Piroxicam: instructions for use, gel, ointment, tablets

Gel "Piroxicam instructions for use and analogues

Statistics show that non-steroidal anti-inflammatory drugs are by far the most sought-after remedy among buyers of different age groups. These drugs help patients feel better.

They are taken for symptomatic treatment for different pathologies. Some NSAIDs need to be ingested or administered rectally, and others are for external application. Today's article will present you one of such tools - gel "Piroxicam".

Instructions for use, a description of the drug and its analogs will be provided for reference.

Information about the preparation: composition and form of release

What important information does the user provide about the gel "Piroxicam" instructions for use? Description of the drug begins with its composition.

The abstract says that there is an active substance of the same name in the preparation: piroxicam. Its concentration is 1% or,%. Also the manufacturer complements the medicine with special components.

The product is available for external use in tubes or glass containers, the volume of which is 30, 50 or 100 grams.

How does the medicine work?

Before using the Piroxicam gel, the instructions for use must be carefully studied by each consumer.

Do not miss an important moment and find out how the medication works on the patient's body.

The effectiveness of the drug is due to the substances that make up its composition.

Medication when ingested in the form of tablets is immediately absorbed from the digestive tract. With external use, the drug enters the patient through direct contact with the skin.

The work of the gel begins immediately after its application to the parts of the body and lasts from 4 to 12 hours (depending on the type of pathology).

Remains of the drug are excreted through the excretory system of the body no more than a day.

Indications for use of the drug

What is the purpose of the gel "Piroxicam"? Instruction for use informs that this medication is used for pains (muscular and joint) of different origin. The manufacturer recommends to resort to the help of external means "Piroxicam" for the following indications:

• arthritis (rheumatoid or gouty);
• rheumatism;
• ankylosing spondylitis;
• osteoarthritis;
• sciatica;
• myalgia, neuralgia;
• radiculitis;
• bursitis;
• arthralgia;
• inflammatory pathology of the musculoskeletal system (in adults and children from 14 years old).

The medication for internal use also helps to cope with the febrile conditions caused by the infection. Tablets are used for the purpose of anesthetizing with periodic indispositions in women and pain syndrome of different origin.

Limitations and Warnings

Not always and not everyone can safely use the gel "Piroxicam". Instructions for use do not permit the use of the drug with increased sensitivity to its components.

Contraindicated application of an external drug, if previously the patient was allergic to other NSAIDs or aspirin. It is forbidden to use the medication for serious violations in the work of the liver or kidneys.

Do not perform treatment if the pain occurs in the place of an open or bleeding wound.

With extreme caution, the external remedy is used among sensitive people prone to allergic reactions. If in the course of treatment there is an unexpected reaction to this medication, then it must necessarily be canceled.

Children, pregnant women and nursing mothers

Do not recommend the use of the drug "Piroxicam" during pregnancy and breastfeeding instructions for use. Ointment, gel (sometimes it is also called a cream) can penetrate into the bloodstream, getting into breast milk.

From there, the medicine penetrates the baby's body together with natural food. Despite the manufacturer's recommendations not to prescribe medication during pregnancy, sometimes it is still necessary.

In this situation, doctors try to avoid therapy in the first trimester (when the main formation of embryo systems) and in the latter (before childbirth).

Children are not prescribed medication before the age of 14 due to the lack of clinical data for such therapy.

Gel "Piroxicam instructions for use

Since the medicine is an external remedy, then it is applied, respectively, on the surface of the body. "Piroxicam" is applied a small amount on the affected area, gently rubbing into the skin.

Multiplicity of application is 3-4 times a day, as needed. It is recommended to apply a bandage to strengthen the effectiveness, but this is not a prerequisite.

When using the product, follow the rules:

• Wash your hands and open the package with the drug;
• puncture the back of the cover with a protective membrane on the tube;
• squeeze the right amount of gel and rub it;
• Wash your hands thoroughly with soap and water;
• close the tube and store it at a temperature of no more than 25 degrees for 6 months.

Adverse Reactions

It is expected that the conducted therapy will have a positive effect on the patient's condition. But it does not always happen. In some situations, "Piroxicam" (gel) - instruction for use tells - causes side reactions:

1. Allergy is the most frequent malaise that has occurred as a result of the application of the drug. This effect is manifested by skin rash, dry skin, itching and swelling. Less often the patient may experience catarrhal manifestations of allergy (bronchospasm, lacrimation, rhinorrhea).
2. Disturbances on the part of the digestive organs with external application are very rare. If you accidentally use inside the "Piroxicam gel" - instructions for use warns - you will begin to have abdominal pain, nausea, stool and vomiting.
3. The nervous system can suffer from uncontrolled use of the drug. In such cases, the consumer has a headache, drowsiness, apathy, a perception of the outside world.
4. Less often the drug can affect the excretory system: provoke kidney failure, nephritis, distortion of diuresis.

Be sure to cancel the treatment and contact the doctor if you have had to face any one or several consequences of the treatment.

