What are the serious side effects of Roxicam?

Can Roxicam be used along with paracetamol?

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

Can I use Roxicam 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.

What are the contraindications for Roxicam?

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 get high by using Roxicam?

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

Can you donate blood when on the medication with Roxicam?

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

Can Roxicam be used along with dexamethasone?

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

Can I use Roxicam for a migraine?

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

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

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 Roxicam?

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 Roxicam be used with diuretics?

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

Can Roxicam be used with Tizanidine?

Yes, Roxicam 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.

How long does Roxicam work?

Roxicam 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 Roxicam be used with lithium?

No. Roxicam should not be used with lithium. Roxicam 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 Roxicam lead to skin reactions?

Yes. Roxicam 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 Roxicam if I am pregnant?

No. Roxicam 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 I use Roxicam if I am a diabetic?

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

Are there any alternatives of Roxicam?

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

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

Can Roxicam be used with calcium channel blocker?

Yes. Roxicam 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 Roxicam be used with methocarbamol?

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

What is the difference between Roxicam and tramadol?

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

Are Roxicam and aspirin same?

No. Roxicam 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.

Is Roxicam a muscle relaxant?

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

What is the difference between Roxicam and meloxicam?

Both Roxicam 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 Roxicam.

Can Roxicam be used along with Losartan?

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

Is Roxicam a NSAID?

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

What is the difference between Roxicam and nimesulide?

Both Roxicam and nimesulide are pain killers. However, Roxicam 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.

What is the difference between Roxicam and naproxen?

Both Roxicam 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 Roxicam.

Is Roxicam effective in back pain management?

Yes. It can be given for decreasing the back pain. However, you should consult your doctor for the exact cause of your back pain and then start the treatment. Do not self-medicate yourself with Roxicam as the cause of back pain can be different for different person.

Can Roxicam be used with Lisinopril?

No. Roxicam 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 Roxicam.

Is Roxicam affective in gout management?

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