The active substance tenoxicam belongs to the group of nonsteroidal anti-inflammatory drugs. This medication is indicated for :
- Treatment of painful inflammatory conditions of muscles, joints, tendons and ligaments.
- Treatment of menstrual pain.
This drug has a strong and lasting effect on pain and inflammation or swelling. It does not eliminate the causes of the muscle and joint conditions but improves symptoms.
Medizzine recommends consulting your doctor if you are unsure (or you do not know) why you have been given tenoxicam.
Other ingredients of available commercial presentations:
Tablets: The active substance is tenoxicam. The other ingredients include lactose monohydrate, corn starch, talc, magnesium stearate, macrogol 6000, hypromellose, titanium dioxide and iron oxide
Sachets granules: The active substance is tenoxicam. Other components include aspartame, skim milk powder and ethyl vanillin.
Injectable solution: Beside tenoxicam (10-20 mg/ml), the ingredients include sodium phosphate, mannitol and water for injection.
Warning:
The composition of the various presentations may vary from one country to another. We recommend you consult the information provided by your local supplier.
Do not use tenoxicam
If you are allergic (hypersensitive) to tenoxicam, to acetylsalicylic acid (aspirin and others) and to any other nonsteroidal anti-inflammatory drug or any of the other ingredients of the medicinal product prescribed to you. If you think may be allergic, ask your doctor.
Allergy symptoms may include:
- Asthma attacks with shortness of breath, audible wheezing or rapid breathing.
- More or less sudden swelling of the face, lips, tongue or elsewhere in the body. It is especially critical if it affects the vocal cords.
- Hives, itching, rash
- Anaphylactic shock (loss of consciousness, paleness, sweating, etc.).
Nor you should take this medicine:
- If you react with asthma, rhinitis or skin changes when you take medications containing salicylates as an active ingredient, or other nonsteroidal anti-inflammatory drugs (NSAIDs).
- If you have a severe liver or kidney failure.
- If you have had an ulcer or bleeding stomach or duodenum or have suffered a perforation of the digestive system.
- If you have a severe heart failure.
- If you are in the third trimester of pregnancy.
Take special care with tenoxicam
- If you have or have had a severe kidney disease
- If you have or have had a liver disease
- If you have or have had vision problems
- If you are taking other medicines of the same type as tenoxicam (anti-inflammatory nonsteroidal)
It is important that you use the lowest dose that relieves / control pain. tenoxicam should not be taken longer than necessary to control symptoms.
Gastrointestinal precautions:
Take special care:
- If you have had or develop an ulcer, bleeding or perforation of the stomach or duodenum, which can be manifested by an intense or persistent abdominal pain and/or black stools, or even without previous warning symptoms .
- This risk is higher when high doses and prolonged treatment are used, in patients with a history of peptic ulcer disease, and in the elderly. In these cases, your doctor will consider the possibility of associating a protective medicine stomach .
Tell your doctor:
- If simultaneously you are taking medications that alter the blood clothing such as corticosteroids, oral anticoagulants or antiplatelet agents acetylsalicylic type acid. You should also tell the use of other drugs that may increase the risk of bleeding such as corticosteroids and antidepressants selective inhibitors of serotonin reuptake
- If you have Crohn's disease or ulcerative colitis since the drugs from the type of tenoxicam may worsen these conditions.
Cardiovascular precautions:
Medications such as tenoxicam may be associated with a small increased risk of suffering a brain or heart attack (stroke, myocardial infarction). This risk is more likely to occur when high doses and prolonged treatment are used. Do not exceed the dose nor the recommended duration of the treatment.
If you have heart problems, history of stroke, or think you might be at risk to suffer these pathologies (eg, if you have high blood pressure, diabetes, have increased cholesterol or you are a smoker) should consult this treatment with your doctor or pharmacist.
In addition, these drugs can cause fluid retention, especially in patients with heart failure and/or high blood pressure (hypertension).
- If you had or develop an ulcer, bleeding or perforation of the stomach or duodenum, which can be manifested by a severe or persistent abdominal pain and/or black stools, or even without previous warning symptoms.
