Tenoxicam Contraindications is an anti-inflammatory agent with analgesic and antipyretic properties is used to treat osteoarthritis and control acute pain. Tenoxicam is a nonsteroidal anti-inflammatory drug (NSAID). It is available as a prescription-only drug in the United Kingdom and other countries, but not in the US. Outside the United Kingdom, tenoxicam is also marketed under brand names including Tilatil, Tilcitin, and Alganex.
Tenoxicam belongs to the class of NSAIDs known as oxicams. It is used to relieve inflammation, swelling, stiffness, and pain associated with rheumatoid arthritis, osteoarthritis, ankylosing spondylitis (a type of arthritis involving the spine), tendinitis (inflammation of a tendon), bursitis(inflammation of a bursa, a fluid-filled sac located around joints and near the bones), and periarthritis of the shoulders or hips (inflammation of tissues surrounding these joints)
Mechanism of Action of Tenoxicam
The anti-inflammatory effects of tenoxicam may result from the inhibition of the enzyme cyclooxygenase and the subsequent peripheral inhibition of prostaglandin synthesis. As prostaglandins sensitize pain receptors, their inhibition accounts for the peripheral analgesic effects of tenoxicam. Antipyresis may occur by central action on the hypothalamus, resulting in peripheral dilation, increased cutaneous blood flow, and subsequent heat loss. Tenoxicam is an NSAID which has marked anti-inflammatory and analgesic activity and some antipyretic activity. As with other NSAIDs, the precise mode of action is unknown, though it is probably multifactorial, involving inhibition of prostaglandin biosynthesis and reduction of leucocyte accumulation at the inflammatory site.
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The anti-inflammatory effects of tenoxicam may result from the inhibition of the enzyme cyclooxygenase and the subsequent peripheral inhibition of prostaglandin synthesis. As prostaglandins sensitize pain receptors, their inhibition accounts for the peripheral analgesic effects of tenoxicam. Antipyresis may occur by central action on the hypothalamus, resulting in peripheral dilation, increased cutaneous blood flow, and subsequent heat loss.
Tenoxicam Indications
Tenoxicam tablet is used for the treatment, control, prevention, & improvement of the f
- For the treatment of rheumatoid arthritis, osteoarthritis, backache, and pain.
- Osteoarthritis
- Rheumatoid arthritis
- Ankylosing spondylitis
- Gouty arthritis
- Pain due to especially musculoskeletal system
- Lumbago
- Low back pain
- PLID
- Polyarthralgia
- Muscles stiffness in nerve diseases
- Morning stiffness
- Multiple joint pain
- Steroid induce arthritis
- Muscles stiffness in spinal
- Muscles stiffness in muscle diseases
- headache
- the common cold
- toothache
- muscular aches
- backache
- menstrual cramps
- minor pain of arthritis temporarily reduces fever
- Polyarthralgia
- Muscles stiffness in nerve diseases
- Frozen shoulder
Tenoxicam Contraindications
- Active peptic ulcer
- Acute rhinitis
- Allergic to thiocolchicoside
- Asthma
- Breastfeeding
- Pregnant
- Concurrent peptic ulcer, or history of ulcer disease
- Allergy to ibuprofen, indomethacin, aspirin, or other NSAIDs
- Patients with nasal polyps reacting with angioedema to other NSAIDs
- Children under 2 years of age (with the exception of neonates with patent ductus arteriosus)
- Severe pre-existing renal and liver damage
- Caution: pre-existing bone marrow damage (frequent blood cell counts are indicated)
- Caution: bleeding tendencies of unknown origin (inhibits platelet aggregation)
- Caution: Parkinson’s disease, epilepsy, psychotic disorders ( may worsen these conditions)
- Concurrent with potassium sparing diuretics
- Patients who have a patent ductus arteriosus dependent heart defect (such as transposition of the great vessels)
- Significant hypertension (high blood pressure)
- Concomitant administration of lithium salts (such as lithium carbonate)
Dosage of Tenoxicam
Strengths: 20 mg
Osteoarthritis, Rheumatoid arthritis
- 20 mg as a single dose, taken at the same time each day. Treatment duration: Up to 7 days for acute musculoskeletal disorders and up to 14 days for severe cases.
- Use the lowest effective dose for the shortest possible duration.
Acute musculoskeletal disorders, Osteoarthritis, Rheumatoid arthritis
Parenteral
- Initially, 20 mg IM/IV as a single dose given for 1-2 days, to be continued w/ the oral form, administered at the same time each day.
- Treatment duration: Up to 7 days for acute musculoskeletal disorders and up to 14 days for severe cases.
- Use the lowest effective dose for the shortest duration.
Drug Interactions of Tenoxicam
Tenoxicam may interact with following drugs, supplements & may change the efficacy of drugs
- aminoglycoside antibiotics (e.g., amikacin, gentamicin, tobramycin)
- angiotensin-converting enzyme inhibitors (ACEIs; e.g., captopril, enalapril, ramipril)
- angiotensin receptor blockers (ARBs; e.g., candesartan, irbesartan, losartan)
- beta-adrenergic blockers (e.g., metoprolol, atenolol)
- calcium channel blockers (e.g., amlodipine, diltiazem, nifedipine, verapamil)
- celecoxib
- cilostazol
- clopidogrel
- corticosteroids (e.g., dexamethasone, hydrocortisone, prednisone)
- cyclosporine
- diuretics (water pills; e.g., furosemide, hydrochlorothiazide,)
- 5-ASA medications (e.g. sulfasalazine)
- glucosamine
- haloperidol
- heparin
- methotrexate
- multivitamins
- other non-steroidal anti-inflammatory medications (NSAIDs; e.g., diclofenac, ibuprofen, ketorolac, naproxen)
- Omega-3 fatty acids
- pentoxifylline
- quinolone antibiotics (e.g., ciprofloxacin, ofloxacin)
- selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, duloxetine, fluoxetine, paroxetine, sertraline)
- serotonin/norepinephrine reuptake inhibitors (SNRIs; duloxetine, )
- tricyclic antidepressants (e.g., amitriptyline, clomipramine, desipramine, trimipramine)
- warfarin
Pregnancy Category of Tenoxicam
FDA Pregnancy Category B.
Pregnancy
This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Lactation
This medication passes into breast milk. If you are a breastfeeding mother and are taking tenoxicam, it may affect your baby. Talk to your doctor about whether you should continue breastfeeding. The safety and effectiveness of using this medication have not been established for children and adolescents less than 16 years of age.
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