When do you need analogs?

If for some reason you can not purchase the gel "Piroxicam the instruction on the use of analogues recommends choosing together with a specialist.

Alternative agents should be used if the patient has intolerance to piroxicam or if an allergy to this component occurs.

Also, an alternative is selected in the case when the claimed medication is not available in pharmacies.

To date, all substitute drugs are divided into two main groups: complete analogs of the drug "Piroxicam" and alternative drugs based on other constituent components. Absolute generics include medicines for external use, which contain the active substance piroxicam. Let us consider them in more detail.

The preparation "Finalgel"

Popular replacement gel "Piroxicam instructions for use and photos of which are presented to your attention, is "Finalgel". This drug is also used externally.

It contains active substance piroxicam in the amount of 5 mg per gram of the drug. The medication effectively suppresses inflammatory processes, acting on COX 1 and COX 2.

If the medicine is used in case of a sports injury, the duration of its application should not exceed 2 weeks. The German pharmaceutical company produces the medicine "Finalgel".

Gel "Erazon"

Another drug based on piroxicam, which can replace the claimed drug. This tool is less popular than its predecessor.

Despite this, the composition and principle of work for drugs is absolutely identical. It is not recommended to use this substitute together with the bandage.

Apply the product on clean skin and allow it to completely absorb.

Other substitutes

Even if you can not find the "Piroxicam Verte" (gel) in the pharmacy, the instructions for use will not tell you which analogue to choose.

It is better to clarify this information from your doctor or consult a pharmacist.

Today, the pharmacological market is full of various medications for external use. The drugs have a similar effect:

• "Voltaren "Orthofen "Diklovit" - the active substance of diclofenac;
• "Nurofen "Dolgit" - the active substance ibuprofen;
• "Indomethacin "Indovazin" - the active substance indomethacin;
• "Fastum "Bystrumgel "Ketonal" - the active substance ketoprofen.

If the substitute for the drug "Piroxicam" is required because of an allergy, then only the doctor should choose the analog after evaluating all the risk factors and individual characteristics of the patient's body.

Medical recommendations and reviews

You already know that it tells about "Piroxicam" (gel) instructions for use. Reviews this medication has different. One drug approached the drug, but for others it turned out to be ineffective.

Most users use the medicine as prescribed by the doctor, they remain satisfied with the course. Consumers tell us that the gel perfectly helps to cope with joint and muscle pain.

The positive effect becomes visible within a few minutes after application. The drug has no unpleasant odor and leaves no residue on clothes. It is important only to wait for the full absorption of the drug into the skin.

This fact allows you to take an external pain medication with you to work, on a trip. The medication does not require special storage conditions, which is also important. One can not but rejoice over the cost of the drug, which does not exceed 150 rubles.

For comparison, it should be said that the popular analogue "Finalgel" costs about 400 rubles.

Negative feedback on the drug is more difficult to find, but you can do it too. About inefficiency of a drug those consumers who applied a medicine without preliminary medical consultation declare.

The doctors report that the diagnosis to himself was simply wrong. That is why it turned out to be ineffective "Piroxicam" (gel).

Instructions for use, consumer reviews and doctors say that the strength of the drug increases significantly, if you use in addition capsules "Piroxicam" for the internal use.

Despite all the positive feedback and opinions, in some cases "Piroxicam" does not help.

Determine whether you need this tool or there is a need to use another, can only specialist.

To sum up

From the article you were able to learn about the Russian anti-inflammatory and anesthetic drug - gel "Piroxicam". Instructions for use, description and reviews with analogs are provided for your reference.

Despite the availability (over-the-counter sales and inexpensive cost), as well as good reviews, do not use the medicine yourself.

If you have health problems, be sure to seek medical advice and find out which medication will help ease your suffering. All the best to you, do not be ill!

A source: http://.ru/article/316880/gel-piroksikam-instruktsiya-po-primeneniyu-i-analogi

Piroxicam: instructions for use, price, reviews, analogs

Piroxicam - a medicinal product, which is referred to the group of NSAIDs(anti-inflammatory non-steroidal origin).

Preparations of this group has a wide application in traditional medicine, popular among patients and, as a rule, are released without presentation of a prescription from a doctor.

NSAIDs, which includes Piroxicam - fundswide spectrum of action, used in a variety of pathologies, which are accompanied by painful symptoms, inflammatory processes and an increase in temperature.

Piroxicam (the active ingredient of the same name preparations) is a powdery crystalline substance having a pale yellow hue and poorly soluble in water. However, good solubility of the substance is observed when reacting with chloroform, methanol (preheated) and ethanol.

Medication for Piroxicamhas antipyretic, analgesic and anti-inflammatory effects.

The active substance oppresses prostaglandin synthesis (the synthesis of certain substances produced by the body and involved in the formation of swelling and tenderness in the area of ​​inflammation).

