Is Cesic affective in gout management?

Can I use Cesic if I have peptic ulcer disease?

No. Cesic is contraindicated in cases of active peptic ulcer disease. Cesic is known to cause gastric ulceration and bleeding.

What is the difference between Cesic and meloxicam?

Both Cesic 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 Cesic.

Is Cesic a NSAID?

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

What is the difference between Cesic and nimesulide?

Both Cesic and nimesulide are pain killers. However, Cesic 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 Cesic be used with Tizanidine?

Yes, Cesic can be combined with tizanidine. Piroxicam is a pain killer and tizanidine is a skeletal muscle relaxant. It is used in the condition like a backache.

Is Cesic a muscle relaxant?

No. Cesic is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.

Are Cesic and aspirin same?

No. Cesic 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 is the difference between Cesic and tramadol?

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

How long does Cesic work?

Cesic is a long acting drug. Once the daily dose is enough for the relief of pain but it depends from person to person as the effectiveness of piroxicam increases when given for few weeks.

Can Cesic 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 Cesic or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Cesic.

Can Cesic be used with calcium channel blocker?

Yes. Cesic 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)

What is the difference between Cesic and ketoprofen?

Both Cesic 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 Cesic. Ketoprofen gel also showed excellent tolerability.

Are there any alternatives of Cesic?

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

Can you get high by using Cesic?

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

Can Cesic be used in the treatment of allergy?

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

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

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.

Can I use Cesic 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 I use Cesic if I am pregnant?

No. Cesic 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.

Why is beta cyclodextrin added to Cesic?

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

Can Cesic be used with lithium?

No. Cesic should not be used with lithium. Cesic 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 Cesic be used with diuretics?

No. Cesic should not be used with diuretics. Cesic reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.

Can I use Cesic for a migraine?

Cesic is not approved for the treatment of migraine. Research studies have shown that Cesic is effective in significantly decreasing the pain associated with migraine without aura.

Can you donate blood when on the medication with Cesic?

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

Can Cesic be used in hypertension?

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

Can I use Cesic if I am a diabetic?

Cesic 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 Cesic so taking piroxicam can lead to increased risk of renal failure by many folds.

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

No. Cesic 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 Cesic be used along with dexamethasone?

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