Mobic

Mobic

     * Generic Name: meloxicam
     * Brand Name: Mobic


     * What is meloxicam (Mobic, Vivlodex)?
     * What are the possible side effects of meloxicam (Mobic,
       Vivlodex)?
     * What is the most important information I should know about
       meloxicam (Mobic, Vivlodex)?
     * What should I discuss with my healthcare provider before taking
       meloxicam (Mobic, Vivlodex)?
     * How should I take meloxicam (Mobic, Vivlodex)?
     * What happens if I miss a dose (Mobic, Vivlodex)?
     * What happens if I overdose (Mobic, Vivlodex)?
     * What should I avoid while taking meloxicam (Mobic, Vivlodex)?
     * What other drugs will affect meloxicam (Mobic, Vivlodex)?
     * Where can I get more information (Mobic, Vivlodex)?

What is meloxicam (Mobic, Vivlodex)?

   Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID).
   Meloxicam works by reducing hormones that cause inflammation and pain
   in the body.

   Meloxicam is used to treat pain or inflammation caused by
   osteoarthritis or rheumatoid arthritis in adults. Meloxicam is
   also used to treat rheumatoid in children who are at least 2 years old.

   Meloxicam may also be used for purposes not listed in this medication
   guide.

What are the possible side effects of meloxicam (Mobic, Vivlodex)?

   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 meloxicam and call your doctor at once if you have:
     * the first sign of any skin rash, no matter how mild;
     * shortness of breath (even with mild exertion);
     * swelling or rapid weight gain;
     * 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:
     * upset stomach, nausea, vomiting, heartburn;
     * diarrhea, constipation, gas;
     * dizziness; or
     * cold symptoms, flu symptoms.

   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 meloxicam (Mobic,
Vivlodex)?

   Meloxicam 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).

   Meloxicam may also cause stomach or intestinal bleeding, which can be
   fatal. These conditions can occur without warning while you are using
   meloxicam, especially in older adults.

   Mobic 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 meloxicam
(Mobic, Vivlodex)?

   Meloxicam 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).

   Meloxicam may also cause stomach or intestinal bleeding, which can be
   fatal. These conditions can occur without warning while you are using
   meloxicam, especially in older adults.

   You should not use meloxicam 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.

   To make sure meloxicam 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;
     * kidney disease (or if you are on dialysis);
     * liver disease; or
     * fluid retention.

   Taking meloxicam during the last 3 months of pregnancy may harm the
   unborn baby. Tell your doctor if you are pregnant or plan to become
   pregnant.

   Meloxicam may cause a delay in ovulation (the release of an egg
   from an ovary). You should not take meloxicam if you are undergoing
   fertility treatment, or are otherwise trying to get pregnant.

   Meloxicam can pass into breast milk and may harm a nursing baby. You
   should not breast-feed while using this medicine.

   Meloxicam is not approved for use by anyone younger than 2 years old.

How should I take meloxicam (Mobic, Vivlodex)?

   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.

   You may take meloxicam with or without food.

   Shake the oral suspension (liquid) well just before you measure a dose.
   Measure liquid medicine with the dosing syringe provided, or with a
   special dose-measuring spoon or medicine cup. If you do not have a
   dose-measuring device, ask your pharmacist for one.

   If a child is taking this medication, tell your doctor if the child has
   any changes in weight. Meloxicam doses are based on weight in children.

   If you use this medicine long-term, you may need frequent medical
   tests.

   Store at room temperature, away from moisture and heat. Keep the bottle
   tightly closed when not in use.

   Read all patient information, medication guides, and instruction sheets
   provided to you. Ask your doctor or pharmacist if you have any
   questions.

   Mobic 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 (Mobic, Vivlodex)?

   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 (Mobic, Vivlodex)?

   Seek emergency medical attention or call the Poison Help line at
   1-800-222-1222.

What should I avoid while taking meloxicam (Mobic, Vivlodex)?

   Avoid drinking alcohol. It may increase your risk of stomach bleeding.

   Avoid taking aspirin while you are taking meloxicam.

   Ask a doctor or pharmacist before using any cold, allergy, or pain
   medication. Many medicines available over the counter contain aspirin
   or other medicines similar to meloxicam. 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 meloxicam (Mobic, Vivlodex)?

   Ask your doctor before using meloxicam 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.

   Tell your doctor about all your current medicines and any you start or
   stop using, especially:
     * cyclosporine;
     * lithium;
     * methotrexate;
     * sodium polystyrene sulfonate (Kayexalate);
     * 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 meloxicam,
   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 (Mobic, Vivlodex)?

   Your pharmacist can provide more information about meloxicam.
     __________________________________________________________________

   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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