Drug Ingredient Information
PIROXICAM-20MG
PIROXICAM
| Information for
patients
|
| Drug Information |
PIROXICAM is one of a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).
This means it will help to relieve pain and reduce swelling affecting joints.
PIROXICAM is used to relieve some symptoms caused by osteoarthritis (joint disease), rheumatoid
arthritis, and ankylosing spondylitis (rheumatism of the spine) such as swelling, stiffness and joint
pain. This medicine does not cure arthritis and will help you only as long as you continue to take it.
Your doctor will only prescribe PIROXICAM to you when you have had unsatisfactory relief of
symptoms with other NSAIDs. |
| Drug Alert |
| Alert |
• If you have previously had or currently have a stomach or intestinal ulcer, bleeding or
perforation.
• If you have, or have previously had disorders of the stomach or intestines such as ulcerative
colitis, Crohn’s disease, gastrointestinal cancers or diverticulitis (inflamed or infected
pouches/pockets in the colon).
• If you are taking other NSAIDs such as ibuprofen, celecoxib or acetylsalicylic acid (aspirin), a
substance present in many medicines used to relieve pain and lower fever.
• If you are taking anticoagulants, such as warfarin, to prevent blood clots • If you previously had an allergic reaction to piroxicam (the active ingredient in this medicine)
or any of the other ingredients, other NSAIDs or any other medications, especially serious skin
reactions (regardless of severity) such as exfoliative dermatitis (intense reddening of skin, with
skin peeling off in scales or layers), Stevens-Johnson syndrome (symptoms are a rash,
blistering or peeling of the skin, mouth, eyes or genitals) or toxic epidermal necrolysis (a
disease with blistering and peeling of the top layer of skin).
• If you have severe heart failure.
• If you are in the last three months of pregnancy |
| Before Consuming
the Medicine
|
| Avoid Drug |
• If you have previously had or currently have a stomach or intestinal ulcer, bleeding or
perforation.
• If you have, or have previously had disorders of the stomach or intestines such as ulcerative
colitis, Crohn’s disease, gastrointestinal cancers or diverticulitis (inflamed or infected
pouches/pockets in the colon).
• If you are taking other NSAIDs such as ibuprofen, celecoxib or acetylsalicylic acid (aspirin), a
substance present in many medicines used to relieve pain and lower fever.
• If you are taking anticoagulants, such as warfarin, to prevent blood clots • If you previously had an allergic reaction to piroxicam (the active ingredient in this medicine)
or any of the other ingredients, other NSAIDs or any other medications, especially serious skin
reactions (regardless of severity) such as exfoliative dermatitis (intense reddening of skin, with
skin peeling off in scales or layers), Stevens-Johnson syndrome (symptoms are a rash,
blistering or peeling of the skin, mouth, eyes or genitals) or toxic epidermal necrolysis (a
disease with blistering and peeling of the top layer of skin).
• If you have severe heart failure.
• If you are in the last three months of pregnancy |
| Drug Special Care |
Before prescribing PIROXICAM (piroxicam), your doctor will assess the benefits this medicine may
give you against your risk of developing side effects. Your doctor may need to give you check-ups and
will tell you how often you need to be checked during treatment with PIROXICAM .
Medicines such as PIROXICAM may be associated with a small increased risk of heart attack
(myocardial infarction) or stroke. Any risk is more likely with high doses and prolonged treatment or
if you are a smoker. Do not exceed the recommended dose or duration of treatment.
Tell your doctor before you take PIROXICAM if you suffer from or have suffered in the past from any
of the following conditions:
• liver disease
• kidney disease
• high blood pressure, heart problems or stroke
• high cholesterol or hardening of the arteries
• asthma
• diabetes
• phenylketonuria (PKU) which is a genetic disorder.
If you have or had any other medical problems or any allergies or if you are not sure as to whether you
can use PIROXICAM tell your doctor before taking this medicine.