Instructions for use

Anti-inflammatory propertiesPiroxicam allows the use of the drug in various areas. So, Piroxicam is often recommended for use in inflammatory articular diseases and spine pathologies, such as:

• arthritis of various kinds;
• rheumatism;
• osteoarthritis;
• periarthritis;
• tenosynovitis;
• Tendenite;
• gout and the like.

Also, the drug is widely used for inflammation of the respiratory system.

Analgesic effectallows you to use the drug for various injuries, bruises, dislocations and sprains. Often used remedy for muscle pains, swelling of the joints, tenderness in the tendons, neuralgia, myalgia, etc.

Piroxicam is widely used in gynecology in the treatment of dysmenorrhea (menstrual irregularities).

Form of preparation and composition

Piroxicam can be purchased and used in various forms:

1. Capsules10 and 20 mg each having a white body and a blue cap (10 mg) and a green (20 mg) color. The contents of the capsule is a yellowish hue powder that contains the active substance - piroxicam and auxiliary ingredients:

• cellulose;
• starch;
• silicon dioxide;
• talc.

The capsules themselves are made of gelatin, yellow iron oxide, titanium dioxide, food coloring and purified water.

Capsules are available in aluminum blisters. Blisters are placed in a cardboard box. Instructions for use are enclosed.

• Gel, ointment, produced in aluminum tubes of 100, 50 or 30 g. 1 g of gel contains, 0 g of piroxicam and auxiliary components such as ethanol, methyl parahydroxybenzoate, carbomer, trolamine, propylene glycol and distilled water. Each tube is placed in a cardboard box, which contains instructions for use.
• Injectionissued in ampoules of 1 and 2 ml. Each ampoule contains, 2 and 0.04 g of active substance, respectively.

• Candlesfor rectal administration, which are candles of yellow-green hue oval with a sharp tip. 1 suppository contains 20 mg of piroxicam, polyethylene oxide and polyethylene oxide.

Mode of application

If there is no other indication of a specialist,capsulesPiroxicam is usedorally.

Adults and children under the age of 15 years are generally advised to take10-40 mg of the drug every 24 hoursafter the main meal.

Daily dosage of 40 mg is the maximum allowable.
Often in the first days of taking the drug, the recommended dosage is 20-40 mg per dose, after which the amount of Piroxicam must be reduced, according to the prescription of the doctor.

Rectal Candlesapply to20-40 mg 1-2 times a dayin the first 5 days, followed by a decrease in dosage to 10 mg.

Intramuscular injectionThe pyroxicam is conductedonce a day.

The drug is injected into the muscle tissue using a long needle, delivering the remedy deep into the muscle.

2-3 days after the start of taking Piroxicam in the form of injections, it is necessary to switch to oral use (capsules).

Piroxicamin the form of external meansapply1-3 times a day for 1 g. Gel, ointment is applied to the affected area, trying not to rub it into the skin and not covering it with a bandage.

Between the use of the drug should take at least 6 hours. The course of therapy should not exceed 10-14 days.

In the event that a positive therapeutic effect is absent after the expiration of this time - it is necessary to contact the attending doctor.

Application in pregnancy and lactation

The use of Piroxicam in all manufactured forms is strictly prohibited for women from the third trimester of pregnancy.

If a woman during pregnancy (I and II trimester) needs the use of a medicine, then the physician must correlate the intended benefit from the use of the mother and the possible risk to the developing child.

The need for this is due to the lack of data from clinical studies on the safety of use of the drug in the period of gestation. It is known that NSAIDscan cause a previous closure of the botulinum duct in a future child.

Piroxicam is excreted with the milk of a woman, so when acute need for treatment with this drugin the period of breastfeeding, it is necessary for a whilestop lactation.

Piroxicam and IVF

IVF (in vitro fertilization) is a highly effective method of infertility treatment.

The shown method with pathologies such as obstruction of the fallopian tubes, male infertility, endometriosis / adenomyosis, pathology of the ovaries,

The protocol of the IVF method includes stimulation of the ovaries, in which follicles and oocytes are ripening.

In recent years, experts have noted the positive effects of Piroxicam in artificial insemination. It is proved that the drug reduces contractile uterine activity, increasing the chance of pregnancy. Experts recommendtake 1 capsule of the drug three times a day until the time of embryo transfer and 1 capsule in the morning before direct transfer.

Contraindications

The use of Pyroxicam should beis excluded under such conditions, as:

• intolerance to the active or one of the auxiliary components of the drug;
• the age of the patient is less than 15 years;
• asthma bronchial, which is caused by other NSAIDs;
• recurring polyposis;
• proctitis, intestinal bleeding (for the drug, in the form of rectal suppositories);
• hepatic, renal, cardiac failure;
• hemophilia;
• ulcer of duodenum, stomach;
• bleeding from the digestive tract;
• diathesis hemorrhagic;
• Crohn's disease;
• the period of bearing of the child;
• breast-feeding.

