Avoid taking Philflex 20 mg Tablet if you are pregnant unless prescribed by the doctor. Please consult your doctor if you have any concerns regarding this; your doctor will prescribe Philflex 20 mg Tablet only if the benefits outweigh the risks. Do not take Philflex 20 mg Tablet in the last 20 weeks of pregnancy, as it may cause serious kidney and heart problems in the unborn baby and complications with the pregnancy.

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Breast Feeding

Unsafe

Philflex 20 mg Tablet can pass into breast milk. So, avoid breastfeeding while taking Philflex 20 mg Tablet . Please consult your doctor if you have any concerns regarding this.

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Driving

Unsafe

Philflex 20 mg Tablet may cause drowsiness, dizziness, and vision problems. Do not drive or operate heavy machinery unless you are alert.

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Liver

Caution

Dose adjustment may be needed. Philflex 20 mg Tablet should be used with caution in patients with liver impairment/liver disease.

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Kidney

Caution

Dose adjustment may be needed. Philflex 20 mg Tablet should be used with caution in patients with kidney impairment/kidney disease.

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Children

Unsafe

Philflex 20 mg Tablet is not recommended for children under 18 years, as its efficacy and safety have not been established.

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Heart

Caution

Philflex 20 mg Tablet may increase the risk of heart attack or stroke. Do not use Philflex 20 mg Tablet immediately before or after bypass surgery. Inform your doctor if you have a history of heart disease or other heart problems.

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Geriatrics

Caution

Philflex 20 mg Tablet may be used in geriatric patients, but only with caution and close medical supervision due to its long half-life and increased risk of serious side effects.

What if I have taken an overdose of Philflex 20 mg Tablet

Do not take more than the prescribed dose of Philflex 20 mg Tablet , as it may cause an overdose. The symptoms of an overdose include drowsiness, lack of energy, vomiting, stomach upset, bloody/black/tarry stools, stomach pain, difficulty breathing, or coma. If you suspect you have taken an overdose or notice signs of overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Avoid alcohol and tobacco: Both of these substances can irritate your stomach lining and significantly increase your risk of developing stomach ulcers or bleeding while taking Philflex 20 mg Tablet .
  • Stay well-hydrated: Drink plenty of water throughout the day to help your kidneys flush out the medication safely and prevent kidney strain.
  • Eat an anti-inflammatory diet: Focus on foods rich in omega-3 fatty acids (like salmon or flaxseeds), berries, and leafy green vegetables to help naturally manage joint inflammation.
  • Engage in low-impact exercise: Activities like swimming, cycling, or walking keep your joints flexible and strengthen the surrounding muscles without putting too much pressure on them.
  • Manage your weight: Maintaining a healthy weight reduces the physical stress and load placed on your weight-bearing joints, such as your knees and hips.

Have a query?

How Soon It Starts Working

  • The time required for Philflex 20 mg Tablet to start to work: The time required for Philflex 20 mg Tablet to show its action is unknown.
  • The time for which the effects of Philflex 20 mg Tablet last: The effect of Philflex 20 mg Tablet lasts for 11 to 12 days.

What if you forget to take Philflex 20 mg Tablet

If you miss a dose of Philflex 20 mg Tablet , take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and follow your regular schedule. Never take a double dose to make up for the missed one.

Storage

• Store Philflex 20 mg Tablet at room temperature, ideally between 20°C and 25°C (68°F to 77°F). • Keep the medicine in its original container to protect it from moisture and direct light.

Drug Warnings

  • Monitor your blood pressure: Philflex 20 mg Tablet can cause your blood pressure to rise, so it is important to check it regularly while taking this medication.
  • Watch for signs of bleeding: Check your stool for dark, tarry colors and contact your doctor immediately if you notice any changes.
  • Avoid other NSAIDs: Do not take over-the-counter pain relievers like ibuprofen or naproxen alongside Philflex 20 mg Tablet , as this greatly increases your risk of severe stomach ulcers.
  • Protect your skin from the sun: This medicine can make your skin more sensitive to sunlight. Wear protective clothing and apply sunscreen when outdoors.
  • Inform your surgical team: If you are planning to have any dental work or surgery, tell your dentist or surgeon that you are taking Philflex 20 mg Tablet , as it may affect blood clotting.
  • Have regular blood tests: If you take this medicine long-term, your doctor may recommend routine blood tests to check your kidney and liver health.