You should stop taking PIROXICAM immediately and tell your doctor if you have any allergic reaction
such as a skin rash, swelling of the face, wheezing or difficulty breathing.
Take special care with PIROXICAM as like all NSAIDs, PIROXICAM can cause serious reactions in the stomach
and intestines, such as pain, bleeding, ulceration and perforation.
You should stop taking PIROXICAM immediately and tell your doctor if you have stomach pain or any
sign of bleeding in the stomach or intestines, such as passing black or bloodstained bowel movements
or vomiting blood.
Your doctor may prescribe PIROXICAM together with another medicine to protect your stomach and
intestines from side effects, particularly if you are over 70 years old, or you are taking other medicines
like corticosteroids (medicines given to treat a variety of conditions such as allergies and hormone
imbalances), certain medicines for depression called selective serotonin reuptake inhibitors (SSRIs) or
low dose acetylsalicylic acid (aspirin) to help prevent heart attack or stroke.
PIROXICAM may make it more difficult to become pregnant. You should inform your doctor if you
are planning to become pregnant or if you have problems becoming pregnant. |
| Drug Drug Interactions |
Tell your doctor about any other medicines you are taking or took recently (in the last week) – even
medicines you bought yourself without a prescription. Medicines can sometimes interfere with each
other. Your doctor may limit your use of PIROXICAM or other medicines, or you may need to take a
different medicine.
The following medicines must not be taken with PIROXICAM :
• aspirin or other non-steroidal anti-inflammatory drugs for pain relief
• anticoagulants such as warfarin to prevent blood clots
Tell your doctor before you take PIROXICAM if you are taking any of the following medicines:
• corticosteroids, which are medicines given to treat a variety of conditions such as allergies and
hormone imbalances
• low dose aspirin (75mg) to help prevent heart attack or stroke
• certain medicines used to treat heart conditions known as cardiac glycosides, such as digoxin
• certain medicines for depression such as lithium or selective serotonin re-uptake inhibitors
(SSRIs)
• antihypertensives to treat high blood pressure
• methotrexate, which can be given to treat various conditions such as cancers, psoriasis and
rheumatoid arthritis
• ciclosporin or tacrolimus, which are given to help prevent rejection of transplanted organs
• quinolone antibiotics e.g. ciprofloxacin, which are used to treat various infections
• mifepristone, a medicine used to terminate pregnancy
• diuretics such as hydrochlorothiazide to treat high blood pressure or kidney problems |
| Drug Pregnancy Interaction |
If you are pregnant, planning pregnancy or breast feeding tell your doctor before you take PIROXICAM
. Do not take PIROXICAM if you are in the last three months of pregnancy. It is not usually
recommended at other stages of pregnancy, but you may be able to take it if your doctor advises that it
is necessary for you.
Ask your doctor or pharmacist for advice before taking any medicine. |
| Drug Breast feeding Interaction |
If you are pregnant, planning pregnancy or breast feeding tell your doctor before you take PIROXICAM
. Do not take PIROXICAM if you are in the last three months of pregnancy. It is not usually
recommended at other stages of pregnancy, but you may be able to take it if your doctor advises that it
is necessary for you.
Ask your doctor or pharmacist for advice before taking any medicine. |
| Drug Machinery Interaction |
These tablets can cause some people to feel dizzy, drowsy, tired or have problems with their vision. If
you are affected, do not drive or operate machinery |
| Drug More Information |
PIROXICAM should be taken with or after food |
| How to take the
Medicine
|
| Consumption Info |
PIROXICAM contains a source of phenylalanine. May be harmful for people with phenylketonuria. |
| Drug quanitty |
Adults:
The maximum daily dose of PIROXICAM is 20 milligrams taken as one single daily dose.
Elderly:
If you are older than 70 years your doctor may prescribe a lower daily dose and reduce the duration of
treatment.
If you feel that the medicine is not very effective, always talk to your doctor. Do not increase the dose |
| Drug Dose |
Your tablets are in a new type of packaging. Do not try to push the tablets through the foil as this will
break the tablet. Instead follow the instructions.
