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24 May 2019 | 07:35 PM (IST)
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Cam 20 mg Injection

Prescription Required

Overview

Uses of Cam Injection

Cam Injection side effects

Common
  • Vomiting
  • Stomach pain
  • Nausea
  • Indigestion
  • Diarrhea
  • Injection site reactions (pain, swelling, redness)

How to use Cam Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Cam Injection works

Cam 20 mg 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).

Cam Injection related warnings

Alcohol
CAUTION
It is unsafe to consume alcohol with Cam 20 mg Injection. Taking Piroxicam with alcohol may increase your risk of stomach bleeding.
Pregnancy
WEIGH RISKS VS BENEFITS
Cam 20 mg Injection is unsafe to use during pregnancy.
There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Lactation
SAFE
Cam 20 mg Injection is safe to use during lactation. Human studies have shown that either the drug does not pass into the breastmilk in significant amount or is not expected to cause toxicity to the baby.
Driving
Cam 20 mg Injection may make you feel dizzy, drowsy or affect your vision. Do not drive until your vision is clear.
Kidney
Cam 20 mg Injection should be used with caution in patients with severe kidney disease. Dose adjustment of Cam 20 mg Injection may be needed. Please consult your doctor.
No dose adjustment is recommended in patients with mild to moderate kidney disease. Regular monitoring of kidney function test is advised while you are taking this medicine.
Liver
CAUTION
Cam 20 mg Injection should be used with caution in patients with liver disease. Dose adjustment of Cam 20 mg Injection may be needed. Please consult your doctor.

What if you miss a dose of Cam Injection?

If you miss a dose of Cam 20 mg Injection, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Cam 20 mg Injection
Alkem Piroxicam Injection
Alkem Laboratories Ltd
₹7.5/Injection
15% costlier
Piroxitas 20mg Injection
Intas Pharmaceuticals Ltd
₹10/ml of Injection
54% costlier
Mizocam Injection
Leeford Healthcare Ltd
₹2.19/ml of Injection
save 66%
Doloswift 20mg Injection
Ind Swift Laboratories Ltd
₹7.1/ml of Injection
9% costlier
Zoxicam 20mg Injection
Zodak Healthcare
₹8.7/ml of Injection
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Expert Advice

  • Cam 20 mg 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.

Interaction with Drugs

Taking Cam with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Nimsun, Abinim, Nimulis
LIFE-THREATENING

Patient Concerns

Questions Related to Cam

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I'm married having 4 yr kid.I'm suffering from pelvic pain 10 days b4 of menses since ,laparoscopy done in but findings were there,no pain while taking OCP Triquilar, I have been taking this since Jan 2013 some time give a gap,but since I'm having dizziness also,while taking turn at sleeping time. After taking NS drib ,I was OK ,but this month from again having same dizziness, this month also not take OCP .my menses cycle date 28. Kindly suggest me solution, currently living in dharmapuri tammilnadu ,native Indore Madhya Pradesh.I'm married having 4 yr kid.I'm suffering from pelvic pain 10 days b4 of menses since ,laparoscopy done in but no findings were there,no pain while taking OCP Triquilar, I have been taking this since Jan 2013 some time give a gap,but since I'm having dizziness also,while taking turn at sleeping time. After taking NS drib ,I was OK ,but this month from again having same dizziness, this month also not take OCP .my menses cycle date 28. Kindly suggest me solution, currently living in dharmapuri tammilnadu ,native Indore Madhya Pradesh.
Dr. Megha Tuli
Gynaecologist
Hi PATIENT suggest you take plenty of fluids for the dizziness. Sometimes hormonal changes cam result in such problems. I would suggest you to see a gynaecologist and get properly evaluated for the pelvic pain. A hormone panel should help in diagnosing underlying hormone issues.
My wife PATIENT low weight. She is mother of 10 months baby. She is taking protinex powder from last 5 days. Tell me additional home treatment to increase her weight. Thank you.
Dr. Deepak Kumar Soni
Skin Specialist
you cam give her milk with 10ml honey at the time of breakfast
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Do you have any questions related to Cam 20 mg Injection?

FAQs

Q. What is the difference between Cam and diclofenac?

Both Cam 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 Cam.

Q. What is the difference between Cam and naproxen?

Both Cam 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 Cam.

Q. What is the difference between Cam and meloxicam?

Both Cam 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 Cam.

Q. What is the difference between Cam and ketoprofen?

Both Cam 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 Cam. Ketoprofen gel also showed excellent tolerability.

Q. What is the difference between Cam and tramadol?

Cam is a COX (cyclooxygenase -an enzyme responsible for inflammation and pain) whereas Tramadol is a narcotic-like painkiller. Tramadol is a habit forming medicine.