- This risk is higher when are used high doses and prolonged treatment or in patients with a history of peptic ulcer disease, and in the elderly. In these case, your doctor will consider the possibility of associating a protective medicine for the stomach.
Tell your doctor:
- If you have kidney or liver impairment.
- If you have blood problems.
- If you have heart disease or other diseases.
- If you have allergies.
- If you are going to be operated and are taking tenoxicam, as the doctor will decide about your treatment.
- If, simultaneously, you are taking medications that alter blood clothing, such as corticosteroids, oral anticoagulants, antiplatelet agents or aspirin-type. You should also tell the doctor if you take other medicines that could increase the risk of bleeding such as steroids, and antidepressants selective reuptake inhibitors (SSRIs).
- If you have Crohn's disease or ulcerative colitis because the type tenoxicam medications may worsen these conditions.
Cardiovascular precautions
Medications such as tenoxicam can be associated with a small increased risk of heart attack (myocardial infarction) or stroke. This risk is more likely to occur when high doses and prolonged treatment are used. Do not exceed the dose or the recommended duration of treatment.
If you have heart problems, history of stroke, or think you might be at risk to suffer these pathologies (eg, you have high blood pressure, diabetes, increased cholesterol, or you are a smoker), you should consult this treatment with your doctor or pharmacist.
Also, these drugs can cause fluid retention, especially in patients with heart failure and/or high blood pressure (hypertension).
Consult your doctor, if any of the above circumstances had ever happened.
Remember that your doctor has prescribed this medicine only for you. Never give it to someone else.
If in doubt, consult your doctor.
Taking other medicines
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including herbal products or drugs obtained without a prescription.
This is very important because when taking several medications at the same time its effects may increase or decrease. For example, other drugs used to treat muscle or joint pain (salicylates or other non-steroidal anti-inflammatory drugs) can increase the frequency of gastrointestinal side effects (stomach upset).
Caution should be exercised when taking tenoxicam with other medicines containing methotrexate, as they can produce serious side effects such as blood problems, liver or kidney disease, as well as diarrhea or inflammation and ulceration of the mouth.
The combination of tenoxicam and lithium may cause undesirable effects such as tremor, vomiting, skin redness, and fluid retention. However, have not been detected clinically relevant interactions between tenoxicam and low molecular weight heparin.
You should consult your doctor if you are taking medicines containing the following active ingredients:
- Salicylates,
-Other NSAIDs,
- Potassium-sparing diuretics (substances that increase urine flow),
- Alpha-adrenergic blockers,
- Hydrochlorothiazide,
- ACE inhibitors (substances that lower blood pressure),
- Anticoagulants (blood-thinning substances),
- Antidiabetic (substances that reduce blood sugar levels),
- Corticosteroids (substances for the treatment of allergic reactions eg as asthma or alterations of the skin).
Use with food and beverages
tenoxicam should be taken with or after food
Special physiological situations
Pregnancy and lactation:
Always consult your doctor or pharmacist before taking any medicine during pregnancy or breastfeeding.
Because the administration of tenoxicam type drugs has been associated with an increased risk of birth defects or abortions, its administration is not recommended during the first and second trimester of pregnancy unless it is considered absolutely necessary. In these cases, the dose and duration will be limited to a minimum.
During the third trimester of pregnancy, tenoxicam administration is contraindicated.
Patients of childbearing age should take into account that tenoxicam-type medicines have been associated with a decreased ability to conceive.
The active ingredient tenoxicam is excreted in breast milk in small amounts. Your doctor will decide if you can take this medication during breastfeeding.
Use in children
This medicine should not be used in children.
Use in elderly
Not required taking special precautions.
Driving and using machines
Depending on the individual response to tenoxicam, it may be affected the ability to drive or operate machinery; therefore, the patient treated with this drug must ensure that retains their reflexes before driving a car or operating machinery.
Consult your doctor or pharmacist before taking any medicine.
Follow carefully instructions of use of tenoxicam provided by your doctor. Consult your doctor or pharmacist when in doubt. Follow the instructions of the physician in preference to those given in this website, which may be different. Ask your doctor to explain any aspect that you do not understand, contained in the instruction leaflet that comes with the medicine.
