Can I use Starpir if I have peptic ulcer disease?

Can I use Starpir if I am a diabetic?

Starpir in a diabetic patient can only be taken only by consulting a doctor because these medicines have the propensity to cause renal failure when taken for a long period. Diabetes itself causes renal Starpir so taking piroxicam can lead to increased risk of renal failure by many folds.

What is the difference between Starpir and tramadol?

Starpir is a COX (cyclooxygenase -an enzyme responsible for inflammation and pain) whereas Tramadol is a narcotic-like painkiller. Tramadol is a habit forming medicine.

Can Starpir be used with lithium?

No. Starpir should not be used with lithium. Starpir leads to an elevation of plasma lithium levels and a reduction in renal lithium clearance. This is because of inhibition of renal prostaglandin synthesis by the NSAID. Consult and inform your doctor before starting this medication.

Can I use Starpir if I am pregnant?

No. Starpir should not be taken in pregnancy. It causes premature closure of the ductus arteriosus which can lead to fetal heart failure and death of the baby.

Can Starpir be used in the treatment of allergy?

No. Starpir is not a drug to treat allergy. It is a pain killer.

Can Starpir be used with methocarbamol?

Yes. Methocarbamol can be used with Starpir as no serious side effects are known. Inform your doctor before starting any of the medication.

What is the difference between Starpir and meloxicam?

Both Starpir and meloxicam are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, acute gastric side effects are lesser with meloxicam as compared to Starpir.

Is Starpir a NSAID?

Yes. Starpir is a non-steroidal anti-inflammatory drug (NSAID).

Can Starpir be used along with dexamethasone?

No. Starpir should not be used with dexamethasone. They both increase each others toxicity. There is an increased risk of GI ulceration.

Can Starpir be used along with paracetamol?

Yes. Paracetamol can be used with Starpir as no serious side effects are known. Inform your doctor before starting any of the medication.

What is the difference between Starpir and nimesulide?

Both Starpir and nimesulide are pain killers. However, Starpir is a non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain) inhibitor whereas nimesulide is selective to the COX-2 enzyme. This selectivity of nimesulide is supposed to decrease the side effects as compared to piroxicam. It should not be used in children below 12 years of age.

Can you get high by using Starpir?

No. Starpir is not known to cause high. It is a non-narcotic painkiller.

Can I use Starpir if I have a deranged renal function?

No. Starpir should not be taken if you have a abnormal renal function because long-term administration of NSAIDs has resulted in renal papillary necrosis and another renal injury.

Can Starpir lead to skin reactions?

Yes. Starpir is known to cause skin reactions which can be very severe such as exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. These serious events may occur without warning. You should inform your doctor if you feel you have a mild rash and immediately discontinue the drug.

Why is beta cyclodextrin added to Starpir?

Yes. Starpir can be combined with beta-cyclodextrin. Research has shown that combining Starpir with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.

What is the difference between Starpir and ketoprofen?

Both Starpir and ketoprofen are pain killers. Both are non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain). Research studies have shown ketoprofen topical gel is better and effective as compared to Starpir. Ketoprofen gel also showed excellent tolerability.

Can Starpir be used in the treatment of chikungunya?

Usually, the platelet count does not dip in cases of chikungunya and painkillers like piroxicam can lead to the risk of increased bleeding tendency. So refrain from taking Starpir or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Starpir.

Is Starpir affective in gout management?

Yes. Starpir can be given for the treatment of acute gout. Research studies have shown Starpir to be highly effective in the treatment of acute gout.

Can Starpir be used in hypertension?

No. Starpir is not a medication to control hypertension. It is important to note that Starpir decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Starpir.

What are the serious side effects of Starpir?

GI discomfort and, rarely, serious GI side effects, such as ulcers and bleeding, serious skin side effects such as exfoliative, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis, liver failure, renal damage.

Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ Starpir?

Patients who had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine or for pain right before or after heart bypass surgery.

What increases the chances of getting a gastric ulcer when I am already taking Starpir?

The chances of gastric ulceration increases if you take medicines like corticosteroids and anticoagulants. Long term use, alcohol, smoking and old age are few other factors which can increase the chances of ulceration.

Are there any alternatives of Starpir?

Yes. There are alternatives to Starpir. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.

Can Starpir be used with calcium channel blocker?

Yes. Starpir can be taken with calcium channel blocker. NSAIDs have been observed to reduce the effectiveness of all antihypertensive drugs except calcium channel blockers (ref: White 2007)

Can Starpir be used with warfarin?

No. Starpir should be avoided with warfarin as they both lead to increase in bleeding tendencies. Inform your doctor if you are taking any of the medications. If given together then the therapy should be monitored closely.

Can I use Starpir if I have asthma?

Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory (NSAID) drugs like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.

Can Starpir be used along with Losartan?

No. Starpir should not be combined with Losartan. It is important to note that Starpir decreases the effectiveness of the antihypertensive medication like losartan when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Starpir.

Is Starpir a blood thinner?

No. Starpir is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.

Is Starpir a narcotic?

No. Starpir is not a narcotic. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme to decrease the pain and inflammation.

Are Starpir and aspirin same?

No. Starpir and aspirin are not same. They belong to the same class of drugs known as COX (cyclooxygenase) inhibitors. They both are anti-inflammatory and analgesic.

What are the contraindications for Starpir?

Contraindications to piroxicam are an allergy, bleeding tendency, duodenal/gastric/peptic ulcer, stomatitis, Systemic Lupus Erythematosus (SLE), ulcerative colitis, upper GI disease, late pregnancy, cardiac disease, hepatic impairment, renal impairment.

Can you donate blood when on the medication with Starpir?

Yes. You can donate blood when on Starpir. Do inform your doctor before donating blood.