Medicines & Supplements A to Z > Piroxicam

Piroxicam

Last updated on 01/07/2021.

Overview   |   Dosage   |    Side Effects   |   Precautions   |   Tips   |   Where To Buy  

GENERIC NAME: Piroxicam

CHINESE NAME: 匹洛西卡

BRAND NAME(S) IN HONG KONG: Feldene 威力堅, Pirocam 必得康

DRUG CLASS: Analgesics

SUB CLASS: Nonsteroidal Anti-Inflammatory Drugs

USED FOR: Pain management, inflammation, rheumatoid arthritis, gout, osteoarthritis, pain and inflammation in musculoskeletal disorders

AVAILABLE DOSAGE FORMS:
– 0.5%, 1% (gel)
– 10 mg, 20 mg (capsules)

What is Piroxicam for?

Piroxicam belongs to a class of medications called Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) like Ibuprofen, which are indicated for a wide range of conditions including:
– Pain and inflammation in rheumatic disease and other musculoskeletal disorders
– Mild to moderate pain including dysmenorrhoea (menstrual pain or cramps)
– Postoperative pain management
– Headache and migraine
– Dental pain
– Fever

How to use it?

Piroxicam is taken by mouth as a capsule or applied topically as a gel.
If you use the gel, clean and dry the affected area and apply a thin layer of medication to the affected area as directed.

For rheumatoid arthritis and osteoarthritis
Adult
Capsules: 20 mg once daily.
Gel: Apply 0.5% gel to the affected area 3-4 times daily.

Child 6-17 years
Less than 15 kg: 5 mg once daily.
15-25 kg: 10 mg once daily.
26-45 kg: 15 mg once daily.
46 kg and above: 20 mg once daily.

What are the side effects of Piroxicam?

Like all NSAIDs (non-steroidal anti-inflammatory drugs), the main side effects of Piroxicam are indigestion, nausea, bleeding gastric ulcer, and allergic reaction. With long-term use Piroxicam can cause kidney injury, bleeding and increase the risk of a cardiovascular event.

Who should not take Piroxicam?

– People allergic to Piroxicam or any component of the formulation
– People allergic to other NSAIDs
– People who have had asthma, urticaria or other allergic reactions after taking Aspirin or other NSAIDs.
– People with active gastrointestinal bleeding or history of it (related to prior NSAID intake), active gastro-intestinal ulcer
– People with severe heart failure

Pharmacist Tips:

– Do not use more than one product containing NSAIDS at the same time.

Common dosing schedule:
Oral Piroxicam can be taken with or after a meal to minimize gastrointestinal discomfort.

This schedule is for reference only, adjustments may be made according to individual needs.

Some common medications Piroxicam may interact with:
– Other NSAIDs, e.g. Aspirin, Celecoxib, Diclofenac
– Angiotensin converting enzyme inhibitors, e.g. Captopril, Lisinopril
– Angiotensin II receptor antagonists, e.g. Valsartan, Losartan
– Diuretics, e.g. Furosemide, Hydrochlorothiazide
– Tricyclic antidepressants, e.g. Amitriptyline, Doxepin
– Warfarin

Please notify your doctor or pharmacist if you are taking the above medication, dosage adjustments might be needed.

Where to buy Piroxicam in Hong Kong?

In Hong Kong, Piroxicam gel is a medicine under supervised sales and can be purchased under the supervision of a pharmacist from any pharmacies in Hong Kong. Piroxicam capsule is a prescription drug. It can be obtained from doctors. To find a pharmacy near you, refer to the list of pharmacies (“Authorized Sellers of Poisons”) from the Hong Kong Department of Health. 

For more information about drug names and ingredients, you can visit Hong Kong’s Drug Office at https://www.drugoffice.gov.hk

Need more information?

For detailed information about the use of Piroxicam in children, pregnancy and breastfeeding, and for questions about drug interactions, please check with your pharmacist or doctor.

Disclaimer: our goal is to provide you with the most relevant drug information and common dosage for Hong Kong. This information does not constitute medical advice. For specific treatment recommendations and advice, always discuss with your doctor or pharmacist, and follow the instructions included with your specific medicine.