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Zicam 20 mg Tablet

Terrace Pharmaceuticals

Composition for Zicam 20 mg Tablet

Prescription Required

Primary uses of Zicam 20 mg Tablet

Potentiallyunsafewith
Alcohol
MRP
7
₹0.7/Tablet
10 tablets in 1 strip
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Medicine Overview of Zicam Tablet

Uses of Zicam Tablet

Zicam 20 mg Tablet is used in pain relief. It relieves pain and inflammation in conditions like rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis.

Zicam Tablet side effects

Common

Side Effects of Zicam are Vomiting, Stomach pain, Nausea, Indigestion, Diarrhoea.

How to use Zicam 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. Zicam 20 mg Tablet is to be taken with food.

How Zicam Tablet works

Zicam 20 mg 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).
In Depth Information on Zicam Tablet

Expert advice for Zicam Tablet

  • Inform your doctor if you have ever been diagnosed with kidney or liver problems.
  • It should be taken with food or milk to avoid getting an upset stomach.
  • It can cause serious complications like stomach bleeding and kidney problems if taken for a long time.
  • Zicam 20 mg Tablet can raise your risk of blood clots, heart attack, or a stroke.
  • Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
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Zicam Tablet related warnings

Special precautions for Zicam Tablet
Alcohol
CAUTION
Taking Piroxicam with alcohol may increase your risk of stomach bleeding.
Pregnancy
WEIGH RISKS VS BENEFITS
Zicam 20 mg Tablet 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
Zicam 20 mg Tablet 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
Zicam 20 mg Tablet may make you feel dizzy, drowsy or affect your vision. Do not drive until your vision is clear.
Kidney
Zicam 20 mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Zicam 20 mg Tablet 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
Zicam 20 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Zicam 20 mg Tablet may be needed. Please consult your doctor.

What if you miss a dose of Zicam Tablet?

uses
If you miss a dose of Zicam 20 mg Tablet, 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.

Patient Concerns

Questions Related to Zicam

Broken wrist needed proper medicine
Dr. Akshat Goel
Bone & Joint Specialist
Share x-ray picTake Cap Altraday twice daily and Tab Flotrip-forte thrice daily for pain relief and swelling
Dr. I feel backache pain during any hard work Dr.told me earlier that I HV some prob in my backbone. I can't maintain my routine because I HV to do work in household purpose he suggested DOlO-650 SOS any better mdcne?
Dr. Akshat Goel
Bone & Joint Specialist
Do Spinal Extension exercises" thrice daily for 15 mins each session"For pain relief another option is Tab Voveran SR100
I've Right wrist probblem i can't turn or make any movement , as i'd fallen down so i can't lift anything please suggest me good remedy.
Dr. Akshat Goel
Bone & Joint Specialist
Apply Dynapar QPS spray and take restalso take Tab Zerodol-SP twice daily for pain relief
Sir i meet with an accident on road can anyone plz give me a suggestion to cure it
Dr. Akshat Goel
Bone & Joint Specialist
Share recent X-rays of the affected regionTake Tab Zerodol-SP twice daily for pain relief
Best medicine for high uric acid in bone joint relief
Dr. Akshat Goel
Bone & Joint Specialist
Tab Febustat 80mg once daily for 2 weeks and Tab Ace-proxyvon once or twice daily for pain relief
Please suggest Pain relief tablets for Scatia
Dr. Trilok Kumar Jha
Bone & Joint Specialist
Tab Nucoxia MR 1 BD after meals, Cap Pantop DSR 1 before breakfast, Cap Meganeuron OD plus 1 daily.
Extreme pain around the backbone especially while sitting. Pain goes from back to legs and pain also in shoulders , joints of fingers.
Dr. Anshul Varshney
General Physician
Hi, Welcome To 1mg. I am Anshul Varshney. Get a MRI lumbosacral spine done. For pain relief you may take Etoricoxib for a short duration.

