Apixo 20mg Injection
Prescription Required
Product introduction
Apixo 20mg Injection is a pain-relieving medicine. It is used in the treatment of moderate to severe pain. It helps to relieve pain and swelling of various conditions related to joints and muscles. It is usually given in cases where oral administration is unsuitable.
Apixo 20mg Injection is generally administered by a healthcare professional. You should not self-administer this medicine at home. The dose and duration will depend on what you are taking it for and how well it helps your symptoms. You should keep receiving the medicine until the doctor says it is okay to stop using the medicine.
The most common side effects of this medicine include injection site reactions (such as pain, redness, and swelling), vomiting, stomach pain, indigestion, diarrhea, headache, and dizziness. If any of these side effects persist or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms.
Before using it, you should let your doctor know if you have a history of stomach ulcers, heart diseases, high blood pressure, and liver or kidney disease. Let your doctor also know about all the other medicines you are taking because they may affect, or be affected by, this medicine.
This medicine is not recommended for pregnant or breastfeeding women. Pregnant and breastfeeding mothers must consult with their doctors before using the medicine. Your doctor may also regularly monitor your kidney function, liver function, and levels of blood components if you are taking this medicine for long-term treatment.
Uses of Apixo Injection
Benefits of Apixo Injection
In Pain relief
Apixo 20mg Injection is used for short-term relief of pain, inflammation, and swelling in conditions that affect joints and muscles. It works by blocking chemical messengers in the brain that tell us we have pain. It can help relieve pain in conditions like rheumatoid arthritis and osteoarthritis or even after a dental (tooth-related) surgery.
Take it as it is prescribed to get the most benefit. Do not take more or for longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.
Take it as it is prescribed to get the most benefit. Do not take more or for longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.
Side effects of Apixo Injection
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Apixo
- Injection site reactions (pain, swelling, redness)
- Vomiting
- Stomach pain
- Nausea
- Headache
- Dizziness
How to use Apixo Injection
Your doctor or nurse will give you this medicine. Kindly do not self administer.
How Apixo Injection works
Apixo 20mg Injection is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that are responsible for inflammation (pain and swelling).
Safety advice
Alcohol
CAUTION
Caution is advised when consuming alcohol with Apixo 20mg Injection. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Apixo 20mg Injection is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Apixo 20mg Injection is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Apixo 20mg Injection may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Apixo 20mg Injection should be used with caution in patients with severe kidney disease. Dose adjustment of Apixo 20mg Injection may be needed. Please consult your doctor.
Liver
CAUTION
Apixo 20mg Injection should be used with caution in patients with liver disease. Dose adjustment of Apixo 20mg Injection may be needed. Please consult your doctor.
What if you forget to take Apixo Injection?
If you miss a dose of Apixo 20mg Injection, consult your doctor.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Apixo 20mg Injection
₹21.3/Injection
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Dolonex IM Injection
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₹31.85/injection
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Pisicam 20mg Injection
Torres Lifesciences
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Pixil 20mg Injection
Serene Lifeworld Pvt Ltd
₹25/injection
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Pirowel 20mg Injection
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Quick tips
- Apixo 20mg Injection helps relieve pain and swelling of various joints and muscles.
- It may cause dizziness and fatigue. Do not drive or do anything requiring concentration until you know how it affects you.
- Avoid consuming alcohol when taking this medicine as it may cause excessive drowsiness.
- Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
Fact Box
Chemical Class
Enolic acid Derivatives
Habit Forming
No
Therapeutic Class
PAIN ANALGESICS
Action Class
NSAID's- Non-Selective COX 1&2 Inhibitors (enolic acids)
Interaction with drugs
Taking Apixo with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may increase the risk of bleeding.
Do not consume Acenocoumarol with Piroxicam. If concurrent use is essential, your doctor may monitor your treatment and adjust th
Concurrent use may increase the risk of bleeding.
Do not consume Phenindione with Piroxicam. If concurrent use is essential, your doctor may monitor your treatment and adjust the
Concurrent use may increase the risk of serious damage to the kidneys.
If concurrent use is essential, your doctor may monitor your tacrolimus levels, potassium levels and kidney
Concurrent use may result in fatal Methotrexate poisoning.
Careful consideration is advised when taking Methotrexate with Piroxicam. Your doctor may monitor your treatment and adj
Concurrent use may result in fatal Methotrexate poisoning.
Careful consideration is advised when taking Methotrexate with Piroxicam. Your doctor may monitor your treatment and adj
Patient concerns
FAQs
What is the difference between Apixo 20mg Injection and diclofenac?
Both Apixo 20mg Injection and diclofenac are pain killers. However, piroxicam is a non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain) inhibitor whereas diclofenac has a bit more selectivity to a COX-2 enzyme. This selectivity of diclofenac is supposed to decrease the side effects as compared to Apixo 20mg Injection.
What is the difference between Apixo 20mg Injection and naproxen?
Both Apixo 20mg Injection and naproxen are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, gastric side effects are lesser with naproxen as compared to Apixo 20mg Injection.
What is the difference between Apixo 20mg Injection and meloxicam?
