PIROLAN (Piroxicam BP 20mg)
PIROLAN is one of a group of medicine called non-steroidal anti-inflammatory drugs (NSAIDs). This means that it will help to relieve pain and reduce swelling affecting joints.
PIROLAN is used to relieve some symptoms caused by osteoarthritis (joint disease), rheumatoid arthritis and anklyosing spondylitis (rheumatism of the spine) such as swelling, stiffness and joint pain. This medicine does not cure arthritis and will help you only as long as you continue to take it. Your doctor will only prescribe PIROLAN to you when you have had unsatisfactory relief of symptoms with other NSAIDs.
Do not take PIROLAN
- if you have previously had or currently have a stomach or intestinal ulcer, bleeding or perforation
- if you have, or have previously had disorders of the stomach or intestines such as ulcerative colitis, Crohn’s disease, gastrointestinal cancers or diverticulitis (inflamed or infected pouches/pockets in the colon.)
- if you take other NSAIDs such as ibuprofen, celecoxib or acetylsalicylic acid (aspirin), a substance present in many medicines used to relieve pain and lower fever.
- If you are taking anticoagulants such as warfarin, to prevent blood clots
- if you previously had an allergic reaction to piroxicam, (the active ingredient in this medicine) or any of the other ingredients, other NSAIDs or any other medications, especially serious skin reactions (regardless of severity) such as exfoliative dermatitis (intense reddening of skin, with skin peeling off in scales or layers), Stevens-Johnson syndrome (symptoms are rash, blistering or peeling of the skin, mouth, eyes or genitals) or toxic epidermal necrolysis (a disease with blistering and peeling of the top layer of skin).
- If you have a severe heart failure
- if you are in the last three months of pregnancy.
Taking other medicines
Tell your doctor about any other medicines you are taking or took recently (in the last week)-even medicines you bought yourself without a prescription. Medicines can sometimes interfere with each other. Your doctor may limit your use of PIROLAN or other medicines, or you may need to take a different medicine.
Taking PIROLAN with food and drink
PIROLAN should be taken with or after food
Pregnancy and breast feeding
if you are pregnant, planning pregnancy or breast feeding tell your doctor before you take PIROLAN. Do not take PIROLAN if you are in the last three months of pregnancy. It is not usually recommended at other stages of pregnancy, but you may be able to take if your doctor advises that it is necessary for you.
Driving and using machinery
These capsules can cause some people to feel dizzy, drowsy, tired or have prolonged problems with their vision. If you are affected, do not drive or operate machinery.
How to take PIROLAN
Always take PIROLAN exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
Your doctor will give you a regular check-up to make sure you are taking the optimal dose of PIROLAN.
Your doctor will adjust your treatment to the lowest doses that best controls your symptoms. Under no circumstances should you change your dose without first speaking to your doctor.
Swallow your capsules whole with a glass of water. It is best to take your capsules at the same time each day with food or soon after eating.
Adults: The maximum daily dose of PIROLAN is 20 milligrams taken as one single daily dose.
Elderly: if you are older than 70 years, your doctor may prescribe a lower daily dose and reduce the duration of treatment.
If you feel that the medicine is not very effective always talk to your doctor. Do not increase the dose.
If you take more PIROLAN than you should:
If you accidentally take too much PIROLAN contact your doctor at once or go to the nearest hospital casualty department. Always take the labeled medicine package with you, whether there is any PIROLAN left or not.
If you forget to take PIROLAN:
If you forget to take a dose; take it as soon as you remember unless it is time for your next dose. Do not take a double dose to make up for a missed dose.
If you have any further questions on how to take this product, ask your doctor or pharmacist.
Possible side effects
Like all medicines, PIROLAN can cause side effects, although not everybody gets them.
Tell your doctor immediately and stop taking PIROLAN if you experience any of the following symptoms after taking this medicine:
- Any sign of bleeding in the stomach or intestines, such as passing black or bloodstained bowel movements or vomiting blood.
- Sudden wheeziness, difficulty in breathing, fever, swelling of eyelids, face or lips, rash or itching (especially affecting the whole body).
- A rash, blistering or peeling of the skin, mouth, eyes or genitals
- yellowing of the skin and the whites of your eyes (jaundice) which may be a sign of hepatitis or other liver problems
The most reported side effects with PIROLAN are:
- diarrhoea or constipation or wind
- feeling sick (nausea), vomiting, loss of appetite
- sore mouth and/or lips
- stomach aches, indigestion, abdominal pain/discomfort
- stomach (peptic) ulcers