Ziroxikan 20mg Tablet
Prescription Required
Product introduction
Ziroxikan 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.
Ziroxikan 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 alright 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 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. Pregnant and breastfeeding mothers should consult their doctors before using the medicine.
Uses of Ziroxikan Tablet
Benefits of Ziroxikan Tablet
In Pain relief
Ziroxikan 20mg Tablet 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 Ziroxikan 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 Ziroxikan
- Vomiting
- Stomach pain
- Nausea
- Headache
- Dizziness
How to use Ziroxikan 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. Ziroxikan 20mg Tablet is to be taken with food.
How Ziroxikan Tablet works
Ziroxikan 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).
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Ziroxikan 20mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Ziroxikan 20mg Tablet 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
Ziroxikan 20mg Tablet 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
Ziroxikan 20mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Ziroxikan 20mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Ziroxikan 20mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Ziroxikan 20mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Ziroxikan 20mg Tablet may be needed. Please consult your doctor.
What if you forget to take Ziroxikan Tablet?
If you miss a dose of Ziroxikan 20mg 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.
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Quick tips
- Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
- Ziroxikan 20mg Tablet helps relieve pain and swelling of various joints and muscles.
- Take it with food to avoid stomach upset.
- 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.
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 Ziroxikan 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 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 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 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
Patient concerns
FAQs
What is the difference between Ziroxikan 20mg Tablet and diclofenac?
Both Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet.
What is the difference between Ziroxikan 20mg Tablet and naproxen?
Both Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet.
What is the difference between Ziroxikan 20mg Tablet and meloxicam?
Both Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet.
What is the difference between Ziroxikan 20mg Tablet and ketoprofen?
Both Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet. Ketoprofen gel also showed excellent tolerability.
What is the difference between Ziroxikan 20mg Tablet and tramadol?
Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet and nimesulide?
Both Ziroxikan 20mg Tablet and nimesulide are pain killers. However, Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Ziroxikan 20mg Tablet.
Are Ziroxikan 20mg Tablet and aspirin same?
No. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet be used along with dexamethasone?
No. Ziroxikan 20mg Tablet should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.
Can Ziroxikan 20mg Tablet be used with methocarbamol?
Yes. Methocarbamol can be used with Ziroxikan 20mg Tablet as no serious side effects are known. Inform your doctor before starting any of the medication.
Can Ziroxikan 20mg Tablet be used along with paracetamol?
Yes. Paracetamol can be used with Ziroxikan 20mg Tablet as no serious side effects are known. Inform your doctor before starting any of the medication.
Is Ziroxikan 20mg Tablet a NSAID?
Yes. Ziroxikan 20mg Tablet is a non-steroidal anti-inflammatory drug (NSAID).
Is Ziroxikan 20mg Tablet a sulfa drug?
Ziroxikan 20mg Tablet is a sulphur containing compound. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet a blood thinner?
No. Ziroxikan 20mg Tablet is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.
Is Ziroxikan 20mg Tablet a muscle relaxant?
No. Ziroxikan 20mg Tablet is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.
Is Ziroxikan 20mg Tablet a narcotic?
No. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet be used in hypertension?
No. Ziroxikan 20mg Tablet is not a medication to control hypertension. It is important to note that Ziroxikan 20mg Tablet decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Ziroxikan 20mg Tablet.
Can Ziroxikan 20mg Tablet be used along with Losartan?
No. Ziroxikan 20mg Tablet should not be combined with Losartan. It is important to note that Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet.
Can Ziroxikan 20mg Tablet be used with Lisinopril?
No. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet.
Can Ziroxikan 20mg Tablet be used with calcium channel blocker?
Yes. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet be used with Tizanidine?
Yes, Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet?
Yes. Ziroxikan 20mg Tablet can be combined with beta-cyclodextrin. Research has shown that combining Ziroxikan 20mg Tablet with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.
Are there any alternatives of Ziroxikan 20mg Tablet?
Yes. There are alternatives to Ziroxikan 20mg Tablet. 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 Ziroxikan 20mg Tablet?
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 Ziroxikan 20mg Tablet be used in the treatment of allergy?
No. Ziroxikan 20mg Tablet is not a drug to treat allergy. It is a pain killer.
How long does Ziroxikan 20mg Tablet work?
Ziroxikan 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 few weeks.
Can you get high by using Ziroxikan 20mg Tablet?
No. Ziroxikan 20mg Tablet is not known to cause high. It is a non-narcotic painkiller.
Can Ziroxikan 20mg Tablet be used to treat menstrual cramp?
Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet for a migraine?
Ziroxikan 20mg Tablet is not approved for the treatment of migraine. Research studies have shown that Ziroxikan 20mg Tablet is effective in significantly decreasing the pain associated with migraine without aura.
Is Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet as the cause of back pain can be different for different person.
Is Ziroxikan 20mg Tablet affective in gout management?
Yes. Ziroxikan 20mg Tablet can be given for the treatment of acute gout. Research studies have shown Ziroxikan 20mg Tablet to be highly effective in the treatment of acute gout.
Can you donate blood when on the medication with Ziroxikan 20mg Tablet?
Yes. You can donate blood when on Ziroxikan 20mg Tablet. Do inform your doctor before donating blood.
Can I use Ziroxikan 20mg Tablet if I am a diabetic?
Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet so taking piroxicam can lead to increased risk of renal failure by many folds.
Can I use Ziroxikan 20mg Tablet if I have a deranged renal function?
No. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet lead to skin reactions?
Yes. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet if I am pregnant?
No. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet if I have peptic ulcer disease?
No. Ziroxikan 20mg Tablet is contraindicated in cases of active peptic ulcer disease. Ziroxikan 20mg Tablet is known to cause gastric ulceration and bleeding.
Can I use Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet lead to difficulty in conception?
Yes. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet be used with diuretics?
No. Ziroxikan 20mg Tablet should not be used with diuretics. Ziroxikan 20mg Tablet reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
Can Ziroxikan 20mg Tablet be used with lithium?
No. Ziroxikan 20mg Tablet should not be used with lithium. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet be used with warfarin?
No. Ziroxikan 20mg Tablet 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 Ziroxikan 20mg Tablet?
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)/ Ziroxikan 20mg Tablet?
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 Ziroxikan 20mg Tablet?
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:
- ScienceDirect. Piroxicam. [Accessed 02 Apr. 2019] (online) Available from:
- Piroxicam. Feb. 2015. [Accessed 02 Apr. 2019] (online) Available from:
- 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]. Mumbai, India: Pfizer Limited; 2022. [Accessed 06 Apr. 2024] (online) Available from:
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Name: Albia Biocare
Address: plot no. 323, industrial area phase ii, panchkula, haryana 134113
Country of origin: India
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.
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