Drug-Drug Interactions

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Drug-Drug Interactions

The following medicines may interact with Philflex 20 mg Tablet and affect its safety or effectiveness: 

  • Blood thinners: Combining these with Philflex 20 mg Tablet can significantly increase your risk of serious stomach and internal bleeding.
  • Other NSAIDs: Taking these together increases the risk of severe stomach irritation, ulcers, and kidney strain.
  • Blood pressure medicines: Philflex 20 mg Tablet can make these medications less effective at lowering your blood pressure and may increase the strain on your kidneys.
  • Lithium: This medicine can raise lithium levels in your blood to unsafe limits, increasing the risk of toxicity.


Drug-Food Interactions

Certain foods and beverages may increase the risk of side effects while taking Philflex 20 mg Tablet : 

  • Alcohol: Drinking alcohol while taking this medicine severely increases your risk of developing stomach ulcers or gastrointestinal bleeding.


Drug-Disease Interactions

Some existing medical conditions may affect whether Philflex 20 mg Tablet is suitable for you: 

  • Stomach ulcers or bleeding: Do not take this medicine if you have active bleeding or ulcers, as it can worsen these conditions.
  • Kidney or liver damage: Philflex 20 mg Tablet can reduce blood flow to your kidneys, which may worsen pre-existing kidney or liver disease.
  • Heart disease or high blood pressure: This medicine can cause fluid retention and high blood pressure, potentially increasing the risk of heart complications.
  • Aspirin-sensitive asthma: If you have asthma triggered by aspirin or other pain relievers, this medicine can cause severe, life-threatening breathing difficulties.

Drug-Drug Interactions

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How does the drug interact with Philflex 20 mg Tablet:
Co-administration of Cidofovir with Philflex 20 mg Tablet can increase the risk of kidney problems.

How to manage the interaction:
Taking Philflex 20 mg Tablet 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.
How does the drug interact with Philflex 20 mg Tablet:
Using ketorolac tromethamine together with Philflex 20 mg Tablet may increase the risk of side effects.

How to manage the interaction:
Taking Philflex 20 mg Tablet 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.
PiroxicamPonatinib
Severe
How does the drug interact with Philflex 20 mg Tablet:
Using Ponatinib together with Philflex 20 mg Tablet may increase the risk of bleeding.

How to manage the interaction:
Taking Philflex 20 mg Tablet with Ponatinib together can result in an interaction, but it can be taken if your doctor has advised it. 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 discontinue any medication without consulting a doctor.
How does the drug interact with Philflex 20 mg Tablet:
Using panobinostat together with Philflex 20 mg Tablet may increase the risk of bleeding.

How to manage the interaction:
Although there is a possible interaction between Philflex 20 mg Tablet and Panobinostat, 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 discontinue any medications without consulting a doctor.
How does the drug interact with Philflex 20 mg Tablet:
Coadministration of Philflex 20 mg Tablet and Rivaroxaban can increase the risk of bleeding problems.

How to manage the interaction:
Co-administration of Philflex 20 mg Tablet and Rivaroxaban 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 the doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Philflex 20 mg Tablet:
Co-administration of Philflex 20 mg Tablet and Lithium can increase the levels of Lithium, which may lead to side effects.

How to manage the interaction:
Co-administration of Lithium with Philflex 20 mg Tablet can result in an interaction, but it can be taken if a doctor has advised it. However, contact a doctor if you experience drowsiness, dizziness, confusion, loose stools, vomiting, muscle weakness, muscle incoordination, shaking of hands and legs, blurred vision, ringing in the ear, excessive thirst, and/or increased urination. Do not stop using any medications without talking to a doctor.
PiroxicamCaptopril
Severe
How does the drug interact with Philflex 20 mg Tablet:
Using captopril together with Philflex 20 mg Tablet may reduce the effects of captopril in lowering blood pressure, they may also result in kidney problems.

How to manage the interaction:
Taking Philflex 20 mg Tablet with Captopril together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience nausea, vomiting, a decrease in hunger, increased or decreased urine, weight gain or loss that occurs suddenly, swelling, difficulty breathing, bone pain, muscle pain, fatigue, weakness, dizziness, confusion, and irregular heartbeat, consult a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Philflex 20 mg Tablet:
Using Cabozantinib together with Philflex 20 mg Tablet may increase the risk of bleeding.

