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Introduction to Roxicam 20mg 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 Roxicam 20mg 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 Roxicam 20mg 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 Roxicam 20mg 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 Roxicam 20mg 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 Roxicam 20mg Injection
- Helps to relieve pain in conditions like osteoarthritis and rheumatoid arthritis.
Side Effects Of Roxicam 20mg Injection
- Vomiting
- Stomach pain
- Nausea
- Indigestion
- Diarrhea
- Injection site reactions (pain, swelling, redness)
Similar Medicine Of Roxicam 20mg Injection
What If I Missed A Dose Of Roxicam 20mg 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 Roxicam 20mg Injection
What is the difference between Roxicam and diclofenac?
Both Roxicam 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 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 Roxicam be used to treat menstrual cramp?
Roxicam 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 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.
Is Roxicam a sulfa drug?
Roxicam is a sulphur containing compound. Roxicam 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.
Why is beta cyclodextrin added to Roxicam?
Yes. Roxicam can be combined with beta-cyclodextrin. Research has shown that combining Roxicam with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.
Can Roxicam lead to difficulty in conception?
Yes. Roxicam 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 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 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.
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 in hypertension?
No. Roxicam is not a medication to control hypertension. It is important to note that Roxicam decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Roxicam.
What is the difference between Roxicam and ketoprofen?
Both Roxicam 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 Roxicam. Ketoprofen gel also showed excellent tolerability.
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.
Can Roxicam be used with warfarin?
No. Roxicam 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 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.
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.
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 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 Roxicam be used in the treatment of allergy?
No. Roxicam is not a drug to treat allergy. It is a pain killer.
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.
Is Roxicam a blood thinner?
No. Roxicam is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.
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.
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.
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.
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.
What are the serious side effects of Roxicam?
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.
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.
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.
Is Roxicam a narcotic?
No. Roxicam 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.
Can you get high by using Roxicam?
No. Roxicam is not known to cause high. It is a non-narcotic painkiller.
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 I use Roxicam if I have a deranged renal function?
No. Roxicam 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 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 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.
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 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.
Can I use Roxicam if I have peptic ulcer disease?
No. Roxicam is contraindicated in cases of active peptic ulcer disease. Roxicam is known to cause gastric ulceration and bleeding.
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.
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.
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.
Written By
Rakshita Garg
M.Pharma
Content Updated on
Saturday, 27 July, 2024Prescription Required
Roxicam 20mg Injection
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