It is important that you use the lowest dose that relieves or control pain and you should not take this medicine for longer than necessary to control symptoms.
Tenoxicam should always be administered at the same time each day, preferably during or immediately after meals. In the event that your doctor has prescribed the tablets, swallow them without chewing, with water or other nonalcoholic beverage. The tablets can be easily split into two halves.
For the treatment of rheumatic disorders, muscle, and joint pain, a dose of 20 mg a day is enough. However, the doctor may prescribe a different dose.
For treatment of menstrual pain, it is recommended 20 or 40 mg per day, depending on the intensity of pain.
In any case, the single daily dose should not exceed 40 mg tenoxicam.
This medicine provides relief soon after starting treatment and this relief may increase over time. In prolonged treatment, the doctor may prescribe lower daily doses to maintain the effect of tenoxicam.
Use in elderly:
Normally, in elderly patients, no specific dose modification is required.
If the patient has problems with liver, kidney, heart, blood or stomach, the doctor will decide if it is appropriate to administer tenoxicam at lower doses or if the patient should not take the drug.
Do not change the dose prescribed by your doctor.
You should not stop treatment on your own because the doctor is who should decide the duration. If the doctor deems it appropriate, you can restart treatment with this medicine later.
If you think the effect of the medicine is too strong or too weak, consult your doctor.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
If a doctor prescribes another medicine, tell you are taking tenoxicam.
Check with your doctor regularly developments of disorder that motivates the use of tenoxicam. Maybe there is some reason that prevented you properly receive the indicated doses and induce your doctor to erroneous conclusions about treatment.
Do not restart treatment with tenoxicam at your own risk without first talking to your doctor, nor encourage its use by another person, even if have the same symptoms you have. Nor is it advisable to interrupt or reduce the dose without considering the opinion of your doctor.
If you feel unwell during treatment with tenoxicam, immediately consult your doctor.
If you take more than you should:
In the case of overdose or accidental ingestion, consult the Toxicology Information Service in your country.
If the amount ingested is important, immediately consult your doctor or pharmacist or go to the emergency room of the nearest hospital. Take the pack and the rest of unconsumed medicine.
If you forget to take tenoxicam
If you miss a dose, take the medication as soon as you remember and then continue as usual.
Do not take a double dose to make up for missed doses.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
Like all medicines, tenoxicam can cause side effects although not everybody gets them.
The frequency of side effects is classified into:
Very common: affect 1 out of 1-10 patients
Common: affect 1 out of 10-100 patients
Uncommon: affect 1 out of 100-1.000 patients
Rare: affect 1 out of 1.000-10.000 patients
Very Rare: affect less than 1 in 10,000 patients
Incidence not known: Can not be established the true incidence from the available data
Tenoxicam is generally well tolerated by most patients.
The most common side effects are the loss of appetite and dry mouth.
Sometimes may occur fatigue sleep disorders, itching,redness of the skin, dizziness and headaches. Generally, these effects are temporary and rarely is necessary to stop treatment.
Gastrointestinal side effects:
The most common side effects that occur with drugs such as tenoxicam are gastrointestinal:
Peptic Ulcers, gastrointestinal bleeding,
perforations (in some cases fatal), especially in the elderly.
They have also been observed nausea, vomiting, diarrhea, flatulence, constipation, heartburn, abdominal pain, blood in stool, canker sores, worsening of ulcerative colitis and Crohn disease. Less frequently, it has been observed the occurrence of gastritis.
Cardiovascular side effects:
Medications such as tenoxicam may be associated with a moderate increase in the risk of heart attack (myocardial infarction) or stroke.
Cutaneous side effects:
Medications such as tenoxicam may be associated, rarely to very serious bullous reactions such as Stevens-Johnson syndrome and Toxic Epidermal Necrolysis.
Liver side effects:
Medications such as tenoxicam may be associated with liver disorders that may cause yellowing of skin and eyes (jaundice), sometimes with high fever or
swelling and sensitivity of the upper abdomen.
If any of the following events occurs: yellowing eyes or skin discoloration, discontinue treatment and immediately tell your doctor.