Both Apixo 20mg Injection and meloxicam are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, acute gastric side effects are lesser with meloxicam as compared to Apixo 20mg Injection.
What is the difference between Apixo 20mg Injection and ketoprofen?
Both Apixo 20mg Injection and ketoprofen are pain killers. Both are non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain). Research studies have shown ketoprofen topical gel is better and effective as compared to Apixo 20mg Injection. Ketoprofen gel also showed excellent tolerability.
What is the difference between Apixo 20mg Injection and tramadol?
Apixo 20mg Injection is a COX (cyclooxygenase -an enzyme responsible for inflammation and pain) whereas Tramadol is a narcotic-like painkiller. Tramadol is a habit forming medicine.
What is the difference between Apixo 20mg Injection and nimesulide?
Both Apixo 20mg Injection and nimesulide are pain killers. However, Apixo 20mg Injection is a non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain) inhibitor whereas nimesulide is selective to the COX-2 enzyme. This selectivity of nimesulide is supposed to decrease the side effects as compared to piroxicam. It should not be used in children below 12 years of age.
Can Apixo 20mg Injection be used in the treatment of chikungunya?
Usually, the platelet count does not dip in cases of chikungunya and painkillers like piroxicam can lead to the risk of increased bleeding tendency. So refrain from taking Apixo 20mg Injection or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Apixo 20mg Injection.
Are Apixo 20mg Injection and aspirin same?
No. Apixo 20mg Injection and aspirin are not same. They belong to the same class of drugs known as COX (cyclooxygenase) inhibitors. They both are anti-inflammatory and analgesic.
Can Apixo 20mg Injection be used along with dexamethasone?
No. Apixo 20mg Injection should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.
Can Apixo 20mg Injection be used with methocarbamol?
Yes. Methocarbamol can be used with Apixo 20mg Injection as no serious side effects are known. Inform your doctor before starting any of the medication.
Can Apixo 20mg Injection be used along with paracetamol?
Yes. Paracetamol can be used with Apixo 20mg Injection as no serious side effects are known. Inform your doctor before starting any of the medication.
Is Apixo 20mg Injection a NSAID?
Yes. Apixo 20mg Injection is a non-steroidal anti-inflammatory drug (NSAID).
Is Apixo 20mg Injection a sulfa drug?
Apixo 20mg Injection is a sulphur containing compound. Apixo 20mg Injection can cause serious adverse events in sensitive individuals. It can cause severe skin reactions like Steven Johnson Syndrome. Do inform your doctor if you have any kind of allergies.
Is Apixo 20mg Injection a blood thinner?
No. Apixo 20mg Injection is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.
Is Apixo 20mg Injection a muscle relaxant?
No. Apixo 20mg Injection is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.
Is Apixo 20mg Injection a narcotic?
No. Apixo 20mg Injection is not a narcotic. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme to decrease the pain and inflammation.
Can Apixo 20mg Injection be used in hypertension?
No. Apixo 20mg Injection is not a medication to control hypertension. It is important to note that Apixo 20mg Injection decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Apixo 20mg Injection.
Can Apixo 20mg Injection be used along with Losartan?
No. Apixo 20mg Injection should not be combined with Losartan. It is important to note that Apixo 20mg Injection decreases the effectiveness of the antihypertensive medication like losartan when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Apixo 20mg Injection.
Can Apixo 20mg Injection be used with Lisinopril?
No. Apixo 20mg Injection should be avoided with lisinopril. It is important to note that piroxicam decreases the effectiveness of the antihypertensive medication like lisinopril when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Apixo 20mg Injection.
Can Apixo 20mg Injection be used with calcium channel blocker?
Yes. Apixo 20mg Injection can be taken with calcium channel blocker. NSAIDs have been observed to reduce the effectiveness of all antihypertensive drugs except calcium channel blockers (ref: White 2007)
Can Apixo 20mg Injection be used with Tizanidine?
Yes, Apixo 20mg Injection can be combined with tizanidine. Piroxicam is a pain killer and tizanidine is a skeletal muscle relaxant. It is used in the condition like a backache.
Why is beta cyclodextrin added to Apixo 20mg Injection?
Yes. Apixo 20mg Injection can be combined with beta-cyclodextrin. Research has shown that combining Apixo 20mg Injection with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.
Are there any alternatives of Apixo 20mg Injection?
Yes. There are alternatives to Apixo 20mg Injection. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.
What are the contraindications for Apixo 20mg Injection?
Contraindications to piroxicam are an allergy, bleeding tendency, duodenal/gastric/peptic ulcer, stomatitis, Systemic Lupus Erythematosus (SLE), ulcerative colitis, upper GI disease, late pregnancy, cardiac disease, hepatic impairment, renal impairment.
Can Apixo 20mg Injection be used in the treatment of allergy?
No. Apixo 20mg Injection is not a drug to treat allergy. It is a pain killer.
How long does Apixo 20mg Injection work?
Apixo 20mg Injection is a long acting drug. Once the daily dose is enough for the relief of pain but it depends from person to person as the effectiveness of piroxicam increases when given for few weeks.