CarefullyThe drug should be used in the following conditions and situations:

• period after any surgical intervention;
• diabetes;
• ischemia;
• porphyria;
• asthma;
• abuse of nicotine;
• long-term therapy with other NSAIDs.

Overdose

In cases of exceeding the maximum allowable dose, the following symptoms of overdose develop:

• visual disorders;
• drowsiness;
• weakness and fatigue;
• loss of consciousness.

Treatment with an overdose of the drug is symptomatic.It is not possible to withdraw Piroxicam from the body without the use of hemodialysis.

Adverse Events

Like all synthetic drugs, Piroxicamhas a number of side effects, about which you need to know.

If any of the following events occur, it is necessary to cancel the medication and consult a specialist for determining further therapy.

Side effects Piroxicam can have on various systems and manifest themselves as follows:

central nervous system- Migraine, dizziness, sleep disorders, weakness and apathy, depressive conditions, visual and auditory hallucinations, sensation of extraneous noise in the ears, visual disturbances, irritation of the mucous eyes.

Cardiovascular system and hematopoiesis system- jumps in blood pressure in either side, heart palpitations, anemia, lowering of leukocytes, platelets, eosinophils in the blood, lowering of hemoglobin concentration in the blood.

The digestive system- stomatitis, dryness in the oral cavity, a feeling of nausea, frequent eructations, irritation of the gastrointestinal tract, severe weight loss, disorders stools, increased gas formation, gingival hemorrhages, tenderness in epigastrium, formation of ulcers and erosions in the digestive tract, functional disorders liver.

Genitourinary system- Renal failure, nephritis in acute form.

Side effects from the use of Pyroxicam also can be attributedlocal reactions, in the form of irritation of the rectal mucosa, tenderness and heaviness in the anus (with rectal administration) or itching, redness, rash and burning sensation when applying the drug to the skin.

Also, when using Pyroxicam are noted:

• • allergic reactions;
  • swelling of the extremities;
  • increased sweating;
  • a sharp decrease or increase in the weight of the patient;
  • hyperkalemia;
  • hyper and hypoglycemia.

Interaction with other medicinal products

• Simultaneous use of Pyroxicam with diuretics and antihypertensive agents reduces the effect of the latter.
• With the simultaneous use of potassium-sparing diuretics and potassium-containing drugs, the risk of developing hyperkalemia increases.
• Simultaneous use with other NSAIDs, SCS increases the risk of gastrointestinal bleeding.
• Use with oral anticoagulants can lead to clotting disorders.
• The intake of Piroxicam with acetylsalicylic acid reduces the level of piroxicam in the blood.
• Increase in toxicity and concentration in the blood of piroxicam is dispelled if the drug is taken less than a day before or after taking methotrexate.

Advantages

The main advantageis verystrong anti-inflammatory andpronouncedrapid analgesic effect.

Piroxicam differs good absorption in the gastrointestinal tract and relatively good tolerability of the body.

The use of Piroxicam in the form of a gel / ointment allows for a rapid therapeutic effect with the lowest level of the active component in the blood.

Price

The average price of Piroxicam in various forms of output varies between 30-190 rubles.

Leave conditions

Piroxicam in any form of release can be purchased in pharmacy chains without the presentation of a doctor's prescription.

Storage conditions

The drug is stored away from direct sun rays, out of reach of children, at a temperature not exceeding 24 degrees.

Shelf life

The drug is suitable for use within 3 years after the date of manufacture indicated on the package.

Analogues

There are analogues of the drug, similar to both the active substance and the effect:

• tablets, ointment Khotemin;
• Piroximeter;
• Candles, capsules, gel Pirokam;
• tablets, gel, solution Kalmopyrol;
• gel Revmador;
• tablets, gel Sanik.

A source: http://zdorovya-spine.ru/preparaty-i-lekarstva/piroksikam.html

Piroxicam - instructions for use, composition, contraindications and side effects

To treat the symptoms of pain and inflammation, doctors often prescribe Piroxicam - instructions for the use of the drug describes its main components, indications for use, dosage of a certain form of the drug at different diseases.

To their list include osteoarthritis, rheumatoid arthritis, neuralgia, sciatica and a number of other pathologies. For convenience of use the preparation of Piroxicam is produced in several forms: capsules, tablets, gel, suppositories and injections.

Each of them has its own indications and dosage.

Piroxicam - instruction

The drug belongs to the group of non-steroidal anti-inflammatory drugs (NSAIDs). It has analgesic, anti-inflammatory and antipyretic effects. The mechanism of action is associated with inhibition of the enzyme cyclooxygenase.

With regular consumption, Piroxicam weakens the pain syndrome. Outerly this drug is used in the form of a gel or ointment, which stop inflammation in the joints and help increase motor activity.

According to the instructions for use, the analgesic effect is manifested as early as half an hour after ingestion.

