* Generic Name: piroxicam
* Brand Name: Feldene
* What is piroxicam (Feldene)?
* What are the possible side effects of piroxicam (Feldene)?
* What is the most important information I should know about
piroxicam (Feldene)?
* What should I discuss with my healthcare provider before taking
piroxicam (Feldene)?
* How should I take piroxicam (Feldene)?
* What happens if I miss a dose (Feldene)?
* What happens if I overdose (Feldene)?
* What should I avoid while taking piroxicam (Feldene)?
* What other drugs will affect piroxicam (Feldene)?
* Where can I get more information (Feldene)?
What is piroxicam (Feldene)?
Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID).
This medicine works by reducing substances in the body that cause pain
and inflammation.
Piroxicam is used to treat pain or inflammation caused by
osteoarthritis or rheumatoid arthritis.
Piroxicam may also be used for purposes not listed in this medication
guide.
What are the possible side effects of piroxicam (Feldene)?
Get emergency medical help if you have signs of an allergic reaction:
sneezing, runny or stuffy nose; wheezing or trouble
breathing; hives; swelling of your face, lips, tongue, or throat.
Get emergency medical help if you have signs of a heart attack or
stroke: chest pain spreading to your jaw or shoulder, sudden
numbness or weakness on one side of the body, slurred speech,
feeling short of breath.
Stop using piroxicam and call your doctor at once if you have:
* changes in your vision;
* shortness of breath (even with mild exertion);
* swelling or rapid weight gain;
* the first sign of any skin rash, no matter how mild;
* signs of stomach bleeding--bloody or tarry stools, coughing up
blood or vomit that looks like coffee grounds;
* liver problems--nausea, upper stomach pain, itching, tired feeling,
flu-like symptoms, loss of appetite, dark urine,
clay-colored stools, jaundice (yellowing of the skin or eyes);
* kidney problems--little or no urinating, painful or difficult
urination, swelling in your feet or ankles, feeling tired or short
of breath;
* low red blood cells (anemia)--pale skin, feeling light-headed
or short of breath, rapid heart rate, trouble concentrating; or
* severe skin reaction--fever, sore throat, swelling in your face
or tongue, burning in your eyes, skin pain followed by a red or
purple skin rash that spreads (especially in the face or upper
body) and causes blistering and peeling.
Common side effects may include:
* abnormal liver function tests;
* urination problems;
* upset stomach, heartburn, loss of appetite, stomach pain,
nausea, vomiting;
* gas, diarrhea, constipation;
* dizziness, headache;
* itching, rash; or
* ringing in your ears.
This is not a complete list of side effects and others may occur. Call
your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about piroxicam
(Feldene)?
Piroxicam can increase your risk of fatal heart attack or stroke,
especially if you use it long term or take high doses, or if you have
heart disease. Do not use this medicine just before or after heart
bypass surgery (coronary artery bypass graft, or CABG).
Piroxicam may also cause stomach or intestinal bleeding, which can be
fatal. These conditions can occur without warning while you are using
piroxicam, especially in older adults.
Feldene Patient Information including How Should I Take
Rheumatoid Arthritis Symptoms and Treatment
Rheumatoid Arthritis Slideshow
RxList
Take the RA Quiz
Rheumatoid Arthritis Exercises:Joint-Friendly Fitness Routines
Joint-Friendly Exercises Slideshow
What should I discuss with my healthcare provider before taking piroxicam
(Feldene)?
You should not use piroxicam if you are allergic to it, or if you have
ever had an asthma attack or severe allergic reaction after taking
aspirin or an NSAID.
Piroxicam can increase your risk of fatal heart attack or stroke,
especially if you use it long term or take high doses, or if you have
heart disease. Even people without heart disease or risk factors could
have a stroke or heart attack while taking this medicine.
Do not use this medicine just before or after heart bypass surgery
(coronary artery bypass graft, or CABG).
Piroxicam may also cause stomach or intestinal bleeding, which can be
fatal. These conditions can occur without warning while you are using
piroxicam, especially in older adults.
To make sure piroxicam is safe for you, tell your doctor if you have:
* heart disease, high blood pressure, high cholesterol,
diabetes, or if you smoke;
* a history of heart attack, stroke, or blood clot;
* a history of stomach ulcers or bleeding;
* asthma;
* liver or kidney disease; or
* fluid retention.
