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Piroxicam

INFORMATION

Uses

Piroxicam is used in the treatment of headache, osteoarthritis, dental pain, nerve pain, muscular pain, rheumatoid arthritis, menstrual pain and migraine.

How it works

Piroxicam is one of a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). It works by decreasing the production of a chemical (prostaglandins) that cause inflammation and pain in the body.

Common side effects

Constipation, Diarrhoea, Dizziness, Flatulence, Headache, Ringing in ear, Tachycardia

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Expert advice

Piroxicam should always be taken with or after food Before you take Piroxicam, tell your doctor:
  • if you have liver disease.
  • if you have kidney disease.
  • if you have high blood pressure, heart problems or stroke.
  • if you have high cholesterol or hardening of the arteries.
  • if you have asthma.
  • if you have diabetes.
  • if you have polyps in your nose.
  • If you have previously had or currently have a stomach or intestinal ulcer, bleeding or perforation. 
  • If you have, or have previously had disorders of the stomach or intestines such as ulcerative colitis, Crohn’s disease, gastrointestinal cancers or diverticulitis (inflamed or infected pouches/pockets in the colon).
  • If you are taking other NSAIDs such as ibuprofen, celecoxib or acetylsalicylic acid (aspirin), a substance present in many medicines used to relieve pain and lower fever. 
  • If you are taking anticoagulants, such as warfarin, to prevent blood clots, if you are planning to become pregnant or if you have problems becoming pregnant, piroxicam may make it more difficult to become pregnant.
  • If while taking piroxicam, you develop any allergic reaction such as a skin rash, swelling of the face, wheezing or difficulty breathing, serious reactions in the stomach and intestines, such as pain, bleeding, ulceration and perforation.
Do not exceed the recommended dose or duration of treatment. You might be at small increased risk of heart attack (‘myocardial infarction’) or stroke. Piroxicam can cause fatigue, dizziness, drowsiness and visual disturbances in some people. If this happens to you, avoid activities which require you to be alert; for example, driving a car and operating machinery. Avoid prolonged exposure to sunlight. Piroxicam may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable.

Frequently asked questions

Piroxicam

Q.Is piroxicam/ Dolonex/ Dolonex DT a pain killer?
Dolonex and Dolonex DT are brand names of piroxicam. Piroxicam is used to relieve pain and reduce swelling affecting joints

Q.Is piroxicam a narcotic/ opiate/ a cox 2 inhibitor/acidic or basic/ a controlled substance/ addictive?
No, piroxicam is non-narcotic and not an opiate. It is a non- selective cox inhibitor and slightly acidic. It is not a controlled substance and it can be an addictive drug for some people, and this is why you should ensure regularly check up with your doctor

Q.Is piroxicam a blood thinner?
Piroxicam is not a blood thinner, but it may enhance the effect of anticoagulants (blood thinners)

Q.Is piroxicam the same as ibuprofen?
Piroxicam and ibuprofen, both are non-steroidal anti-inflammatory drugs (NSAID). They are similar in action but are not identical drugs. Ibuprofen is milder and is used to relieve pain, inflammation, fever due to many conditions such as migraine, headache, dental pain, arthritis, etc. Piroxicam, on the other hand, is generally used to relieve pain and reduce swelling affecting joints

Q.Can I take piroxicam with Ibuprofen/Tylenol/Advil/ paracetamol/ Tramadol/ Acetaminophen/ naproxen?
It can be taken with ibuprofen, paracetamol, naproxen, tramadol, Tynelol, Advil

Q.Does piroxicam causes weight gain/ high/strink tumors/constipation/ sleepy?
It may cause these side effects, but you should consult your doctor

Q.Does piroxicam contain aspirin/ acetaminophen/ibuprofen?
No it does not contain aspirin/acetaminophen/ibuprofen.


Content on this page was last updated on 21 November, 2016, by Dr. Varun Gupta (MD Pharmacology)