The active ingredient of Pyroxicam is the substance of the same name, the concentration of which depends on the form of release. The capsule and tablets contain 10 or 20 mg. Excipients are:

• wheat starch;
• glycine;
• magnesium stearate;
• colloidal silicon dioxide;
• talc;
• MCC.

Rectal suppositories include, 2 grams of piroxicam. Auxiliary components are polyethylene oxide 400 and polyethylene oxide 1500. Gel Piroxicam contains, 05 1 g of active ingredient. Additional components are:

• trolamine;
• ethanol 95%;
• carbomer;
• propylene glycol;
• water;
• methyl parahydroxybenzoate.

Form of issue

The drug is produced in virtually all possible forms of medication. For oral administration, capsules and Piroxicam tablets are used, and for external use, a gel. Rectal administration of suppositories. The latest form of release is a solution for injections.

It is used to get the effect from the drug more quickly, since this way it gets into the body bypassing the stomach.

The specific form of release is chosen taking into account the disease and the necessary dosage, because each type of medicine contains a certain amount of active substance.

Pills

The standard form of release of Pyroxicam is coated tablets in contour cell packs of 20 pieces each.

In a cardboard bundle one such plate is more often present. Tablets contain, 1 or, 2 g of active ingredient.

The auxiliary components of this form of Pyroxicam release are:

• sodium lauryl sulfate;
• calcium phosphate disubstituted;
• magnesium stearate;
• starch;
• hydroxypropylcellulose.

Capsules

A more convenient form for the production of Pyroxicam is cylindrical capsules of white-blue or white-green color. The first contain 10 mg of active ingredient, and the second - 20 mg. The powder inside the capsules has a yellowish tinge.

It also includes additional components. Piroxicam capsules are composed of gelatin, purified water, titanium dioxide, yellow iron oxide and food coloring. They are produced in aluminum blisters, placed on 2-4 pieces in a cardboard package.

Inside contains and instructions for use.

Piroxicam gel

External use of the gel Piroxicam, produced in aluminum tubes of different volumes: 30, 50 or 100 g. Each of them is placed in a cardboard box along with instructions for use.

The gel has a clear, light yellow to greenish-yellow color and a smell of ethyl alcohol. The agent is applied to the diseased part of the body with a strip about 3 cm.

According to the instructions, when rubbing the drug affect and healthy skin, distributing the gel evenly over the entire surface.

Ointment

For external use, you can use ointment, but Piroxicam does not have this form of release. So often mistakenly referred to as a gel, which is sold in aluminum tubes. He is also confused not only with ointment, but also with cream.

In this form Piroxicam is also not produced. External treatment can be done only with gel. It is indicated for the same diseases as tablets or capsules for Piroxicam, differs only in the way in the instruction for use.

Suppositories

Candles for rectal use Piroxicam have an oval shape with a pointed tip and a yellow-green hue. They are used by insertion into the rectum.

With this method of use, the active ingredient is well absorbed. In addition, through the intestine it is derived to a lesser extent.

This is an advantage of this form of drugs, because it helps to avoid many possible side effects.

Piroxicam injections

Solution for injection Piroxicam is available in ampoules of 1 or 2 ml. The first contain about 2 g of active substance, and the second - 4 g.

The ampoules themselves are made of dark glass, packed in contour cells of 10 pieces and packaged in cardboard packs. Injections are used in severe pain syndrome to obtain a faster effect from Piroxicam.

After a few days with injections, the patient is transferred to capsules or tablets.

Indications for use

The analgesic and anti-inflammatory effects of Piroxicam have led to its application in several fields of medicine.

Injuries, bruises, soreness of tendons, puffiness of the joints, dislocations and sprains are only part of the testimony.

Piroxicam is recommended for inflammation of the respiratory system or joints and pathologies of the spine. In general, the instruction for the use of this drug indicates the following indications:

• tenosynovitis;
• gout;
• rheumatism;
• tendonitis;
• periarthritis;
• osteoarthritis;
• myalgia;
• neuralgia;
• dysmenorrhea (pain during the menstrual cycle);
• sciatica;
• cardiac ischemia;
• humerus syndrome;
• bursitis;
• post-traumatic pain;
• spondylitis;
• cystitis;
• adnexitis.

Contraindications for use

A list of contraindications to the use of Pyroxicam includes factors common to all forms of drug release, in which the drug can not be used. Before taking the drug, you should make sure that you have no listed diseases, such as:

• ulcerative colitis;
• Crohn's disease;
• uncompensated heart failure;
• an ulcer of the stomach or duodenum;
• chronic or acute renal failure;
• bleeding, including cerebrovascular;
• pregnancy, breast-feeding;
• hypersensitivity to the components of the drug, acetylsalicylic acid and other NSAIDs;
• advanced age over 65 years.

Dosing and Administration

Instructions for use Pyroxicam indicates the specific dosage of each form of the drug.

The gel is rubbed 3-4 times a day into the affected area, affecting small healthy areas nearby. The dose is determined individually. It depends on the size of the affected area.