How to manage the interaction:
Taking Philflex 20 mg Tablet with Cabozantinib can result in an interaction, but it can be taken if a doctor has advised it. 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.
PiroxicamPhenylbutazone
Severe
How does the drug interact with Philflex 20 mg Tablet:
Taking Philflex 20 mg Tablet with Phenylbutazone can increase the risk of side effects such as inflammation(swelling with redness and pain), bleeding, ulceration.

How to manage the interaction:
Co-administration of Philflex 20 mg Tablet with Phenylbutazone can result in an interaction, but it can be taken if a doctor has advised it. 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 discontinue any medication without consulting a doctor.
PiroxicamVorapaxar
Severe
How does the drug interact with Philflex 20 mg Tablet:
Coadministration of Philflex 20 mg Tablet with Vorapaxar can increase the risk of bleeding.

How to manage the interaction:
There may be a possibility of interaction between Philflex 20 mg Tablet and Vorapaxar, but it can be taken 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.

Drug-Food Interactions

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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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Habit Forming

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Therapeutic Class

[ANALGESICS]

FAQs

Philflex 20 mg Tablet is used to relieve symptoms like pain, inflammation, and joint stiffness associated with rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis.
Philflex 20 mg Tablet works by blocking the effect of chemical messengers (prostaglandin), thereby reducing joint pain, stiffness, swelling, and inflammation.
Diarrhoea might be a side effect of Philflex 20 mg Tablet . Drink lots of fluids and eat non-spicy food if you experience diarrhoea. If you find blood in stools (tarry stools) or experience severe diarrhoea, consult your doctor. Do not take anti-diarrheal medicine on your own.
Philflex 20 mg Tablet may increase the risk of heart attack or stroke. Do not use Philflex 20 mg Tablet within 1 week before or after bypass surgery. Inform your doctor if you have a history of heart disease or other heart problems.
Consult your doctor before taking Philflex 20 mg Tablet if you have diabetes, as Philflex 20 mg Tablet might increase your blood sugar levels.
The common side effects of Philflex 20 mg Tablet are diarrhoea, stomach upset, headache, dizziness, ringing in the ears, heartburn, nausea, vomiting, and constipation. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to speak to your doctor if you experience these side effects persistently.
You may feel some pain relief within the first few days of starting Philflex 20 mg Tablet . However, for chronic conditions like arthritis, it can take up to two weeks of consistent daily use to experience the full anti-inflammatory benefits. Talk to your doctor if you do not feel any improvement after two weeks.
It is highly recommended that you do not take Philflex 20 mg Tablet on an empty stomach. Taking this medication with food, a meal, or a glass of milk helps protect your stomach lining and reduces the risk of common side effects like nausea or indigestion. Talk to your doctor or pharmacist if you continue to experience stomach discomfort.
You should avoid taking Philflex 20 mg Tablet during pregnancy, especially during the last three months, as it can cause serious complications for the unborn baby and affect labor. Always consult your doctor before taking any medication if you are pregnant or planning to become pregnant.
While sleepiness is not a highly common side effect of Philflex 20 mg Tablet , some patients may experience dizziness, drowsiness, or lightheadedness. If you feel dizzy or sleepy after taking this medicine, avoid driving, operating heavy machinery, or performing tasks that require full alertness. Talk to your doctor if these symptoms persist.
Yes, in most cases, you can take paracetamol occasionally for additional pain relief while taking Philflex 20 mg Tablet , as they work differently in the body. However, you must avoid taking other NSAIDs like ibuprofen or naproxen. Always talk to your doctor or pharmacist before combining any pain medications.
The duration of your treatment depends entirely on your specific medical condition and how well you tolerate the medicine. Because long-term use of NSAIDs can increase the risk of stomach and heart problems, your doctor will prescribe the lowest effective dose for the shortest time possible. Talk to your doctor regularly to review your treatment plan.
Yes, Philflex 20 mg Tablet can cause fluid retention, which can lead to an increase in blood pressure. If you already have high blood pressure or heart disease, your doctor will monitor you closely while you are taking this medication. Talk to your doctor if you notice an unusual rise in your blood pressure readings.
If you develop severe stomach pain, heartburn, or notice black, tarry stools, stop taking Philflex 20 mg Tablet immediately and seek urgent medical help. These can be warning signs of serious stomach irritation or bleeding. Talk to your doctor right away if you experience any unusual digestive symptoms.

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Country of origin

INDIA

Manufacturer/Marketer address

Shed No. C-51, Shiv Industrial Park, Ambica Mill Compound, Nr. Vatva Overbridge, Vatva Ahmedabad Ahmedabad Gj 382440 In
Other Info - PHI0061
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