• Hold the packet of tablets with the flat, printed side facing you.
• Peel back the loose flap at the edge of the packet to reveal a tablet.
• Tip the tablet into the palm of your hand.
• Place the tablet on your tongue and close your mouth.
The tablet will dissolve within a few seconds. If you prefer, you can swallow the tablet with some
water.
Always take PIROXICAM exactly as your doctor has told you. You should check with your doctor or
pharmacist if you are not sure.
Your doctor will give you a regular check-up to make sure you are taking the optimal dose of PIROXICAM
. Your doctor will adjust your treatment to the lowest dose that best controls your symptoms.
Under no circumstances should you change your dose without first speaking to your doctor |
| Excess Drug Consumption |
If you accidentally take too much PIROXICAM contact your doctor at once or go to the nearest
hospital casualty department. Always take the labelled medicine package with you, whether there is
any PIROXICAM left or not. |
| Forgot Drug Consumption |
If you forget to take a dose, take it as soon as you remember unless it is time for your next dose. Do
not take a double dose to make up for a missed dose.
If you have any further questions on the use of this product, ask your doctor or pharmacist. |
| Stop Drug Consumption |
|
| Possible Side
Effects
|
| General Information |
symptoms after taking this medicine:
.
• any sign of bleeding in the stomach or intestines, such as passing black or bloodstained bowel
movements or vomiting blood
• sudden wheeziness, difficulty in breathing, fever, swelling of eyelids, face or lips, rash or itching
(especially affecting the whole body)
• a rash, blistering or peeling of the skin, mouth, eyes or genitals
• yellowing of the skin and the whites of your eyes (jaundice) which may be a sign of hepatitis or
other liver problems
The most commonly reported side effects with PIROXICAM are:
• diarrhoea or constipation, wind
• feeling sick (nausea), vomiting, loss of appetite
• sore mouth and/or lips
• stomach ache, indigestion, abdominal pain/discomfort
• stomach (peptic) ulcers |
| Common Drug Side Effects |
• Effects on your heart and circulation: fast or pounding heartbeat, high blood pressure, swollen
ankles and/or feet (oedema). Medicines such as PIROXICAM may be associated with a small
increased risk of heart attack (myocardial infarction) or stroke.
• Effects on your nervous system: dizziness, vertigo (a spinning sensation), headache, changes in
sleep patterns, depression, nervousness, hallucinations, mood alterations, mental confusion, pins
and needles.
• Effects on your skin: rashes, itching, redness, tenderness, thickening or scaling of skin,
loosening or splitting of fingernails, hair loss and increased sensitivity of the skin to sunlight.
• Effects on your kidneys: kidney inflammation, kidney failure or kidney damage. If you notice
any change in your urine output or appearance, possibly accompanied by kidney pain or pain in
your abdomen or back, contact your doctor.
• Effects on blood and medical tests: abnormalities in blood and other biochemical tests. These
effects may result in unusual bruising or bleeding or increased risk of infection. Changes in
blood sugar levels may also occur.
• Effects on your eyes and ears: hearing impairment, ringing in ears, swollen eyes, blurred
vision, eye irritation. |
| Rare Drug Side Effects |
|
| Very Rare Drug Side Effects |
|
| Drug Side Effects Symptoms |
: fever, nosebleeds, weight increase or decrease, inflamed pancreas (which may
lead to severe pain in the upper abdomen or back), feeling unwell, unusual weakness or tiredness
without any other symptoms |
| How to Store the
Medicine
|
| How to Store the Medicine |
Keep all medicines out of the reach and sight of children.
Do not store above 25oC.
Do not use PIROXICAM after the expiry date which is stamped on the carton and the blister foil. The
expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to
dispose of medicines no longer required. These measures will help to protect the environment. |
|
Substitute Drugs
|
Sign In
Create New Account