Taking piroxicam during the last 3 months of pregnancy may harm the
unborn baby. Tell your doctor if you are pregnant.
Ovulation (release of an egg from your ovary) could be delayed
while you are taking piroxicam. This effect is usually not permanent.
You should not take piroxicam while you are trying to get pregnant.
Piroxicam can pass into breast milk and may harm a nursing baby. Tell
your doctor if you are breast-feeding a baby.
Piroxicam is not approved for use by anyone younger than 18 years old.
How should I take piroxicam (Feldene)?
Follow all directions on your prescription label. Your doctor may
occasionally change your dose to make sure you get the best results. Do
not take this medicine in larger amounts or for longer than
recommended. Use the lowest dose that is effective in treating your
condition.
It may take up to 2 weeks before your symptoms improve. Keep using the
medicine as directed and tell your doctor if your symptoms do not
improve.
If you use this medicine long-term, you may need frequent medical
tests.
Store at room temperature away from moisture and heat.
Read all patient information, medication guides, and instruction sheets
provided to you. Ask your doctor or pharmacist if you have any
questions.
Feldene Patient Information including If I Miss a Dose
Rheumatoid Arthritis Symptoms and Treatment
Rheumatoid Arthritis Slideshow
RxList
Take the RA Quiz
Rheumatoid Arthritis Exercises:Joint-Friendly Fitness Routines
Joint-Friendly Exercises Slideshow
What happens if I miss a dose (Feldene)?
Take the missed dose as soon as you remember. Skip the missed dose if
it is almost time for your next scheduled dose. Do not take extra
medicine to make up the missed dose.
What happens if I overdose (Feldene)?
Seek emergency medical attention if you think you have used too much of
this medicine. Overdose symptoms may include nausea, vomiting, stomach
pain, black or bloody stools, or coughing up blood.
What should I avoid while taking piroxicam (Feldene)?
Avoid drinking alcohol. It may increase your risk of stomach bleeding.
Avoid taking aspirin while you are taking piroxicam.
Ask a doctor or pharmacist before using any cold, allergy, or pain
medicine. Many medicines available over the counter contain aspirin or
other medicines similar to piroxicam. Taking certain products together
can cause you to get too much of this type of medication. Check the
label to see if a medicine contains aspirin, ibuprofen, ketoprofen,
or naproxen.
What other drugs will affect piroxicam (Feldene)?
Ask your doctor before using piroxicam if you take an antidepressant
such as citalopram, escitalopram, fluoxetine (Prozac),
fluvoxamine, paroxetine, sertraline (Zoloft),
trazodone, or vilazodone. Taking any of these medicines with an
NSAID may cause you to bruise or bleed easily.
Ask a doctor or pharmacist if it is safe for you to use piroxicam if
you are also using any of the following drugs:
* lithium;
* methotrexate;
* a blood thinner (warfarin, Coumadin, Jantoven);
* heart or blood pressure medication, including a diuretic or
"water pill"; or
* steroid medicine (such as prednisone).
This list is not complete. Other drugs may interact with piroxicam,
including prescription and over-the-counter medicines, vitamins, and
herbal products. Not all possible interactions are listed in this
medication guide.
Where can I get more information (Feldene)?
Your pharmacist can provide more information about piroxicam.
__________________________________________________________________
Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this
medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by
Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
but no guarantee is made to that effect. Drug information contained
herein may be time sensitive. Multum information has been compiled for
use by healthcare practitioners and consumers in the United States and
therefore Multum does not warrant that uses outside of the United
States are appropriate, unless specifically indicated otherwise.
Multum's drug information does not endorse drugs, diagnose patients or
recommend therapy. Multum's drug information is an informational
resource designed to assist licensed healthcare practitioners in caring
for their patients and/or to serve consumers viewing this service as a
supplement to, and not a substitute for, the expertise, skill,
knowledge and judgment of healthcare practitioners. The absence of a
warning for a given drug or drug combination in no way should be
construed to indicate that the drug or drug combination is safe,
effective or appropriate for any given patient. Multum does not assume
any responsibility for any aspect of healthcare administered with the
aid of information Multum provides. The information contained herein is
not intended to cover all possible uses, directions, precautions,
warnings, drug interactions, allergic reactions, or adverse effects. If
you have questions about the drugs you are taking, check with your
doctor, nurse or pharmacist.
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