Feldene (Piroxicam)

Feldene is used for the treatment of inflammation and pain caused by rheumatoid arthritis and osteoarthritis.

The recommended dose is 20 mg once daily or 10 mg twice daily. Feldene should be taken with food.

Feldene is a nonsteroidal anti-inflammatory drug (NSAID) that is effective in treating fever, pain, and inflammation in the body. As a group, NSAIDs are non-narcotic relievers of mild to moderate pain of many causes, including injury, menstrual cramps, arthritis, and other musculoskeletal conditions. NSAIDs, including feldene, block the enzyme in the body that makes prostaglandins (cyclooxygenase), resulting in lower levels of prostaglandins. Prostaglandins are responsible for causing many types of pain, fever and inflammation. As a consequence of taking NSAIDs, inflammation, pain and fever are reduced. The FDA approved Feldene in 1982.

If you miss a dose of Sumycin , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Store this medicine at room temperature, away from heat and light. Do not store in the bathroom.

This medicine increases your risk of serious stomach or bowel problems (such as ulcers and bleeding). This risk is increased if you are elderly or are in poor health, if you have a history of smoking or drinking alcohol, if you take corticosteroid medicines (such as prednisone) or "blood thinners" (such as warfarin), or if you take this medicine for a long period of time. This medicine may also increase your risk for certain serious heart and blood vessel problems (such as heart attack and stroke). Take this medicine exactly as prescribed by your doctor, at the lowest possible dose for the shortest time needed. Talk with your doctor or pharmacist for further information. Do not take this medicine if you have had a severe allergic reaction to aspirin or any medicine, containing aspirin, or to a nonsteroidal anti-inflammatory drug (such as Feldene, Motrin, Naprosyn, Daypro). A severe reaction includes a severe rash, hives, breathing difficulties, or dizziness. If you have a question about whether you are allergic to this medicine or if a certain medicine is a nonsteroidal anti-inflammatory drug, contact your doctor or pharmacist. If you experience difficulty breathing; tightness of chest; swelling of eyelids, face, or lips; or if you develop a rash or hives, tell your doctor immediately. Do not take any more of this medicine unless your doctor tells you to do so. Laboratory and/or medical tests, including blood counts, liver function tests, and kidney function tests, may be performed to monitor your progress or to check for side effects, especially if you are taking this medicine for a long period of time. Keep all doctor and laboratory appointments while you are taking this medicine. This medicine may cause drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. This medicine may cause increased sensitivity to the sun. Avoid exposure to the sun or sunlamps until you know how you react to this medicine. Use a sunscreen or protective clothing if you must be outside for a prolonged period. Do not drink alcohol while you are taking this medicine, unless you first discuss it with your doctor. Before you begin taking any new medicine either prescription or over-the-counter, check with your doctor or pharmacist. This includes aspirin and other non-prescription pain relievers. Caution is advised when using this medicine in the elderly because they may be more sensitive to the effects of this medicine, especially the risk of stomach or bowel effects (such as bleeding or ulcers), or kidney effects. For women: this medicine has been shown to cause harm to the human fetus. If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. It is unknown if this medicine is excreted in breast milk. If you are or will be breast-feeding while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Most patients benefit from Feldene and other NSAIDs with few side effects. However, serious side effects can occur and generally tend to occur more frequently at higher doses. Therefore, it is advisable to use the lowest effective dose to minimize side effects. The most common side effects of Feldene involve the gastrointestinal system. It can cause ulcerations, abdominal pain, cramping, nausea, gastritis, and even serious gastrointestinal bleeding and liver toxicity. Sometimes, stomach ulceration and bleeding can occur without any abdominal pain. Black tarry stools, weakness, and dizziness upon standing may be the only signs of internal bleeding. Rash, kidney impairment, ringing in the ears, and lightheadedness also can occur.

Do not share this medicine with others for whom it was not prescribed. Do not use this medicine for other health conditions. Keep this medicine out of the reach of children and pets. If using this medicine for an extended period of time, obtain refills before your supply runs out.

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2. International Unregistered Airmail

 27.01.2008
 Britni
 Redwood City, CA
 I'm very happy using your pharmacy. One of the main things is the quick delivery. It's very important to get the medicine on time, sometimes it's a matter of life and death. You are like an ambulance. Plus I want to mention the quality of your product. All of these make a your business a greate sucess. Thank you very much!

 03.02.2008
 Erick
 Iowa City, IA
 First thing that cought my eye while shopping at your web site was the greate discount on practicly everything. I was a little sceptical abouth the quality of the product at first, but I turned out to be wrong, the quality is great. I also wanted to thank you for saving me a trip to the pharmacy and standing in the line. The delivery was very quick. I'll be glad to use your pharmacy again.

 11.02.2008
 Jenifer
 New York, NY
 Two months ago I found out that my mom has heat problems. We saw a doctor and he prescribed Feldene (Piroxicam), which we got from your pharmacy. A few days of taking Feldene made a big difference. My mom feels much better and is still continiuing the course. Thank you!