In exceptional cases, they may appear swollen ankles, redness of the skin, increased sensitivity to sunlight, blue marks, visual disorders, vomiting blood, stomach pain intense, swelling of the face, asthma or flu-like symptoms, vasculitis, hepatitis.
If you have any of these symptoms, consult your doctor immediately, who will decide if to suspend the tenoxicam treatment.
This list does not include all adverse reactions associated with the use of tenoxicam, both well established as those that are under consideration or confirmation. In case you feel unwell, should immediately consult with the doctor who prescribed this medicine.
If you notice any side effects not listed in this website or in the leaflet accompanying the package, ask your doctor or pharmacist.
If any of the side effects gets serious, tell your doctor or pharmacist.
This page contains list of brands of authorized pharmaceutical specialties of the active principle tenoxicam in the countries listed below:
[ Australia] [ Brazil] [ Canada] [ France] [ Germany] [ India] [ Italy] [ Japan] [ Mexico] [ Pakistan] [ Puerto Rico] [ Spain] [ Turkey] [ United Kingdom] [ U.S.A]
Given the nature of the pharmaceutical market, some specialties may be unavailable, have been removed from the pharmaceutical market or have changed its name. So that, in no case can take decisions based on the information contained in the page. MEDIZZINE is not responsible for any damage arising from the information provided, which may be incomplete or outdated.
Warning:
With exceptions expressly indicated, these lists do not include active principle associations with other drugs or clinical use containers.
Australia: ▲
N/A
Brazil: ▲
TEFLAN 20 mg, 10 tablets
TEFLAN 10-20 mg/ml, 2 ml injectable solution
TENOTEC 20 mg, 10 tablets
TENOXICAM EMS 20 mg, 10 tablets
TENOXICAM CRISTALIA 10-20 mg/ml, 2 ml injectable solution
TENOXICAM EUROFARMA 10-20 mg/ml, 2 ml injectable solution
TENOXICAM GERMED 20 mg, 10 tablets
TENOXICAM NEO QUIMICA 20 mg, 10 tablets
TENOXICAM RANBAXY 20 mg, 10 tablets
TILATIL 20 mg, 10 tablets
TILATIL 10 mg/ml, 2 ml injectable solution
TILOXICAN 25 mg, 10 tablets
Canada: ▲
TENOXICAM AA PHARMA 20 mg, 100 tablets
France: ▲
TILCOTIL 20 mg, 15 tablets
Germany: ▲
N/A
India: ▲
NOVOTIL 20 mg, 50 tablets
TOBITIL 20 mg, 10 tablets
Italy: ▲
DOLMEN 10 mg/ml, injectable solution
DOLMEN 20 mg, 30 tablets
DOLMEN 20 mg, 30 sachets granules
DOLMEN 20 mg 10 suppositories
REXALGAN 10 mg/ml, injectable solution
REXALGAN 20 mg, 30 sachets granules
BART 20 mg, 30 tablets
TILCOTIL 10 mg/ml, injectable solution
TILCOTIL 20 mg, 30 tablets
Japan: ▲
N/A
Mexico: ▲
TILCOTIL 20 mg, 10 effervescent tablets
Pakistan: ▲
FENKIL 20 mg, tablets
JEXIM 20 mg, tablets
NEO-ENDUSIX 20 mg, tablets
OSTACS 20 mg, tablets
PAUMIN 20 mg, tablets
SENOXI 20 mg, tablets
TENOXAM 20 mg, tablets
TENOXIM 20 mg, tablets
TENOXITIL 20 mg, tablets
TILCOTIL 20 mg, tablets
TOBITIL 20 mg, tablets
Spain: ▲
REUTENOX 20 mg, 20 tablets
REUTENOX 20 mg, 20 sachets granules
Turkey: ▲
TILKO 20 mg, 10 capsules
OKSAMEN-L 20 mg, injectable solution
TENOKSAN 20 mg, 10 capsules
TILCOTIL 20 mg, 10 suppositories
United Kingdom: ▲
MOBIFLEX 20 mg, 30 tablets
TENOXICAM SANDOZ 20 mg, 28 tablets
U.S.A. and Puerto Rico: ▲
N/A
Page updated: December 21, 2010.