Is Nexicam affective in gout management?

Is Nexicam a muscle relaxant?

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

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

No. Nexicam 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 Nexicam be used along with dexamethasone?

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

Can I use Nexicam if I have peptic ulcer disease?

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

Why is beta cyclodextrin added to Nexicam?

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

Can Nexicam be used with Lisinopril?

No. Nexicam should be avoided with lisinopril. It is important to note that piroxicam decreases the effectiveness of the antihypertensive medication like lisinopril when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Nexicam.

Can Nexicam be used with Tizanidine?

Yes, Nexicam 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.

Are there any alternatives of Nexicam?

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

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

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.

Can Nexicam be used with calcium channel blocker?

Yes. Nexicam 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)

Is Nexicam a narcotic?

No. Nexicam 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.

Is Nexicam a NSAID?

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

Can Nexicam be used along with paracetamol?

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

What is the difference between Nexicam and nimesulide?

Both Nexicam and nimesulide are pain killers. However, Nexicam 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 Nexicam be used with warfarin?

No. Nexicam 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 Nexicam lead to difficulty in conception?

Yes. Nexicam can sometimes cause reversible infertility. Piroxicam by its mechanism of action may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.

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

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.

Are Nexicam and aspirin same?

No. Nexicam 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 serious side effects of Nexicam?

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 Nexicam and tramadol?

Nexicam 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 Nexicam be used with lithium?

No. Nexicam should not be used with lithium. Nexicam 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 Nexicam if I am pregnant?

No. Nexicam 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 Nexicam be used in the treatment of allergy?

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

Can Nexicam be used to treat menstrual cramp?

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

Can you donate blood when on the medication with Nexicam?

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

Can Nexicam lead to skin reactions?

Yes. Nexicam 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 you get high by using Nexicam?

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

Can Nexicam be used with diuretics?

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

What is the difference between Nexicam and naproxen?

Both Nexicam 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 Nexicam.

Can Nexicam be used along with Losartan?

No. Nexicam should not be combined with Losartan. It is important to note that Nexicam 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 Nexicam.