Meloxicam helps relieve pain and reduce inflammation. It is used to provide relief in pain associated with joint disorders such as ankylosing spondylitis (inflammation in joints of your spine), rheumatoid arthritis (inflammation in joints of fingers, wrists, feet, ankles) and osteoarthritis (damage of joints' surfaces).
Meloxicam may be used to treat other conditions as decided by your doctor.
Take Meloxicam exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take Meloxicam with or without food. Try to take it at the same time each day. If you experience stomach discomfort with this medicine, take it with food or milk.
Meloxicam is available as a tablet, orodispersible tablet or capsule. Do not change from one drug form to another without consulting your doctor first.
If you are taking the orodispersible tablet:
- Remove it from the foil only just before you take it. Do not leave the orodispersible tablet exposed to air. Do not push the orodispersible tablet through the foil as it is fragile and easily broken.
- Remove the orodispersible tablet with dry hands by peeling the backing off the foil and tipping the tablet onto your dry hands.
- Place the orodispersible tablet directly on your tongue as soon as it is taken out of the foil. The orodispersible tablet will immediately start to melt on the tongue. It can then be swallowed with or without water.
Do not cut, break or crush the orodispersible tablets.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Do not take Meloxicam if you have a history of allergic reactions (swollen eyes or mouth, difficulty breathing, rashes) to similar painkillers such as aspirin, mefenamic acid, indomethacin, ketoprofen, naproxen or piroxicam.
Alert your doctor if you have the following conditions:
- severe heart disease
- active stomach ulcer or bleeding
- severe liver disease
- high blood pressure
- history of stomach problems (e.g. inflammation, stomach ulcer or bleeding)
- history of stomach ulcer or bleeding after use of NSAID (medicine for pain and inflammation)
as Meloxicam may not be suitable for you.
This medicine should not be used to treat pain before and after coronary artery bypass graft surgery (procedure to improve and restore the blood flow in the heart).
Do not take this medicine if you are on your 3rd trimester of pregnancy. If you become pregnant while on Meloxicam therapy, alert your doctor immediately. This medicine may cause harm to your unborn child. You may wish to discuss other reliable methods of birth control with your doctor.
Do not take this medicine if you are breastfeeding.
Inform your doctor if you have the following conditions:
- heart disease including recent heart attack or high blood pressure
- dehydration or low blood volume
- blood disorder
- smoking or alcohol addiction
- mild to moderate kidney or liver disease
- stomach problems (e.g. heartburn, ulcer, bleeding)
Let your doctor know if you are pregnant.
If you are going for an operation, including minor operations and dental work, inform your doctor or dentist that you are taking Meloxicam.
Be sure to check with your doctor or pharmacist before giving this medicine to a child or elderly. Children and elderly may be more sensitive to the side effects.
For as long as you are taking this medicine, you may need to have regular blood tests to check the health of your kidney and liver. Your doctor will advise you how often you need to have them.
Meloxicam may cause drowsiness, dizziness or blurred vision. If affected, do not drive or take part in any activity in which you need to be alert or need to see clearly.
Other side effects include any of the following: headache, weakness or tiredness, vomiting, nausea, constipation, stomach wind, indigestion, diarrhoea, mouth sores, stomach pain, dizziness with sensation of spinning, weight gain or loss, confusion, nervousness, rash, itching, anxiousness, and feeling depressed.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- difficulty breathing, swelling of the face and throat
- chest pain, shortness of breath, cold or clammy skin
- swelling of the ankles, feet or legs
- pass out blood or black, tarry stools or vomit coffee-ground-like vomitus
- rashes with peeling of the skin or blistering of the lips, mouth or eyes accompanied by fever
This medicine may cause the level of your red blood cells, white blood cells and platelets to drop.
Red blood cells carry oxygen around your body. A fall in the level of red blood cells may make you feel tired and worn out.
White blood cells help your body to fight infections. A fall in the level of your white blood cells may put you at higher risk for infections, such as coughs, colds and flu, which may lead to more serious infections. Avoid crowded places and people who are sick. Alert your doctor if you have a fever, or a cough or flu that does not go away.
Platelets help your blood to clot when there is a cut in the skin. A fall in the level of your platelets may put you at risk of bleeding more than usual. Do not take part in activities where you may fall or get injured, such as contact sports. Alert your doctor if you get any unusual bruising (large bruises or several bruises, especially if the bruises appeared on their own) or bleeding that takes a long time to stop (for example, too much bleeding when you floss or brush your teeth).
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- medicines to treat depression e.g. fluoxetine
- blood-thinning medicines e.g. aspirin, warfarin
- medicine for pain and inflammation e.g. prednisone, ibuprofen, indomethacin
- medicines used in organ transplant or certain immune disorders e.g. tacrolimus, methotrexate, ciclosporin
- medicines for high blood pressure or heart disease e.g. captopril, losartan, metoprolol, digoxin
- medicines for water retention (water pills) e.g. furosemide, hydrochlorothiazide
- lithium (medicine for mood disorder)
- colestyramine (cholesterol medicine)
This list does not include all medicines that may interact with Meloxicam.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Store in a cool, dry place away from the reach of children. Protect from moisture.
The orodispersible tablet must be kept in its original foil wrapper and original container. Do not store the orodispersible tablets in any other container except its original.
Medicines must not be used past the expiry date.