MELOXICAM

(mel OKS i kam) Brand: Mobic

What is the most significant information I must know about meloxicam?

• This medication may reason life-threatening heart or circulation problems such as heart onslaught or stroke, especially if you use it long term. Do not use meloxicam just till or after heart bypass surgery (coronary artery bypass graft, or CABG).

• Get abnormal medical help if you have chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.

• This medication may also reason serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and can occur without warning while you are taking meloxicam, especially in older adults.

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

• Avoid drinking alcohol. It may magnify your risk of stomach bleeding.

• Ask a doctor or pharmacist till using any another cool, allergy, or pain medication. Medicines similar to meloxicam are contained in much combination medicines. Check the label to see if a medication contains an NSAID (non-steroidal anti-inflammatory drug) such as aspirin, ibuprofen, ketoprofen, or naproxen.

What is meloxicam?

• Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID). Meloxicam works by reducing hormones that reason inflammation and pain in the body.

• Meloxicam is used to treat pain or inflammation caused by osteoarthritis or rheumatoid arthritis in adults and children who are at least 2 years old.

• Meloxicam may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking meloxicam?

• Do not use meloxicam just till or after heart bypass surgery (coronary artery bypass graft, or CABG).

• This medication may reason life-threatening heart or circulation problems such as heart onslaught or stroke, especially if you use it long term.

• You must not use this medicine if you are allergic to meloxicam, or if you have a history of allergic reaction to aspirin or another NSAIDs.

• Meloxicam may reason a delay in ovulation (the release of an egg from an ovary). You must not take meloxicam if you are undergoing fertility treatment, or are otherwise trying to get pregnant.

• To create certain you can safely take meloxicam, speak your doctor if you have any of these another conditions:

· a history of heart onslaught, stroke, or blood clot;

· heart malady, congestive heart failure, tall blood pressure;

· a history of stomach ulcers or bleeding;

· liver or kidney disease,

· a seizure mess such as epilepsy;

· asthma;

· polyps in your nose; or

· if you smoke.

• FDA pregnancy category D. Taking meloxicam during the recent 3 months of pregnancy may harm the unborn baby. Speak your doctor if you are pregnant or plan to become pregnant while using meloxicam.

• Meloxicam can pass into breast milk and may harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

• Do not give this medication to a baby younger than 2 years old without the advice of a doctor.

How must I take meloxicam?

• Take exactly as predesigned by your doctor. Do not take in larger or less amounts or for longer than recommended. Follow the directions on your prescription label.

• Meloxicam is generally taken once for day. Follow your doctor's instructions.

• You may take meloxicam with or without food.

• Shake the oral suspension (liquid) well just till you measure a doze. Measure the liquid with a particular dose-measuring spoon or medication cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

• If a baby is taking this medicine, speak your doctor if the baby has any changes in weight. Meloxicam doses are based on weight in children.

• The maximum amount of meloxicam for adults is 15 milligrams (mg) for day. Know the amount of meloxicam in the specific product you are taking.

• If you use meloxicam long-term, your blood will need to be tested often. Visit your doctor regularly.

• This medicine can reason you to have unusual results with determined medical trials. Speak any doctor who treats you that you are using meloxicam.

• Store at room temperature, away from moisture, heat, and light.

What happens if I miss a dose?

• Since meloxicam is taken as needed, you may not be on a dosing schedule. If you are taking the medicine regularly, take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• Overdose symptoms may include nausea, vomiting, dizziness, drowsiness, black or bloody stools, coughing up blood, fever, urinating smaller than normal or not at all, shallow breathing, fainting, seizure (convulsions), or coma.

What must I avoid while taking meloxicam?

• Avoid drinking alcohol. It may magnify your risk of stomach bleeding.

• Avoid taking meloxicam together with another NSAIDs such as aspirin, ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze), diflunisal (Dolobid), etodolac (Lodine), flurbiprofen (Ansaid), indomethacin (Indocin), ketoprofen (Orudis), ketorolac (Toradol), mefenamic acid (Ponstel), nabumetone (Relafen), or piroxicam (Feldene).

• Ask a doctor or pharmacist till using any another cool, allergy, or pain medication. Medicines similar to meloxicam are contained in much combination medicines. Taking determined commodity together can reason you to get too many of a determined type of drug Check the label to see if a medication contains an NSAID such as aspirin, ibuprofen, ketoprofen, or naproxen.

What are the possible side effects of meloxicam?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Stop using meloxicam and call your doctor at once if you have a serious side effect such as:

· 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 smaller than normal or not at all;

· nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

· skin rash, bruising, severe tingling, numbness, pain, muscle weakness; or

· severe skin reaction -- fever, sore throat, swelling in your person or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the person or upper body) and causes blistering and peeling.

• Smaller serious side effects may include:

· upset stomach, diarrhea, bloating, gas;

· dizziness, nervousness, headache;

· runny or stuffy nose, sore throat; or

· mild skin rash.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect meloxicam?

• Ask your doctor till using an antidepressant such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Symbyax), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft). Taking any of these medicines with an NSAID may reason you to bruise or bleed easily.

• Speak your doctor about all another medicines you use, especially:

· cyclosporine (Gengraf, Neoral, Sandimmune);

· lithium (Eskalith, Lithobid);

· a diuretic (water pill) such as furosemide (Lasix);

· glyburide (DiaBeta, Micronase);

· methotrexate (Rheumatrex, Trexall);

· a blood thinner such as warfarin (Coumadin, Jantoven);

· sodium polystyrene sulfonate (Kayexalate, Kionex);

· steroids (prednisone and others);

· an ACE inhibitor such as benazepril (Lotensin), enalapril (Vasotec), lisinopril (Prinivil, Zestril), quinapril (Accupril), ramipril (Altace), and others; or

· aspirin or another NSAIDs (non-steroidal anti-inflammatory drugs) such as diclofenac (Voltaren), etodolac (Lodine), ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprofen (Orudis), naproxen (Aleve, Naprosyn), and others.

• This list is not complete and another drugs may interact with meloxicam. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about meloxicam.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

(116)