PIROXICAM
Generic Name: piroxicam (peer OX ih kam) Brand Names: Feldene
Piroxicam comes as a capsule to take by mouth. It usually is taken once a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take piroxicam exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Piroxicam is used to relieve the pain, tenderness, inflammation (swelling), and stiffness caused by arthritis. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.  The chances that Feldene will cause a stomach ulcer or bleeding are dramatically higher if you've had such problems previously. Severe stomach reactions are also more likely among older adults, those in poor health, smokers, heavy drinkers, and people taking steroids or blood thinners. If you have heart disease, or high blood pressure, or other conditions that cause fluid retention, use this drug with caution. Feldene can increase water retention. Feldene has been known to damage the kidneys, and is not recommended for people with advanced kidney disease. Feldene can also cause liver damage. |
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If you are taking piroxicam as needed, take the missed dose if it is needed, then wait the recommended or prescribed amount of time before taking another dose. Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Feldene. More common side effects may include: Abdominal pain or discomfort, anemia, constipation, diarrhea, dizziness, fluid retention, gas, general feeling of ill health, headache, heartburn, itching, loss of appetite, nausea, rash, ringing in ears, sleepiness, stomach ulcers or bleeding, stomach upset, vertigo, vomiting. Less common or rare side effects may include: Severe allergic reactions, angioedema (swelling of lips, face, tongue and throat), anxiety, asthma, belching, black stools, blood in the urine, blurred vision, bruising, colicky pain, coma, confusion, congestive heart failure, convulsions, depression, dream abnormalities, drowsiness, dry mouth, eye irritations, fainting, fatigue, fever, flu-like symptoms, hair loss, hallucinations, hearing loss, heart attack, hepatitis, high or low blood pressure, hives, inability to sleep, infection, inflammation in the mouth or digestive tract, joint pain, labored breathing, low or high blood sugar, nervousness, nosebleed, rapid or irregular heartbeat, rectal bleeding, serum sickness (fever, painful joints, enlarged lymph nodes, skin rash), skin allergy to sunlight, skin eruptions, Stevens-Johnson syndrome (blisters in the mouth and eyes), sweating, swollen or inflammed eyes, tingling or burning feeling, tremors, urinary problems, vertigo, vomiting blood, weakness, weight loss or gain, worsening of angina, yellow eyes and skin. 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. Avoid alcohol or use it with moderation. If you drink more than three alcoholic beverages a day, piroxicam may increase the risk of dangerous stomach bleeding. Talk to your doctor before taking piroxicam if you drink more than 3 alcoholic beverages a day. Many over-the-counter cough, cold, allergy, and pain medicines contain aspirin or other medicines similar to piroxicam (such as ibuprofen, ketoprofen, and others). Before taking any prescription or over-the-counter medicine, talk to your doctor and pharmacist. Keep Piroxicam in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication. Before taking piroxicam, tell your doctor if you are taking any of the following drugs: aspirin or another salicylate (form of aspirin) such as salsalate (Disalcid), diflunisal (Dolobid), choline salicylate-magnesium salicylate (Trilisate, Tricosal, others), and magnesium salicylate (Doan's, others); another nonsteroidal anti-inflammatory drug (NSAID) such as diclofenac (Cataflam, Voltaren), etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), ibuprofen (Motrin, Advil, others), indomethacin (Indocin), ketoprofen (Orudis, Orudis KT), ketorolac (Toradol), meloxicam (Mobic), nabumetone (Relafen), oxaprozin (Daypro), naproxen (Aleve, Anaprox, Naprosyn, Naprelan, others), sulindac (Clinoril), or tolmetin (Tolectin); an over-the-counter cough, cold, allergy, or pain medicine that contains aspirin, ibuprofen, piroxicam, or ketoprofen; an anticoagulant (blood thinner) such as warfarin (Coumadin); a steroid such as prednisone (Deltasone); insulin or an oral diabetes medicine such as glipizide (Glucotrol), glyburide (Diabeta, Micronase), and others; probenecid (Benemid); lithium (Eskalith, Lithobid, others); bismuth subsalicylate in drugs such as Pepto-Bismol. You may not be able to take piroxicam, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. Drugs other than those listed here may also interact with piroxicam. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.
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