Brand name:
PIROX (Piroxicam, Feldene)
Pronounced: FELL-deen
Generic name: Piroxicam
Why is Feldene prescribed?
Feldene, a nonsteroidal anti-inflammatory drug, is used to relieve
the inflammation, swelling, stiffness, and joint pain associated with
rheumatoid arthritis and osteoarthritis (the most common form of arthritis).
It is prescribed both for sudden flare-ups and for long-term treatment.
Most important fact about Feldene
In a few patients on long-term therapy, Feldene can cause stomach
ulcers and bleeding. Warning signs include severe abdominal or stomach
cramps, pain or burning in the stomach, and black, tarry stools. Inform
your doctor immediately if you develop any of these symptoms.
How should you take Feldene?
To avoid digestive side effects, take Feldene with food or an antacid,
and with a full glass of water. Never take it on an empty stomach.
Take Feldene exactly as prescribed by your doctor. Avoid alcohol and
aspirin while taking Feldene.
If you miss a dose...
If you forget to take a dose, take it as soon as you remember. If
it is almost time for your next dose, skip the one you missed and go
back to your regular schedule. Never take two doses at the same time.
Storage instructions...
Store at room temperature. Protect from light and heat.
Feldene side effects
Side effects cannot be anticipated. If any develop or change in intensity,
inform your doctor as soon as possible. Only your doctor can determine
if it is safe for you to continue taking Feldene.
* Side effects may include:
Abdominal pain or discomfort, anemia, constipation, diarrhea, dizziness, fluid
retention, gas, general feeling of ill health, headache, heartburn, itching,
kidney problems, loss of appetite, nausea, rash, ringing in ears, sleepiness,
stomach ulcers or bleeding, stomach upset, vertigo, vomiting
This side effects list is not complete. If you have any questions
about side effects you should consult your doctor. Report any new or
continuing symptoms to your doctor right away.
Why should Feldene not be prescribed?
If you are sensitive to or have ever had an allergic reaction to Feldene,
aspirin, or similar drugs, or if you have had asthma attacks caused
by aspirin or other drugs of this type, you should not take Feldene.
If you develop breathing difficulties or allergic symptoms after taking
Feldene, seek emergency treatment immediately.
Special warnings about Feldene
The chances that Feldene will cause a stomach ulcer or bleeding are
dramatically higher if you've had such problems previously. Severe
stomach reactions are also more likely among older adults, those in
poor health, smokers, heavy drinkers, and people taking steroids or
blood thinners.
If you have heart disease, or high blood pressure, or other conditions
that cause fluid retention, use Feldene with caution. Feldene can increase
water retention.
Feldene has been known to damage the kidneys, and is not recommended
for people with advanced kidney disease. Feldene can also cause liver
damage. If you develop warning signs of liver dysfunction such as fatigue,
itchiness, yellow skin or eyes, a flu-like feeling, and pain in the
upper right abdomen, stop taking Feldene and see your doctor immediately.
Drugs such as Feldene may cause eye disturbances in some people. If
you develop visual problems, notify your eye doctor.
Possible food and drug interactions when taking Feldene
If Feldene is taken with certain other drugs, the effects of either
could be increased, decreased, or altered. It is especially important
to check with your doctor before combining Feldene with the following:
Anticoagulants (blood thinners such as Coumadin)
Aspirin
Blood pressure medications known as ACE inhibitors, including Accupril,
Altace, Mavik, Prinivil, and Zestril
Furosemide (Lasix)
Lithium (Lithobid, Lithonate)
Methotrexate (Rheumatrex)
Thiazide-type water pills such as HydroDIURIL
Special information if you are pregnant or breastfeeding
Feldene is not recommended for use in nursing mothers or pregnant
women. If you are pregnant or plan to become pregnant, inform your
doctor immediately.
Recommended dosage for Feldene
ADULTS
Overdosage
Any medication taken in excess can have serious consequences. If you
suspect an overdose, seek medical attention immediately.