On average, a strip of gel 3 cm long is required. Instructions for the use of other forms of release of Pyroxicam:

1. Suppositories. Enter rectally 1 candle for 20 mg at once or 2 for 10 mg with a break at 12 o'clock. At attacks of a gout of a doe is 1 suppository of 20 mg every 12 hours.
2. Capsules. According to the instructions they are also taken one or two times a day during meals, but not exceeding the maximum dose of 20 mg. Increase it to 40 mg can be with a strong clinical symptoms. The course of treatment lasts 7-10 days.
3. Pills. In diseases of the musculoskeletal system, the first 2 days of the dose is 40 mg in several divided doses or once, and then a maintenance dose of 20 mg is used. It is also indicated for rheumatoid arthritis. Post-traumatic and post-operative pain is treated with an initial dose of 20 mg, and sometimes 40 mg, but not more than this amount.
4. Injections. Are indicated for acute conditions or exacerbation of chronic processes. To treat them intramuscularly administered 20-40 mg once a day. 1-2 days after the process is stopped, supportive therapy is given with oral forms of Piroxicam.

Side effects

In case of an overdose, the drug Piroxicam can cause a number of side effects from different body systems.

With respect to digestion, it can be nausea, vomiting, flatulence, diarrhea or constipation, the appearance of bleeding in gums, loss of appetite, stomatitis, and in isolated cases - erosive and ulcerative lesions of the gastrointestinal tract (GIT). There are other side effects from:

1. Hemorrhoids. Here, anemia, leukopenia, thrombocytopenia, eosinophilia can manifest itself.
2. Central and peripheral nervous systems. Possible sleep disorders, depression, puffiness of the eyes, drowsiness, visual impairment, dizziness and headache, weakness, hallucinations.
3. Genitourinary system. Acute interstitial nephritis, acute renal failure.
4. Exchange of substances. Hyperglycemia or hyperkalemia, changes in body weight, uremia.
5. Skin. Possible allergic reactions, manifested by itching, rash, redness, facial swelling, face and hands swelling, bronchospasm, vasculitis.
6. Other side effects. This includes erythema, photosensitivity, onycholysis, alopecia, epistaxis, irritation of the rectal mucosa.

special instructions

Piroxicam must be taken with caution in certain diseases that the patient had in the past or are currently experiencing.

These include bleeding and erosive-ulcerative lesions of the gastrointestinal tract, dyspeptic symptoms, bronchial asthma, chronic heart failure.

During the treatment with Piroxicam, control of the picture of peripheral blood and the functional state of the liver is necessary. It is not recommended to apply the drug:

• if the integrity of the skin is broken (touches the gel);
• simultaneously with acetylsalicylic acid and other NSAIDs;
• if there is a history of bleeding disorders, allergies to NSAIDs;
• during the reception of anticoagulants, diuretics and antihypertensive drugs due to the weakening of their action and possible violation of blood coagulability.

At pregnancy and thoracal feeding

In the instruction for the use of Piroxicam as an absolute contraindication, 3 trimester of pregnancy is indicated. In the first and second the drug is authorized for use, but before appointment, the doctor compares the intended benefit with the possible risk to the woman and the child.

Clinical evidence confirming that Piroxicam is safe for pregnant women, no. Due to the administration of NSAIDs, the fetus can prematurely close the ducts. When lactating, Piroxicam can not be used.

If you need to take the drug, you should stop breastfeeding.

In childhood

Piroxicam is contraindicated for use in children, but different forms of release have certain age limitations. They are as follows:

• tablets, suppositories and capsules are contraindicated until age 18;
• gel can not be used by children under 14 years of age.

At violations of the liver and kidneys

According to the instructions, Piroxicam can not be used for severe violations of the functional functioning of the kidneys and liver. They are absolute contraindications.

This includes the decompensated stage of liver failure and an active phase of liver disease. In all other cases, the drug is used with caution.

This concerns violations of kidney or liver function.

Instructions for use Piroxicam indicates a number of analogs that can be used instead of this medication. They are characterized by a similar composition or principle of action.

Among the analog preparations for external application Finangel is allocated. The main substance of this drug is piroxicam. The form of release are tubes of different volume: 35 or 50 g.

Instructions for the use of Pyroxicam indicate a number of other analogues of the drug:

1. Revmoxicam. The drug is based on another substance - meloxicam, but similar to the Pyroxicam by the mechanism of action. Also has several forms of release: tablets, suppositories, solutions. Difference from Pyroxicam is the possibility of buying without a prescription. The disadvantage is a large number of side effects. The price is 200-350 rubles.
2. Xefokam. The main substance - lornoxicam, release forms - tablets and powders for the preparation of solutions for injections. The drug also belongs to the NSAID group. According to the instructions, it has analgesic and anti-inflammatory effect. You can buy it even with home delivery only by prescription, like Piroxicam. The price is 200-300 rubles.

