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Introduction to P-Tocam Injection
It is a pain-relieving medicine that helps in treating moderate to severe pain.
- This medicine relieves pain and swelling in conditions related to muscles and joints.
- It is generally injected when oral administration is not suitable.
Safety Advice for P-Tocam Injection
- High risk
- Moderate risk
- Safe
Caution is advised when consuming alcohol with this drug. Please consult your doctor.
It is unsafe to use during pregnancy as it may pose risk to the developing baby. Please consult your doctor.
It is considered to be safe to use during breastfeeding. The drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
It may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
It should be used cautiously in patients with severe kidney disease. Dose adjustment of the drug may be needed. Please consult your doctor.
The drug should be used with caution in patients with liver disease. Dose adjustment of drug may be needed. Please consult your doctor.
How P-Tocam Injection works
It is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that are responsible for inflammation (pain and swelling).
How To Use P-Tocam Injection
- Your doctor or nurse will give you this medicine. Kindly do not self administer.
- You should keep receiving the medicine until the doctor says it is okay to stop using the medicine.
- Strictly follow the dose and duration suggested by a healthcare professional.
Special Precautions About P-Tocam Injection
- If side effects persist or get worse, you should let your doctor know.
- Before using it, you should let your doctor know if you have a history of stomach ulcers, heart diseases, high blood pressure, and liver or kidney disease.
- Let your doctor also know about all the other medicines you are taking because they may affect, or be affected by, this medicine.
- Pregnant and breastfeeding mothers must consult with their doctors before using the medicine.
Benefits Of P-Tocam Injection
- Helps to relieve pain in conditions like osteoarthritis and rheumatoid arthritis.
Side Effects Of P-Tocam Injection
- Vomiting
- Stomach pain
- Nausea
- Indigestion
- Diarrhea
- Injection site reactions (pain, swelling, redness)
Similar Medicine Of P-Tocam Injection
What If I Missed A Dose Of P-Tocam Injection
- Don't skip any drug of the dose. If forgotten, take it once remembered.
- If the next dose time is near, skip the missed one.
- Avoid doubling to compensate. Follow this routine for safe and effective usage.
- For guidance on managing missed doses, consult your healthcare provider, ensuring proper adherence to the prescribed regimen.
Health And Lifestyle
Avoid overuse of alcohol. Maintain Balance diet and stay hydrated. If you are regularly exercising than incorporate light exercise to manage pain and Inflammation better.
Drug Interaction
- Anticoagulants (e.g., Warfarin)
- Antihypertensives (e.g., ACE inhibitors)
Drug Food Interaction
- Alcohol
- Grapefruit Juice
Disease Explanation
Pain- Pain signals the nervous system that something may be wrong, and can be sharp or dull, coming or going. It can be experienced in one area or all over. There are two types of pain: acute and chronic. Acute pain, sudden and often treated, can go away, while chronic pain can last for years and cause severe problems.
FAQ's on P-Tocam Injection
Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ P-Tocam?
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 P-Tocam and aspirin same?
No. P-Tocam 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 is the difference between P-Tocam and ketoprofen?
Both P-Tocam 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 P-Tocam. Ketoprofen gel also showed excellent tolerability.
Can I use P-Tocam if I have a deranged renal function?
No. P-Tocam 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 P-Tocam 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 P-Tocam?
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 P-Tocam be used with warfarin?
No. P-Tocam 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.
Is P-Tocam a muscle relaxant?
No. P-Tocam is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.
Can P-Tocam be used along with Losartan?
No. P-Tocam should not be combined with Losartan. It is important to note that P-Tocam 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 P-Tocam.
Can P-Tocam 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 P-Tocam or any painkiller in the case of any fever with joint pain. Consult your doctor before starting P-Tocam.
Can you get high by using P-Tocam?
No. P-Tocam is not known to cause high. It is a non-narcotic painkiller.
Can P-Tocam be used with Tizanidine?