Can you get high by using Apixo 20mg Injection?
No. Apixo 20mg Injection is not known to cause high. It is a non-narcotic painkiller.
Can Apixo 20mg Injection be used to treat menstrual cramp?
Apixo 20mg Injection is not approved for the treatment of menstrual cramps. Research studies have shown that piroxicam is quite effective in significantly decreasing the menstrual cramps.
Can I use Apixo 20mg Injection for a migraine?
Apixo 20mg Injection is not approved for the treatment of migraine. Research studies have shown that Apixo 20mg Injection is effective in significantly decreasing the pain associated with migraine without aura.
Is Apixo 20mg Injection effective in back pain management?
Yes. It can be given for decreasing the back pain. However, you should consult your doctor for the exact cause of your back pain and then start the treatment. Do not self-medicate yourself with Apixo 20mg Injection as the cause of back pain can be different for different person.
Is Apixo 20mg Injection affective in gout management?
Yes. Apixo 20mg Injection can be given for the treatment of acute gout. Research studies have shown Apixo 20mg Injection to be highly effective in the treatment of acute gout.
Can you donate blood when on the medication with Apixo 20mg Injection?
Yes. You can donate blood when on Apixo 20mg Injection. Do inform your doctor before donating blood.
Can I use Apixo 20mg Injection if I am a diabetic?
Apixo 20mg Injection in a diabetic patient can only be taken only by consulting a doctor because these medicines have the propensity to cause renal failure when taken for a long period. Diabetes itself causes renal Apixo 20mg Injection so taking piroxicam can lead to increased risk of renal failure by many folds.
Can I use Apixo 20mg Injection if I have a deranged renal function?
No. Apixo 20mg Injection should not be taken if you have a abnormal renal function because long-term administration of NSAIDs has resulted in renal papillary necrosis and another renal injury.
Can Apixo 20mg Injection lead to skin reactions?
Yes. Apixo 20mg Injection is known to cause skin reactions which can be very severe such as exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. These serious events may occur without warning. You should inform your doctor if you feel you have a mild rash and immediately discontinue the drug.
Can I use Apixo 20mg Injection if I am pregnant?
No. Apixo 20mg Injection should not be taken in pregnancy. It causes premature closure of the ductus arteriosus which can lead to fetal heart failure and death of the baby.
Can I use Apixo 20mg Injection if I have peptic ulcer disease?
No. Apixo 20mg Injection is contraindicated in cases of active peptic ulcer disease. Apixo 20mg Injection is known to cause gastric ulceration and bleeding.
Can I use Apixo 20mg Injection if I have asthma?
Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory (NSAID) drugs like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.
Can Apixo 20mg Injection lead to difficulty in conception?
Yes. Apixo 20mg Injection can sometimes cause reversible infertility. Piroxicam by its mechanism of action may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.
Can Apixo 20mg Injection be used with diuretics?
No. Apixo 20mg Injection should not be used with diuretics. Apixo 20mg Injection reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
Can Apixo 20mg Injection be used with lithium?
No. Apixo 20mg Injection should not be used with lithium. Apixo 20mg Injection leads to an elevation of plasma lithium levels and a reduction in renal lithium clearance. This is because of inhibition of renal prostaglandin synthesis by the NSAID. Consult and inform your doctor before starting this medication.
Can Apixo 20mg Injection be used with warfarin?
No. Apixo 20mg Injection should be avoided with warfarin as they both lead to increase in bleeding tendencies. Inform your doctor if you are taking any of the medications. If given together then the therapy should be monitored closely.
What increases the chances of getting a gastric ulcer when I am already taking Apixo 20mg Injection?
The chances of gastric ulceration increases if you take medicines like corticosteroids and anticoagulants. Long term use, alcohol, smoking and old age are few other factors which can increase the chances of ulceration.
Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ Apixo 20mg Injection?
Patients who had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine or for pain right before or after heart bypass surgery.
What are the serious side effects of Apixo 20mg Injection?
GI discomfort and, rarely, serious GI side effects, such as ulcers and bleeding, serious skin side effects such as exfoliative, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis, liver failure, renal damage.
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Disclaimer:
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.References
- Furst DE, Ulrich RW, Varkey-Altamirano C. Nonsteroidal Anti-Inflammatory Drugs, Disease Modifying Antirheumatic Drugs, Nonopioids Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 628.
- Grosser T, Smyth E, FitzGerald GA. Anti-Inflammatory, Antipyretic, and Analgesic Agents; Pharmacotherapy of Gout. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 989-90.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1127-28.
- Pubchem. Piroxicam. [Accessed 02 Apr. 2019] (online) Available from:
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- Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 02 Apr. 2019] (online) Available from:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:
- Piroxicam [Drug Label]. Metro Manila, Philippines: Pfizer, Inc.; 2022. [Accessed 06 Apr. 2024] (online) Available from:
Marketer details
Name: Deon Healthcare
Address: # 376, Ground Floor & First Floor, Saketri, , Panchkula - 134109, Haryana, India.
Country of origin: India
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