The price of Piroxicam

This drug can be classified as a budget. The cost of Pyroxicam in most cases does not exceed 100 rubles. The drug is released on prescription. Approximate prices for Piroxicam in different pharmacies reflect the table:

Place of purchase	Form of issue	Dosage	Number, pcs.	Price
Pharmacy ZDRAV	Capsules	20 mg	20	26
Gel,%	30 grams	1	49
Capsules	10 mg	20	55
Pharmacy Wer.ru	Capsules	20 mg	20	71
Capsules	10 mg	20	35
eapteka.ru	Piroxicam gel 1%	30 grams	1	123
www.piluli.ru	Pills	10 mg	20	29

A source: http://sovets.net/12602-piroksikam-instrukciya-po-primeneniyu.html

Piroxicam - instructions for use, gel, candles, injections, tablets and capsules Piroxicam

For effective treatment of arthritis, sciatica, osteoarthritis, the drug "Piroxicam" is used. It is a non-steroidal drug with anti-inflammatory, antipyretic effect. The variety of forms of release of a medicine allows to use it in relation to various categories of patients.

Indications for use

The drug "Piroxicam" is prescribed for the treatment of problems with joints, with injuries of soft tissues, tendons, and also for the treatment of certain systemic ailments.

• With pain syndrome (pain in tissues, muscles, tendons, stretching, bruises, fractures, inflammation of soft tissues, nerve damage, to reduce postoperative pain
• With rheumatic diseases and joint problems (arthritis, osteoarthritis, gout, tendonitis, disease Bechterew, extra-articular rheumatism, lupus erythematosus, acute pain in the lower back, pinching of the sciatic nerve
• For systemic use (painful menstruation in patients over 12 years, preparation for IVF, inflammatory diseases of the pharynx, appendages, cystitis.

The drug "Piroxicam" is available in 4 forms:

1. Pills
2. Gel
3. Capsules
4. Injection
5. Rectal suppositories.

The average price is from 10 to 30 rubles.

Piroxicam tablets

One tablet contains 20 mg or 10 mg of active substance (piroxicam). Auxiliary components are: lactose, cellulose, starch, magnesium stearate, sodium zukrin, silicon dioxide, sodium starch glycolate, polyvinylpyrolidone, water.

Round tablets of white or yellowish color, flat, have a dividing strip.

Mode of application

Tablets suppress the connection of platelets and phagocytosis. Pills are perfectly absorbed from the digestive tract, their maximum concentration is achieved after 5 hours.

For 12 days the concentration of tablets in the blood is balanced. Half-life is about 50 hours. Tablets are excreted by the intestine and kidneys. In the body does not accumulate.

Tablets eliminate pain, swelling of the joints. It is taken inwards from 1 to 4 tablets per time.

The average price is from 90 to 150 rubles.

Gel "Piroxicam"

The gel has antipyretic, anti-inflammatory, analgesic effect. The equilibrium concentration is obtained after 7-12 days.

, g of piroxicam in 100 g of gel. Additional elements: carbomer, propylene glycol, trolamine, ethanol, water, methyl parahydroxybenzoate.

The color is transparent, from light yellow to greenish shade. Has a characteristic smell.

Mode of application

Ointment (gel) is applied to the skin above the problem site up to 4 times a day, gently rubbed. Duration of application - no more than 2 weeks. It has a quick local effect, bypassing the gastrointestinal tract and, therefore, does not negatively affect the internal organs.

The average price is from 30 to 70 rubles.

Capsules "Piroxicam"

The composition includes: piroxicam, wheat starch, magnesium stearate, talc, glycine, colloidal silicon dioxide, MCC

Hardly gelatinous. The body is creamy orange, inside the capsule is white powder

Mode of application

Inside from 1 to 4 pieces per time. Duration of treatment from 1 week to 4 months. A distinctive feature is that the drug is quickly absorbed into the stomach without negative consequences.

Capsules have the same properties as tablets. The result is achieved after 30 minutes after administration. Prolonged action - 24 hours after taking 1 capsule.

The average price is from 40 to 70 rubles.

Rectal suppositories "Piroxicam"

Rectal suppositories are yellowish-green in color and cigar-shaped. Contain 20 mg of active substance in 1 candle. Other constituents: semisynthetic glycerides.

Mode of application

Rectally. 1 suppository once a day after cleansing intestine enema. Before the introduction of the candle, water it with water, and anus with cream. Duration of treatment - from 1 to 2 weeks

Candles increase the excretion of uric acid from the body. The blood plasma is concentrated for 3 hours after administration. Output for 30-86 hours.

Solution for injection "Piroxicam"

The average price is from 25 to 50 rubles.

The injection solution contains 20 mg of active ingredient per ml. The ampoule of dark glass, volume of 1 ml. Packed in contour cells of 10 pieces and in cardboard packs.

Mode of application

The drug is punctured once a day. If the pain symptom is strong, then 40 mg of the substance, with a moderate symptom - 20 mg. The maximum amount of substance for administration is 40 mg.