Yes, P-Tocam 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.
What is the difference between P-Tocam and diclofenac?
Both P-Tocam 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 P-Tocam.
Are there any alternatives of P-Tocam?
Yes. There are alternatives to P-Tocam. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.
Can P-Tocam be used with calcium channel blocker?
Yes. P-Tocam 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)
What are the serious side effects of P-Tocam?
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 P-Tocam be used with lithium?
No. P-Tocam should not be used with lithium. P-Tocam 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.
Is P-Tocam 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 P-Tocam as the cause of back pain can be different for different person.
Can P-Tocam lead to difficulty in conception?
Yes. P-Tocam 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 P-Tocam be used along with dexamethasone?
No. P-Tocam should not be used with dexamethasone. They both increase each others toxicity. There is an increased risk of GI ulceration.
Can P-Tocam be used with methocarbamol?
Yes. Methocarbamol can be used with P-Tocam as no serious side effects are known. Inform your doctor before starting any of the medication.
What is the difference between P-Tocam and nimesulide?
Both P-Tocam and nimesulide are pain killers. However, P-Tocam 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 increases the chances of getting a gastric ulcer when I am already taking P-Tocam?
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 P-Tocam be used with diuretics?
No. P-Tocam should not be used with diuretics. P-Tocam reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
Is P-Tocam affective in gout management?
Yes. P-Tocam can be given for the treatment of acute gout. Research studies have shown P-Tocam to be highly effective in the treatment of acute gout.
Can P-Tocam be used in hypertension?
No. P-Tocam is not a medication to control hypertension. It is important to note that P-Tocam decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting P-Tocam.
Why is beta cyclodextrin added to P-Tocam?
Yes. P-Tocam can be combined with beta-cyclodextrin. Research has shown that combining P-Tocam with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.
Is P-Tocam a NSAID?
Yes. P-Tocam is a non-steroidal anti-inflammatory drug (NSAID).
Can I use P-Tocam if I am a diabetic?
P-Tocam 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 P-Tocam so taking piroxicam can lead to increased risk of renal failure by many folds.
Can P-Tocam be used along with paracetamol?
Yes. Paracetamol can be used with P-Tocam as no serious side effects are known. Inform your doctor before starting any of the medication.
Is P-Tocam a sulfa drug?
P-Tocam is a sulphur containing compound. P-Tocam 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 I use P-Tocam if I have peptic ulcer disease?
No. P-Tocam is contraindicated in cases of active peptic ulcer disease. P-Tocam is known to cause gastric ulceration and bleeding.
Is P-Tocam a blood thinner?
No. P-Tocam is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.
Can P-Tocam be used with Lisinopril?
No. P-Tocam 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 P-Tocam.
Can P-Tocam be used to treat menstrual cramp?
P-Tocam 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 is the difference between P-Tocam and tramadol?
P-Tocam 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 P-Tocam be used in the treatment of allergy?
No. P-Tocam is not a drug to treat allergy. It is a pain killer.
Can you donate blood when on the medication with P-Tocam?
Yes. You can donate blood when on P-Tocam. Do inform your doctor before donating blood.
Is P-Tocam a narcotic?
No. P-Tocam 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.
What is the difference between P-Tocam and naproxen?
Both P-Tocam 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 P-Tocam.
How long does P-Tocam work?
P-Tocam 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 P-Tocam lead to skin reactions?
Yes. P-Tocam 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.
What is the difference between P-Tocam and meloxicam?
Both P-Tocam 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 P-Tocam.
Can I use P-Tocam if I am pregnant?
No. P-Tocam 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 P-Tocam for a migraine?
P-Tocam is not approved for the treatment of migraine. Research studies have shown that P-Tocam is effective in significantly decreasing the pain associated with migraine without aura.
Written By
Rakshita Garg
M.Pharma
Content Updated on
Saturday, 27 July, 2024Prescription Required
P-Tocam Injection
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