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Terms Of Use

MELOXICAM

Brand Name(s) : None
Warnings
Uses
Side Effects
Precautions
Interactions
Overdose

MELOXICAM WARNINGS

Meloxicam should be used with caution in: patients who have ever suffered from oesophagitis (inflammation of the gullet) or gastritis (inflammation of the stomach) or any other gastrointestinal disease (e.g. ulcerative colitis, Crohn’s disease); patients with high blood pressure; the elderly; patients who have heart, liver or kidney disease; patients with a history of strokes; patients who have diabetes.

It should not be used in: patients who are in the last trimester of pregnancy; patients who are allergic to meloxicam or to any of the other ingredients in the product; patients who are allergic to aspirin or other anti-inflammatory medicines; patients who have ever suffered from wheezing, nasal polyps (nasal obstruction due to swellings in the lining in your nose) along with a runny nose, swelling of the skin, urticaria (skin condition characterised by intensely itching welts) when taking aspirin or other anti-inflammatory medicines; patients who have or have ever had gastrointestinal ulcer (ulcer of the stomach or intestines); patients who have ever suffered from rectal bleeding or inflammation of the rectum; patients who have any kind of bleeding disorder or have ever suffered from gastrointestinal bleeding (bleeding in the stomach or intestines) or cerebrovascular bleeding (bleeding in the brain); patients who have serious liver disease; patients who have serious kidney disease and are not undergoing dialysis; patients who have severe heart failure.

Also see list of precautions and interactions.

STORAGE

Store below 30°C and in the original package, in order to protect from moisture.

MELOXICAM USES

What is it used for?

  • Meloxicam is used to treat a number of problems affecting the joints.
  • It is a member of a class of pain killing drugs called non-steroidal anti-inflammatory drugs (NSAIDs).
  • It is used to relieve the symptoms of rheumatoid arthritis, osteoarthritis and ankylosing spondylitis.
  • In general this drug is used to treat patients who are suffering from the pain and/or swollen joints associated with rheumatoid arthritis, osteoarthritis and ankylosing spondylitis.
  • Benefits of being on this drug can include relieving pain and reducing the swelling and stiffness in joints allowing you to do more of your normal daily activities.

Listed below are the typical uses of Meloxicam:

  • Short term treatment of osteoarthritis (a disease of the joints)
  • Long term treatment of rheumatoid arthritis (a long term inflammatory disease of the joints)
  • Long term treatment of ankylosing spondylitis (an inflammatory disease of the spine and large joints)

On occasion your doctor may prescribe this medicine to treat a condition not on the above list.

HOW TO USE/TAKE

How often do I take it?

  • Take the tablets by mouth usually once a day with water and food.
  • Use this medication for the duration of the prescription in order to get the most benefit from it.
  • Remember to use it at the same time each day - unless specifically told otherwise by your doctor.
  • It may take up to a few hours before the full benefit of this drug takes effect.
  • Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

  • Dosage is based on your age, gender, medical condition, response to therapy, and use of certain interacting medicines.

Do I need to avoid anything?

  • Meloxicam may make you feel drowsy, dizzy, tired or affect your vision, therefore make sure you are not affected before you drive or operate machinery. Consult your doctor or pharmacist for more details.

When can I stop?

  • Always complete the full course as prescribed by your doctor.

MELOXICAM SIDE EFFECTS

If any of these persist or you consider them severe then inform doctor or pharmacist.

Tell your doctor immediately if you develop any of the following symptoms: easy bruising/bleeding; fainting; fast/pounding heartbeat; persistent/severe headache; mental/mood changes; sudden/unexplained weight gain; swelling of the hands/feet; vision changes; change in the amount of urine; seizures; signs of infection (e.g., fever, persistent sore throat); unexplained stiff neck; yellowing eyes/skin; dark urine; unusual/extreme tiredness.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine (which includes vaccines, herbals and over the counter medicines) that you are taking. It is run by the medicines safety watchdog called the Medicines and Healthcare products Regulatory agency (MHRA). Please report any suspected side effect on the Yellow Card Scheme website.

