Melflam Tablets

Meloxicam
7.5mg
CIPLA LTD.
Pack size 10's Blister
Dispensing mode POM
Source INDIA
AgentNATIONAL TRADING AND PHARMACEUTICAL ESTABLISHMENT
Retail Price 7.50 AED

Indications

Melflam Tablets is used for: Rheumatoid arthritis, Osteoarthritis, Ankylosing spondylitis

Adult Dose

Oral Rheumatoid arthritis; Ankylosing spondylitis Adult: 15 mg daily as a single dose. Patients w/ increased risk of adverse effects: Initially, 7.5 mg daily. Acute exacerbations of osteoarthritis Adult: 7.5 mg daily up to max 15 mg daily as a single dose. Elderly: 7.5 mg daily for long-term treatment.

Child Dose

Oral Juvenile rheumatoid arthritis Child: >2 yr 0.125 mg/kg once daily. Max: 7.5 mg daily.

Renal Dose

Renal impairment: Mild to moderate: No dosage adjustment needed. Severe: Not recommended. Dialysis patient: 7.5 mg daily.

Administration

May be taken with or without food. May be taken w/ meals if GI discomfort occurs.

Contra Indications

Hypersensitivity to meloxicam, aspirin or other NSAIDs; severe hepatic impairment; bleeding disorders; renal failure without dialysis. Rectal admin in patients with proctitis, haemorrhoids or rectal bleeding.

Precautions

History of GI disease, asthma, hypertension, CVD or risk factors, fluid retention or heart failure. Monitor patients with advanced renal disease. May impair ability to drive or operate machinery. Elderly. Pregnancy (avoid in the 3rd trimester) and lactation.

Pregnancy-Lactation

Pregnancy category: C; D in third trimester of pregnancy; drug should be avoided in late pregnancy Lactation: Unknown whether drug is excreted in breast milk; effect on infant unknown; not recommended

Interactions

Increased risk of severe GI effects w/ aspirin or warfarin. May antagonise antihypertensive effects of ACE inhibitors and angiotensin II receptor antagonists. May reduce natriuretic effects of furosemide and thiazides. Enhanced toxicity of methotrexate. May increase plasma lithium concentration.

Adverse Effects

Side effects of Meloxicam : 1-10% Indigestion (3.8-9.5%), Upper respiratory infection (<8.3%), Headache (2.4-8.3%), Diarrhea (1.9-7.8%), Nausea (2.4-7.2%), Abdominal pain (1.9-4.7%), Edema (0.6-4.5%), Anemia (<4.1%), Dizziness (1.1-3.8%), Constipation (0.8-2.6%), Angina (<2%), Congestive heart failure (<2%), Decreased platelet aggregation, purpuric disorder (<2%), Gastrointestinal (GI) hemorrhage (<2%), GI perforation, GI ulcer (<2%), Hepatitis (<2%), Hypertension (<2%), Inflammatory disorder of digestive tract (<2%), Myocardial infarction (<2%), Vomiting (<3%) <1% Anaphylactoid reaction, Angioedema, Fever, Asthma, bronchospasm, Cerebrovascular accident, Erythema multiforme, erythroderma, Immune hypersensitivity reaction, Interstitial nephritis, renal failure, Jaundice, liver failure, Stevens-Johnson syndrome, Tinnitus, hearing loss, Toxic epidermal necrolysis Potentially Fatal: Stevens Johnson syndrome, thrombocytopenia, interstitial nephritis and idiosyncratic liver abnormality.

Mechanism of Action

Meloxicam is an oxicam derivative which exhibits analgesic, antipyretic and anti-inflammatory actions. It reversibly inhibits the cyclooxygenase-1 and -2 (COX-1 and -2) enzymes, thus resulting in reduced synthesis of prostaglandin precursors.

Note

Melflam 7.5mg Tablets manufactured by CIPLA LTD.. Its generic name is Meloxicam. Melflam is availble in United Arab Emirates. Farmaco UAE drug index information on Melflam Tablets is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

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