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Calm 20mg Tablet

Written By Dr. Swati Mishra, BDS
Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS
Last updated on 20 Jan 2026 | 11:38 AM (IST)
Calm 20mg Tablet is a pain-relieving medicine. It is used to treat moderate to severe pain in conditions such as osteoarthritis and rheumatoid arthritis. It helps relieve pain and swelling in the joints and muscles.
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General Information

The content is shown in English
Calm 20mg Tablet image
Calm 20mg Tablet image

Product introduction

Calm 20mg Tablet should be taken with food. This will prevent you from getting an upset stomach. The dose and duration will depend on what you are taking it for and how well it helps your symptoms. You should keep taking the medicine even if you feel better until the doctor says it is okay to stop using it.


The most common side effects of this medicine include mild vomiting, stomach pain, nausea, 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 disease, high blood pressure, or 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. Pregnant and breastfeeding mothers should consult their doctors before using the medicine.

Uses of Calm Tablet

Benefits of Calm Tablet

Pain relief
Calm 20mg Tablet is used for short-term relief of pain, inflammation, and swelling in conditions that affect joints and muscles. It can help relieve pain in conditions like rheumatoid arthritis and osteoarthritis, or even after a dental (tooth-related) surgery. 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 Calm Tablet

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 Calm
  • Headache
  • Vomiting
  • Stomach pain
  • Nausea
  • Dizziness

How to use Calm Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Calm 20mg Tablet should be taken with or after food.

How Calm Tablet works

Calm 20mg Tablet 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).

Quick tips

  • Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
  • Calm 20mg Tablet helps relieve pain and swelling of various joints and muscles.
  • Your doctor will prescribe you the lowest effective dose of this medicine for the shortest possible time necessary to relieve your symptoms.
  • 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. 

Safety advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Calm 20mg Tablet. Please consult your doctor.
Pregnancy

Pregnancy

UNSAFE
Calm 20mg Tablet is highly unsafe during pregnancy. It can cause serious harm to the unborn baby, including birth defects and pregnancy loss. Do not use this medicine if you are pregnant or planning to become pregnant.
Breast feeding

Breast feeding

CAUTION
Calm 20mg Tablet should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from the body.
Driving

Driving

CONSULT YOUR DOCTOR
It is not known whether Calm 20mg Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor.
Kidney

Kidney

CAUTION
Calm 20mg Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Liver

Liver

CAUTION
Calm 20mg Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.

Interaction with drugs

Taking Calm with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Severe

Tacrolimus (Oral Route)

If concurrent use is essential, your doctor may monitor your tacrolimus levels, potassium levels and kidney function closely. They may adjust the doses as per the observations.
Severe

Acenocoumarol (Oral Route)

Do not consume Acenocoumarol with Piroxicam. If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations.
Severe

Phenindione (Oral Route)

Do not consume Phenindione with Piroxicam. If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations.
Severe

Methotrexate (Injection Route)

Please consult with your doctor. Doctor may monitor liver function and blood cell counts.
Severe

Warfarin (Oral Route)

Do not consume Warfarin with Piroxicam. If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations.

Frequently asked questions

Yes. Calm 20mg Tablet is a non-steroidal anti-inflammatory drug (NSAID).
Contraindications to Calm 20mg Tablet 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, and renal impairment.
Calm 20mg Tablet 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 a few weeks.
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, as the cause of back pain can be different for different people.
Yes. Calm 20mg Tablet can be given for the treatment of acute gout. Research studies have shown Calm 20mg Tablet to be highly effective in the treatment of acute gout.
A diabetic patient can only take Calm 20mg Tablet by consulting a doctor because these medicines have the propensity to cause renal failure when taken for a long period. Diabetes itself causes renal Calm 20mg Tablet, so taking piroxicam can lead to an increased risk of renal failure by many folds.
No. Calm 20mg Tablet should not be taken during pregnancy. It causes premature closure of the ductus arteriosus, which can lead to fetal heart failure and death of the baby.
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.

Fact Box

Chemical Class

Benzothiazines

Habit Forming

No

Therapeutic Class

PAIN ANALGESICS

Action Class

Non-Selective COX 1 & 2 Inhibitors (Enolic Acid Derivatives)

References

  1. 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.
  2. 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.
  3. 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:
  4. Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:
  5. Piroxicam [Drug Label]. Mumbai, India: Pfizer Limited; 2022. [Accessed 06 Apr. 2024] (online) Available from:
  6. Piroxicam [Summary of Product Characteristics]. Paris, France: Fareva Amboise; 2022.
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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.

Marketer details

Name: Orphic Pharma (India) Ltd
Address: 22,shahjanand Industrial Estate, Munjmahuda, Atladra, Vadodara-390 020, Gujarat, India.

Vendor Details

Country of origin: India
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