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Composition for 4-STEPS

Piroxicam Topical(0.5% w/w)

food interaction for 4-STEPS

alcohol interaction for 4-STEPS

pregnancy interaction for 4-STEPS

lactation interaction for 4-STEPS

It can be taken with or without food, but it is better to take 4 steps gel at a fixed time.
Interaction with alcohol is unknown. Please consult your doctor.
4 steps gel may be unsafe to use during pregnancy.
Either animal studies have shown adverse effect on fetus and there are no human studies or studies in human and animals are not available. It should be given only if potential benefits justifies risk to the fetus. Please consult your doctor.
4 steps gel is probably safe to use during breastfeeding. Please consult your doctor.


Piroxicam Topical(0.5% w/w)


4 steps gel is used to relieve pain and reduce swelling of the joints. It is used to relieve some symptoms associated with, chronic inflammatory disorder that typically affects the joints in hands and feet like osteoarthritis, rheumatoid arthritis, and rheumatism of the spine (ankylosing spondylitis).

How it works

Piroxicam belongs to a class of medications called non-steroidal anti-inflammatory drugs (NSAIDs). It works by decreasing the secretion of chemicals (prostaglandins) that cause inflammation and pain in the body.

Common side effects

Increased sensitivity to light, Allergic reaction, Itching, Skin rash, Skin redness


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Expert advice for 4-STEPS

  • Life threatening skin reaction can occur with the use of piroxicam topical. Consult a doctor if you have any signs of allergic reactions.
  • Avoid prolonged exposure to sunlight. Piroxicam topical may increase the sensitivity of the skin to sunlight.
  • Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable.
  • Tell your doctor if you are pregnant or planning to become pregnant or are breastfeeding.
  • It should not take if patient is 
  • allergic to piroxicam, aspirin and other nonsteroidal anti-inflammatory drugs or any of its ingredients.

Frequently asked questions for 4-STEPS

Piroxicam Topical

 Q. Is piroxicam/ Dolonex/ Dolonex DT a pain killer?
Dolonex and Dolonex DT are brand names of piroxicam. Piroxicam topical is used to relieve pain and reduce swelling of the joints.
Q. Is piroxicam the same as ibuprofen?
Piroxicam and ibuprofen, both are non-steroidal anti-inflammatory drugs (NSAID). They are similar in action but are not identical. Piroxicam topical is generally used to relieve pain and reduce swelling affecting joints.
Q. Does piroxicam topical contain aspirin/ acetaminophen/ibuprofen?
No, it does not contain aspirin/acetaminophen/ibuprofen.


Content on this page was last updated on 10 November, 2015, by Dr. Varun Gupta (MD Pharmacology)