Q. What is the difference between Cam and nimesulide?

Both Cam and nimesulide are pain killers. However, Cam 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.

Q. Can Cam 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 Cam or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Cam.

Q. Are Cam and aspirin same?

No. Cam 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.

Q. Can Cam be used along with dexamethasone?

No. Cam should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.

Q. Can Cam be used with methocarbamol?

Yes. Methocarbamol can be used with Cam as no serious side effects are known. Inform your doctor before starting any of the medication.

Q. Can Cam be used along with paracetamol?

Yes. Paracetamol can be used with Cam as no serious side effects are known. Inform your doctor before starting any of the medication.

Q. Is Cam a NSAID?

Yes. Cam is a non-steroidal anti-inflammatory drug (NSAID).

Q. Is Cam a sulfa drug?

Cam is a sulphur containing compound. Cam 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.

Q. Is Cam a blood thinner?

No. Cam is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.

Q. Is Cam a muscle relaxant?

No. Cam is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.

Q. Is Cam a narcotic?

No. Cam 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.

Q. Can Cam be used in hypertension?

No. Cam is not a medication to control hypertension. It is important to note that Cam decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Cam.

Q. Can Cam be used along with Losartan?

No. Cam should not be combined with Losartan. It is important to note that Cam 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 Cam.

Q. Can Cam be used with Lisinopril?

No. Cam 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 Cam.

Q. Can Cam be used with calcium channel blocker?

Yes. Cam 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)

Q. Can Cam be used with Tizanidine?

Yes, Cam 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.

Q. Why is beta cyclodextrin added to Cam?

Yes. Cam can be combined with beta-cyclodextrin. Research has shown that combining Cam with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.

Q. Are there any alternatives of Cam?

Yes. There are alternatives to Cam. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.

Q. What are the contraindications for Cam?

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.

Q. Can Cam be used in the treatment of allergy?

No. Cam is not a drug to treat allergy. It is a pain killer.

Q. How long does Cam work?

Cam 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.

Q. Can you get high by using Cam?

No. Cam is not known to cause high. It is a non-narcotic painkiller.

Q. Can Cam be used to treat menstrual cramp?

Cam is not approved for the treatment of menstrual cramps. Research studies have shown that piroxicam is quite effective in significantly decreasing the menstrual cramps.

Q. Can I use Cam for a migraine?

Cam is not approved for the treatment of migraine. Research studies have shown that Cam is effective in significantly decreasing the pain associated with migraine without aura.

Q. Is Cam 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 Cam as the cause of back pain can be different for different person.

Q. Is Cam affective in gout management?

Yes. Cam can be given for the treatment of acute gout. Research studies have shown Cam to be highly effective in the treatment of acute gout.

Q. Can you donate blood when on the medication with Cam?

Yes. You can donate blood when on Cam. Do inform your doctor before donating blood.

Q. Can I use Cam if I am a diabetic?

Cam 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 Cam so taking piroxicam can lead to increased risk of renal failure by many folds.

Q. Can I use Cam if I have a deranged renal function?

No. Cam 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.

Q. Can Cam lead to skin reactions?

Yes. Cam 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.

Q. Can I use Cam if I am pregnant?

No. Cam 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.

Q. Can I use Cam if I have peptic ulcer disease?

No. Cam is contraindicated in cases of active peptic ulcer disease. Cam is known to cause gastric ulceration and bleeding.

Q. Can I use Cam 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.

Q. Can Cam lead to difficulty in conception?

Yes. Cam 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.

Q. Can Cam be used with diuretics?

No. Cam should not be used with diuretics. Cam reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.

Q. Can Cam be used with lithium?

No. Cam should not be used with lithium. Cam 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.

Q. Can Cam be used with warfarin?

No. Cam 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.

Q. What increases the chances of getting a gastric ulcer when I am already taking Cam?

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.

Q. Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ Cam?

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.

Q. What are the serious side effects of Cam?

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: 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 all possible side effects, drug interactions or warnings or alerts. 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
  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. 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.
  4. Pubchem. Piroxicam. [Accessed 02 Apr. 2019] (online) Available from:External Link
  5. ScienceDirect. Piroxicam. [Accessed 02 Apr. 2019] (online) Available from:External Link
  6. 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:External Link
  7. Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:External Link
Manufacturer/Marketer Address
OSCAR HOUSE, TIRATH NAGAR, BADI MAJRA, YAMUNANAGAR – 135001, HARYANA (INDIA)
A licensed pharmacy from your nearest location will deliver Cam 20mg Injection. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your prescription and the availability of this medicine.
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2 ml in 1 vial
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