What is the difference between Pinicam and diclofenac?

Is Pinicam a muscle relaxant?

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

What are the serious side effects of Pinicam?

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.

Can Pinicam lead to skin reactions?

Yes. Pinicam 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 Pinicam be used along with Losartan?

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

Can you get high by using Pinicam?

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

Can I use Pinicam for a migraine?

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

Is Pinicam a NSAID?

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

Why is beta cyclodextrin added to Pinicam?

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

Can Pinicam be used along with paracetamol?

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

Is Pinicam a sulfa drug?

Pinicam is a sulphur containing compound. Pinicam 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 Pinicam be used with methocarbamol?

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

Can Pinicam be used with Tizanidine?

Yes, Pinicam 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.

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

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 Pinicam if I have a deranged renal function?

No. Pinicam 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 Pinicam be used with diuretics?

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

Can you donate blood when on the medication with Pinicam?

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

Can Pinicam lead to difficulty in conception?

Yes. Pinicam 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.

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

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 I use Pinicam if I am pregnant?

No. Pinicam 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 Pinicam 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.

Is Pinicam affective in gout management?

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

Can I use Pinicam if I am a diabetic?

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

What is the difference between Pinicam and naproxen?

Both Pinicam 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 Pinicam.

What is the difference between Pinicam and nimesulide?

Both Pinicam and nimesulide are pain killers. However, Pinicam 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 are the contraindications for Pinicam?

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.

How long does Pinicam work?

Pinicam 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 Pinicam be used along with dexamethasone?

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

Can Pinicam be used to treat menstrual cramp?

Pinicam 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 Pinicam be used in the treatment of allergy?

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

Are there any alternatives of Pinicam?

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

What is the difference between Pinicam and meloxicam?

Both Pinicam 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 Pinicam.

Is Pinicam a narcotic?

No. Pinicam 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.