Frequently asked questions about Zicam Tablet

Frequently asked questions about Piroxicam
Q. What is the difference between Zicam and diclofenac?
Both Zicam 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 Zicam.
Q. What is the difference between Zicam and naproxen?
Both Zicam 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 Zicam.
Q. What is the difference between Zicam and meloxicam?
Both Zicam 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 Zicam.
Q. What is the difference between Zicam and ketoprofen?
Both Zicam 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 Zicam. Ketoprofen gel also showed excellent tolerability.
Q. What is the difference between Zicam and tramadol?
Zicam 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 Zicam and nimesulide?
Both Zicam and nimesulide are pain killers. However, Zicam 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 Zicam 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 Zicam or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Zicam.
Q. Are Zicam and aspirin same?
No. Zicam 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 Zicam be used along with dexamethasone?
No. Zicam should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.
Q. Can Zicam be used with methocarbamol?
Yes. Methocarbamol can be used with Zicam as no serious side effects are known. Inform your doctor before starting any of the medication.
Q. Can Zicam be used along with paracetamol?
Yes. Paracetamol can be used with Zicam as no serious side effects are known. Inform your doctor before starting any of the medication.
Q. Is Zicam a NSAID?
Yes. Zicam is a non-steroidal anti-inflammatory drug (NSAID).
Q. Is Zicam a sulfa drug?
Zicam is a sulphur containing compound. Zicam 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 Zicam a blood thinner?
No. Zicam is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.
Q. Is Zicam a muscle relaxant?
No. Zicam 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 Zicam a narcotic?
No. Zicam 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 Zicam be used in hypertension?
No. Zicam is not a medication to control hypertension. It is important to note that Zicam decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Zicam.
Q. Can Zicam be used along with Losartan?
No. Zicam should not be combined with Losartan. It is important to note that Zicam 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 Zicam.
Q. Can Zicam be used with Lisinopril?
No. Zicam 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 Zicam.
Q. Can Zicam be used with calcium channel blocker?
Yes. Zicam 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 Zicam be used with Tizanidine?
Yes, Zicam 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 Zicam?
Yes. Zicam can be combined with beta-cyclodextrin. Research has shown that combining Zicam with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.
Q. Are there any alternatives of Zicam?
Yes. There are alternatives to Zicam. 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 Zicam?
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 Zicam be used in the treatment of allergy?
No. Zicam is not a drug to treat allergy. It is a pain killer.
Q. How long does Zicam work?
Zicam 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 Zicam?
No. Zicam is not known to cause high. It is a non-narcotic painkiller.
Q. Can Zicam be used to treat menstrual cramp?
Zicam 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 Zicam for a migraine?
Zicam is not approved for the treatment of migraine. Research studies have shown that Zicam is effective in significantly decreasing the pain associated with migraine without aura.
Q. Is Zicam 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 Zicam as the cause of back pain can be different for different person.
Q. Is Zicam affective in gout management?
Yes. Zicam can be given for the treatment of acute gout. Research studies have shown Zicam to be highly effective in the treatment of acute gout.
Q. Can you donate blood when on the medication with Zicam?
Yes. You can donate blood when on Zicam. Do inform your doctor before donating blood.
Q. Can I use Zicam if I am a diabetic?
Zicam 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 Zicam so taking piroxicam can lead to increased risk of renal failure by many folds.
Q. Can I use Zicam if I have a deranged renal function?
No. Zicam 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 Zicam lead to skin reactions?
Yes. Zicam 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 Zicam if I am pregnant?
No. Zicam 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 Zicam if I have peptic ulcer disease?
No. Zicam is contraindicated in cases of active peptic ulcer disease. Zicam is known to cause gastric ulceration and bleeding.
Q. Can I use Zicam 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 Zicam lead to difficulty in conception?
Yes. Zicam 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 Zicam be used with diuretics?
No. Zicam should not be used with diuretics. Zicam 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 Zicam be used with lithium?
No. Zicam should not be used with lithium. Zicam 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 Zicam be used with warfarin?
No. Zicam 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 Zicam?
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)/ Zicam?
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 Zicam?
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.

Severely interacts with other drugs like

Taking Zicam with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Zicam with Benzydamine
LIFE-THREATENING
Medicines with composition Benzydamine: Ready Rinse, Tantum, Mucobenz, B Mine, Garbenz, Coolora, Uvdyne, Biqol, Edel, Bzynice
LIFE-THREATENING
Medicines with composition Metamizole / Dipyrone: Pyregin, Novalgin RC, Bral, Andep, Novalgin, Analgin, Divi A
Zicam with Oxyphenbutazone
LIFE-THREATENING
Medicines with composition Oxyphenbutazone: Flanil, Sioril
Zicam with Nimesulide
LIFE-THREATENING
Medicines with composition Nimesulide: Nimsun, Abinim, Nimulis, Neil, Zenee PR, Sanim, Esulide, Renex, Nimoffin, Selide
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Substitutes for Zicam Tablet

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Authored by
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