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WARNING: This drug may infrequently cause serious (rarely fatal)
bleeding from the stomach or intestines. Also, related drugs rarely have
caused blood clots to form, resulting in heart attacks and strokes. This
medication might also rarely cause similar problems. Talk to your doctor or
pharmacist about the benefits and risks of treatment, as well as other
possible medication choices.
USES: Piroxicam is used to reduce pain, swelling, and joint stiffness
from arthritis. This medication is known as a nonsteroidal anti-inflammatory
drug (NSAID). This medication may also be used to treat other conditions
including gouty arthritis, arthritis of the spine, and muscle injuries.
HOW TO USE: Take this medication by mouth usually once daily with a
full glass of water (8 ounces or 240 milliliters), unless your doctor
directs you otherwise. Do not lie down for at least 30 minutes after taking
this drug. If stomach upset occurs while taking this medication, take it
with food, milk, or an antacid. Dosage is based on your medical condition
and response to therapy. To reduce your risk of stomach bleeding and other
side effects, take this medication at the lowest effective dose for the
shortest possible time. Do not increase your dose, take it more frequently
or take it for a longer time than prescribed. In certain conditions (e.g.,
arthritis), it may take several weeks before your symptoms improve when this
drug is taken regularly. It may take several months before the full benefits
of this drug take effect.
SIDE EFFECTS: Upset stomach, gas, constipation, diarrhea, nausea,
vomiting, fatigue, dizziness, or headache may occur. If any of these effects
persist or worsen, notify your doctor or pharmacist promptly. This drug may
rarely cause serious (possibly fatal) liver disease. If you notice any of
the following highly unlikely but very serious side effects, stop taking
piroxicam and consult your doctor or pharmacist immediately: yellowing eyes
or skin, dark urine, unusual/extreme tiredness, severe stomach/abdominal
pain, persistent nausea/vomiting. A very serious allergic reaction to this
drug is unlikely, but seek immediate medical attention if it occurs.
Symptoms of a serious allergic reaction may include: rash, itching,
swelling, severe dizziness, trouble breathing.
PRECAUTIONS: Before using this medication, tell your doctor or
pharmacist your medical history, especially of: kidney disease, liver
disease, poorly controlled diabetes, stomach/intestine/esophagus problems
(e.g., bleeding, ulcers, recurring heartburn), heart disease (e.g.,
congestive heart failure, history of heart attack), high blood pressure,
stroke, swelling (edema, fluid retention), dehydration, blood disorders
(e.g., anemia), bleeding or clotting problems, asthma, growths in the nose
(nasal polyps). This medicine may cause stomach bleeding. Daily use of
alcohol and tobacco, especially when combined with this medicine, may
increase your risk for stomach bleeding. Limit alcohol and stop smoking.
Consult your doctor or pharmacist for more information.
MISSED DOSE: If you are prescribed this drug on a regular schedule
(not just "as needed") and you miss a dose, use it as soon as you remember.
If it is near the time of the next dose, skip the missed dose and resume
your usual dosing schedule. Do not double the dose to catch up.
STORAGE: Store at room temperature below 86 degrees F (30 degrees C)
away from light and moisture. Do not store in the bathroom. Keep all
medicines away from children