MELOXICAM PRECAUTIONS

Before taking Meloxicam, tell your doctor or pharmacist if you are allergic to it; or to other NSAIDs; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: aspirin-sensitive asthma (a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs); recent heart bypass surgery.

Before using this medication, tell your doctor or pharmacist your medical history, especially any of the following: kidney disease; liver disease; poorly controlled diabetes; stomach/intestine/oesophagus problems (e.g. bleeding, ulcers, recurring heartburn); heart disease (e.g. congestive heart failure, history of heart attack); high blood pressure; stroke; swelling (fluid retention); a severe loss of body water (dehydration); blood disorders (e.g., anaemia); bleeding/clotting problems; asthma; growths in the nose (nasal polyps).

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

  • Drinking alcohol whilst taking this medication may increase your risk of stomach bleeding, so limit your intake of alcohol. Ask your doctor or pharmacist if you have any doubts or questions about this.

The elderly: meloxicam should be used with caution in the elderly as kidney, liver and heart function declines as you grow older and they therefore may be more sensitive to the side effects of this medication, especially gastrointestinal bleeding (bleeding in the stomach and intestines) and perforation (holes in the lining of the stomach or intestines) which may be fatal.

Pregnancy and breastfeeding - please ensure you read the detailed information below

PREGNANCY

Meloxicam is to be avoided in the last trimester of pregnancy due to possible harm to an unborn baby. It should also not be used in the first two trimesters unless the potential benefit to the patients outweighs the potential risk to the foetus.

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

BREAST FEEDING

Meloxicam is not safe to take if you are breastfeeding as it passes into the breast milk.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

MELOXICAM INTERACTIONS

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious, possibly fatal interactions may occur: None known

Before using this medication, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use, especially of:

  • Other anti-inflammatory drugs, including aspirin
  • Medicines which prevent blood clotting e.g. warfarin
  • Medicines which break down blood clots (thrombolytics)
  • Medicines to treat high blood pressure
  • Corticosteroids – steroids used to reduce swelling and decrease the body's immune response
  • Ciclosporin - a medicine often used after organ transplants, or for severe skin conditions, rheumatoid arthritis or nephrotic syndrome (a syndrome characterized by swelling and large amounts of protein in the urine)
  • Any diuretic medicine (water tablets)
  • Lithium - a medicine used to treat mood disorders
  • Selective Serotonin re-uptake inhibitors used in the treatment of depression
  • Methotrexate - a medicine mainly used to treat tumours or severe uncontrolled skin conditions and active rheumatoid arthritis
  • Cholestyramine - mainly used to lower cholesterol levels
  • Intrauterine contraceptive device (IUD), usually known as a coil

This information does not contain all possible interactions. Therefore, before using Meloxicam, tell your doctor or pharmacist of all the products you use.

MELOXICAM OVERDOSE

Taking too much Meloxicam, may cause the following: drowsiness, nausea, vomiting and epigastric (upper abdomen) pain. In very severe cases, poisoning may result in high blood pressure (hypertension), kidney failure, liver problems, breathing problems, coma, convulsions, and heart attacks.

People who have taken too much Meloxicam, should tell a doctor or go to a hospital casualty department straight away.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of Meloxicam or intentional overdose is suspected, contact your local hospital, GP or if in England call 111. In Scotland call NHS 24. In Wales, call NHS Direct Wales. In the case of medical emergencies, always dial 999.

MISSED DOSE

If you miss a dose, just resume your usual schedule the following day. Do not double the dose to catch up.

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Source: Selected from data included with permission and copyrighted by Boots UK Limited or TicTac Communications Ltd. This copyrighted material is sourced from a licensed data provider and is not for distribution, except as may be authorised by the applicable terms of use.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse events, nor should it be construed to indicate that use of a particular medicine is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any medicine, changing any diet, or discontinuing any course of treatment.

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