What is the difference between Flexar and diclofenac?

Can Flexar be used with calcium channel blocker?

Yes. Flexar 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 Flexar a NSAID?

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

Can Flexar lead to difficulty in conception?

Yes. Flexar 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.

Can Flexar be used along with dexamethasone?

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

Can you get high by using Flexar?

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

Can Flexar be used with methocarbamol?

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

Is Flexar a narcotic?

No. Flexar 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 Flexar and aspirin same?

No. Flexar 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.

Can Flexar be used along with paracetamol?

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

Why is beta cyclodextrin added to Flexar?

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

Can Flexar be used with Tizanidine?

Yes, Flexar 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.

Can Flexar be used with Lisinopril?

No. Flexar 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 Flexar.

What are the contraindications for Flexar?

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 I use Flexar if I have a deranged renal function?

No. Flexar 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 I use Flexar if I am pregnant?

No. Flexar 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.

Are there any alternatives of Flexar?

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

Is Flexar a blood thinner?

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

Can I use Flexar if I am a diabetic?

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

Can Flexar be used with warfarin?

No. Flexar 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.

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

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 Flexar be used with lithium?

No. Flexar should not be used with lithium. Flexar 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 serious side effects of Flexar?

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)/ Flexar?

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 Flexar 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 Flexar if I have peptic ulcer disease?

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

Can Flexar be used along with Losartan?

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

What is the difference between Flexar and tramadol?

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

What is the difference between Flexar and naproxen?

Both Flexar 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 Flexar.

Is Flexar a sulfa drug?

Flexar is a sulphur containing compound. Flexar 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.

What is the difference between Flexar and nimesulide?

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