Injections spend 1-2 days. After switching to tablets or capsules.

Contraindications as exceptions

You can not drink a medicine in such cases:

• For violations of the kidneys and the liver is forbidden to take pills and capsules. Gel and candles should be used with caution
• Children under 12 years (and in any form of release)
• With individual drug intolerance
• With ulcers, open wounds in places where the gel is applied
• 3 trimester of pregnancy.

With caution you need to take the drug in such cases:

• During lactation, as well as in the 1st and 2nd trimester of pregnancy
• Together with other anti-inflammatory drugs
• With ulcers, erosions in the digestive tract
• The elderly
• Patients with bronchial asthma
• With chronic kidney disease
• If there is a tendency to bleeding
• With hemorrhagic diathesis.

At pregnancy and thoracal feeding

1. In the 3rd trimester the drug is contraindicated in any form of release
2. In 1 and 2 trimesters, the question of the use of a medicine is solved only with a doctor
3. Tablets and capsules are excreted in breast milk. At the time of therapy, you need to stop feeding the baby or give up the medication.

Interaction with other drugs

Simultaneous use of the drug "Piroxicam" with certain drugs leads to:

• The development of side effects from the gastrointestinal tract, as well as allergic reactions, if together with the described drug the patient takes glucocorticoids
• Weakening the action of diuretics, if they are taken together with the medicine "Piroxicam"
• Increase the concentration of lithium in blood plasma, if in parallel with lithium medicines, pills or capsules are taken "Piroxicam"
• Increased risk of bleeding when taking Piroxicam and anticoagulants.

Side effects and overdose

Unwanted effects can occur with prolonged or uncontrolled use of the drug.

From tablets and capsules can appear such problems: nausea, vomiting, diarrhea, headache, insomnia, anemia, bronchospasm, vision problems

From the gel, the following undesirable consequences may occur: itching, dermatitis, redness of the skin

Rectal suppositories may cause itching in the anus, stool with blood, bleeding.

Storage Rules

1. Tablets, gel (ointment) and capsules should be stored in a dry, dark place, at temperatures from +8 to +25 degrees. Shelf life - 3 years
2. Candles. Keep refrigerated. Shelf life - 2 years.

"Piroxicam" in IVF: true or myth?

IVF - in vitro fertilization, performed in vitro.

Indications for IVF include ovarian diseases, obstruction of the fallopian tubes, male infertility, etc.

IVF is assigned to couples who have already tried all possible methods of infertility treatment, but none have brought a result.

Some reproductologists prescribe the drug "Piroxicam" for fetal embryo implantation. It is noted that tablets can reduce the contractile activity of the uterus.

And this can lead to a high probability of pregnancy.

Piroxicam can improve the rheological properties of blood. This means that the pills can increase the blood flow in the uterus, which can have a positive effect on the attachment of embryos during IVF.

Not in all clinics in which IVF is conducted, doctors appoint "Piroxicam". There are no reliable data on the positive effect of this drug on the onset of pregnancy.

The studies were conducted and the results showed that the Piroxicam tablets were able to reduce the contractile activity of the uterus. This may increase the likelihood of pregnancy, but does not guarantee it.

And the study, conducted long ago, during the next 5 years has not received any official confirmation.

Only in 2009, the researchers conducted a second study, which also refuted the assumption regarding the effect of the drug on embryos.

Analogues-substitutes

Substitutes for the drug "Piroxicam" abound. Among the analogues can be identified gel "Finalgel tablets "Revmoxicam".

Gel Finalnhel

Boehringer Ingelheim Farma, Germany.
Pricefrom 300 to 400 rubles.

The main substance of the drug is piroxicam. Gel is sold in tubes of different volumes: 35 or 50 g. The appearance is light yellow with a lecgic odor of isopropyl alcohol.

pros

• Quick absorption in the skin
• Economical expenditure

Minuses

• High price
• Helps only with minor injuries (bruises, light injuries). With more serious problems, it is not always helpful
• Name. Many confuse with Finalgon. Both drugs relieve pain, but act differently. Finalgone burns the skin. And Finalhel on the contrary cools it. If you confuse 2 similar drugs by name, the result can be deplorable.

Tablets "Revmoxicam"

OJSC Farmak, Ukraine.
Pricefrom 270 to 320 rubles.

The active substance of the drug is meloxicam. Produced in various forms: tablets, solutions, suppositories. Not allowed to use in Russia.

pros

• Quickly removes inflammation and pain
• Can be bought without a prescription

Minuses

• A large number of side effects
• It is a drug that does not spare the stomach (can cause abdominal pain, spasms)
• High price. If you take 2 tablets a day, then the packaging for 300 rubles. enough for only 5 days.

Download user manual

Gel "Piroxicam"
Download the instruction of the gel "Piroxicam"
64 kb

A source: http://lekhar.ru/lekarstva/kostno-myshechnaya-sistema/piroksikam-instrukciya-po-primeneniyu/