Medicines/Generics/Piroxicam

Piroxicam

Generic medicine reference

Not yet clinically reviewed

This entry was migrated from the earlier Pharmapedia app bundle and has not been reviewed by a named clinician on this site. It is provided for educational reference only — verify dosage and safety information against current, authoritative sources and a qualified healthcare professional before any clinical use.

Spot an error in this entry? Submit a correction

Overview

Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) that is used to treat pain or inflammation caused by osteoarthritis or rheumatoid arthritis . Piroxicam may also be used for purposes not listed in this medication guide.

Indications

Contraindications

You should not use piroxicam if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID. Piroxicam can increase your risk of fatal heart attack or stroke, even if you don't have any risk factors. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG). Piroxicam may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using piroxicam, especially in older adults. Tell your doctor if you have ever had: heart disease , high blood pressure , or if you smoke; a heart attack , stroke, or blood clot; a stomach ulcer or stomach bleeding (especially while using an NSAID); liver or kidney disease; asthma; or if you take aspirin to prevent heart attack or stroke. If you are pregnant, you should not take piroxicam unless your doctor tells you to. Taking an NSAID during the last 20 weeks of pregnancy can cause serious heart or kidney problems in the unborn baby and possible complications with your pregnancy. Ovulation (release of an egg from your ovary) could be delayed while you are taking piroxicam. This effect is usually not permanent. You should not take piroxicam while you are trying to get pregnant. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. Piroxicam is not approved for use by anyone younger than 18 years old.

Side Effects

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat , burning eyes, skin pain, red or purple skin rash with blistering and peeling). Get emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, leg swelling, feeling short of breath. Stop using piroxicam and seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, or yellowing of your skin or eyes. Piroxicam may cause serious side effects. Stop using piroxicam and call your doctor at once if you have: severe headache, blurred vision, pounding in your neck or ears; heart problems --swelling, rapid weight gain, feeling short of breath; liver problems --loss of appetite, stomach pain (upper right side), tiredness, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); signs of stomach bleeding --bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds; kidney problems --little or no urination, swelling in your feet or ankles, feeling tired or short of breath; or low red blood cells (anemia) --pale skin, unusual tiredness, feeling light-headed or short of breath, cold hands and feet. Common side effects of piroxicam may include: abnormal liver function tests; urination problems; upset stomach , heartburn , loss of appetite, stomach pain, nausea, vomiting; gas, diarrhea, constipation ; dizziness, headache; itching, rash; or ringing in your ears. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Warnings

Piroxicam can increase your risk of fatal heart attack or stroke. Do not use piroxicam just before or after heart bypass surgery (coronary artery bypass graft, or CABG). Piroxicam may also cause stomach or intestinal bleeding, which can be fatal.

High Risk Groups

Adult Dosage

20 mg (20 (20)) 24 hourly PO — Maintenance for 1-2 Weeks 40 mg (40 (40)) 24 hourly PO — Initial for 2 Days Scraped Dose — Follow all directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Use the lowest dose that is effective in treating your condition. It may take up to 2 weeks before your symptoms improve. Keep using the medicine as directed and tell your doctor if your symptoms do not improve. If you use piroxicam long-term, you may need frequent medical tests. Store at room temperature away from moisture and heat.

Child Dosage

( ) — Not recommended in this age group

Neonatal Dosage

( ) — Not recommended in this age group

Drug Interactions

Ask your doctor before using piroxicam if you take an antidepressant. Taking certain antidepressants with an NSAID may cause you to bruise or bleed easily. Tell your doctor about all your other medicines, especially: digoxin; lithium; methotrexate ; a blood thinner or other medication used to prevent blood clots; heart or blood pressure medication, including a diuretic or "water pill"; or steroid medicine (such as prednisone ). This list is not complete. Other drugs may affect piroxicam, including prescription and over-the-counter medicines, vitamins, and herbal products . Not all possible drug interactions are listed here.

Storage

Tab Store Below 40°C. Protect from Sunlight and Moisture.

Available Brands in Pakistan

137 active brands listed alphabetically.

Piroxicam

Available Brands in Pakistan

ABXICAM

AKSOCAM

ANAROM

ARCAM

AXICAM

BCD-20

BELADEX

BETADEX

BETANE

BIOCAM

BIODEXTRIN

BLESS

BREXIN

BROVEN

BROZICAM

BRUXICAM

CAP-20

COMFAM

CYCLOBEX

CYCLODEX

CYCLODOR

CYDEX

DAVIROX

DELPIROX

DELPROX

DEXIN

DIODEX

EPHAROX

ERICAM

EXICAN

EXICAN B

FAI-CAM

FEDRACAM

FELCAM

FELDENE

FELDENE FFD

FELDICAM

FOSTER

FYCAM

GEL-CAM

GLOXI

HELDENE

HOCAM

HYALGAN GEL

INFAREL

INFLACID

INFLAROX

JALDIN

LIMBAR

LOCAM

MCDEX

MEDROX

MOBICAM

MOD

MODIVID

MREXIN

MUVON

NAGID

NALDENE

NICEP

NOVAGESIC

ORAM

ORTHOSAP

ORTHRAM

OSTEOCAM

OXICAM

OXIPRO

PAIN-R

PALADON

PANCARE

PARQIN

PAXAM

PAXYL

PAYARAM

PCAM

PELCAM

PERDIN

PHAROX