Is Kelam a NSAID?

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

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

What is the difference between Kelam and diclofenac?

Both Kelam and diclofenac are pain killers. However, piroxicam is a non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain) inhibitor whereas diclofenac has a bit more selectivity to a COX-2 enzyme. This selectivity of diclofenac is supposed to decrease the side effects as compared to Kelam.

Can Kelam be used to treat menstrual cramp?

Kelam is not approved for the treatment of menstrual cramps. Research studies have shown that piroxicam is quite effective in significantly decreasing the menstrual cramps.

What are the serious side effects of Kelam?

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.

What is the difference between Kelam and tramadol?

Kelam 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 you get high by using Kelam?

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

Can you donate blood when on the medication with Kelam?

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

Can Kelam lead to skin reactions?

Yes. Kelam 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.

Can I use Kelam for a migraine?

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

Can I use Kelam if I have peptic ulcer disease?

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

Is Kelam a blood thinner?

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

Is Kelam a sulfa drug?

Kelam is a sulphur containing compound. Kelam can cause serious adverse events in sensitive individuals. It can cause severe skin reactions like Steven Johnson Syndrome. Do inform your doctor if you have any kind of allergies.

Can Kelam be used with calcium channel blocker?

Yes. Kelam 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 Kelam be used with Tizanidine?

Yes, Kelam 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 Kelam a narcotic?

No. Kelam 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.

Can Kelam be used with warfarin?

No. Kelam 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 Kelam be used with lithium?

No. Kelam should not be used with lithium. Kelam 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.

What are the contraindications for Kelam?

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.

Are there any alternatives of Kelam?

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

Can I use Kelam 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 Kelam be used in hypertension?

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

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

No. Kelam 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.

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

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.

What is the difference between Kelam and meloxicam?

Both Kelam 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 Kelam.

What is the difference between Kelam and naproxen?

Both Kelam and naproxen 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, gastric side effects are lesser with naproxen as compared to Kelam.

Can Kelam be used with methocarbamol?

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

How long does Kelam work?

Kelam 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.

Why is beta cyclodextrin added to Kelam?

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

Can Kelam be used in the treatment of allergy?

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

What is the difference between Kelam and ketoprofen?

Both Kelam 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 Kelam. Ketoprofen gel also showed excellent tolerability.

Are Kelam and aspirin same?

No. Kelam 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.