 23.02.2008
 Jack
 Blair, NE
 I've been married for 7 years now. We have a great family and we all love each other dearly. A few months earlier I noticed that my sex life i just not the same as it used to be. All of the sudden I wasn't attracted to my wife. It stuck me as a suprize, because i love her very much. Once I spoke about this problem with a friend of mine and it turned out that he went through the same thing. He advised me Feldene. Thanks god they arrive so soon. We are at it again and it feels like the second honey moon. Thank you so much for your products.

 07.03.2008
 Kira
 El Monte, CA
 Starting my teenage years I was suffering from my skin problems. I felt insecure and depressed. I tried alomost everything. Some of the medicines I tried even worsened my condition and led to alergic brake outs. Feldene (Piroxicam) were like a light at the end of the tonnel for me. Gradually but trully the prolem disapeared by itself, I'm very happy and don't even remember how it felt before. All of that thanks to you guys.

 15.04.2008
 Tom
 Cowtown, TX
 3 years ago I broke my leg while skying. It was a spoiled vocation which costed me 6 months of recovery. But I never recovered fully I had severe pains and discomfort feeling, untill I tried your Feldene. I thought I'd never get on the skies again but instead I already booked my next winter vocation at the skying resort for me and my girlfriend.

 21.04.2008
 Christine
 Danvers, MN
 The beauty is the most important posession for woman. But the time does its dirty job. Soom I'm turning 40 and keeping myself in shape requires more and more time and many more hours of work out. The Feldene (Piroxicam) I bought from your pharmacy help me greatly to keep in shape and IT'S OK if I skip the gym once in a while and even more important are the tasty treats that I can afford to have more friquently.

 11.05.2008
 Sean
 Apalachin, NY
 I'm sure I'm not the only victim of irresponsible pharmacies. I think many people would understand my feeling when the medicine arrives so late that you don't need it any more. Your pharmacy has never disappointed me. A broad choice of medicine and great discounts allow me to buy a quality product for a very reasonable price.

 19.05.2008
 Melony
 Chatsworth, CA
 I'm a big pet lover i have two dogs and a cat. I just love watching them run around and play with each other. Recently I noticed that my cat became kind or passive and sleepy and didn't play as much. After a started giving her Feldene (Piroxicam), I bought from your pharmacy, she is back on track again running, jumping and bugging the dogs. Thank you so much for your help.

What is Feldene (piroxicam)?

Piroxicam is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Piroxicam works by reducing hormones that cause inflammation and pain in the body.

Piroxicam is used to treat pain or inflammation caused by arthritis.

Piroxicam may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Feldene (piroxicam)?

This medicine can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use piroxicam. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).

Seek emergency medical help if you have symptoms of heart or circulation problems, such as chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.

This medicine can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking piroxicam. Older adults may have an even greater risk of these serious gastrointestinal side effects.

Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.

What should I discuss with my healthcare provider before taking Feldene (piroxicam)?

Taking an NSAID can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).

NSAIDs can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects.

Before taking piroxicam, tell your doctor if you are allergic to any drugs, or if you have:

• a history of heart attack, stroke, or blood clot;

• heart disease, congestive heart failure, high blood pressure;

• a history of stomach ulcers or bleeding;

• liver or kidney disease;

• asthma;

• polyps in your nose;

• a bleeding or blood clotting disorder; or

• if you smoke.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take piroxicam.

How should I take Feldene (piroxicam)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

If you switch brands of piroxicam, your dose needs may change. Follow your doctor's instructions about how much medicine to take.

If you take piroxicam for a long period of time, your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

What should I avoid while taking Feldene (piroxicam)?

Feldene (piroxicam) side effects

• chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;

• black, bloody, or tarry stools;

• coughing up blood or vomit that looks like coffee grounds;

• swelling or rapid weight gain;

• urinating less than usual or not at all;

• nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

• fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;

• bruising, severe tingling, numbness, pain, muscle weakness; or

• fever, headache, neck stiffness, chills, increased sensitivity to light, purple spots on the skin, and/or seizure (convulsions).

Less serious side effects may include:

• upset stomach, mild heartburn or stomach pain, diarrhea, constipation;

• bloating, gas;

• dizziness, headache, nervousness;

• skin itching or rash;

• blurred vision; or

• ringing in your ears.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Feldene (piroxicam)?

Tell your doctor if you are taking an antidepressant such as citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor). Taking any of these drugs with piroxicam may cause you to bruise or bleed easily.

Before taking piroxicam, tell your doctor if you are taking any of the following drugs:

• a blood thinner such as warfarin (Coumadin);

• lithium (Eskalith, Lithobid);

• methotrexate (Rheumatrex, Trexall);

• diuretics (water pills) such as furosemide (Lasix);

• steroids (prednisone and others);

• aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as etodolac (Lodine), flurbiprofen (Ansaid), indomethacin (Indocin), ketoprofen (Orudis), ketorolac (Toradol), mefenamic acid (Ponstel), meloxicam (Mobic), nabumetone (Relafen), naproxen (Aleve, Naprosyn), and others; or

• an ACE inhibitor such as benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), ramipril (Altace), and others.

This list is not complete and there may be other drugs that can interact with piroxicam. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about piroxicam.