Mobic Meloxicam
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Mobic (Meloxicam) is a nonsteroidal anti-inflammatory drug (NSAID).

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Uses

Meloxicam (mel-OX-i-kam) is used to treat pain, inflammation (swelling), and stiffness caused by osteoarthritis and rheumatoid arthritis. In addition, the drug has antipyretic (fever lowering) properties.

How to take

Take this medication by mouth, usually once daily, or as directed by your doctor. Drink a full glass of water with it unless your doctor tells you otherwise. Do not lie down for at least 30 minutes after you have taken this drug. If stomach upset occurs while taking this medication, take it with food, milk, or an antacid. Dosage is based on your medical condition and response to therapy. Do not take more than 15 milligrams (mg) per day because higher doses increase the chance of stomach side effects. It may take up to two weeks before the full benefits of this drug take effect. Use this medication regularly in order to get the most benefit from it. Remember to use it at the same time each day. Inform your doctor if your condition worsens.

Side effects

Stomach upset, nausea, drowsiness, or diarrhea may occur. If any of these effects persist or worsen, notify your doctor promptly. Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Tell your doctor immediately if any of these unlikely but serious side effects occur: easy bruising or bleeding, fainting, fast/pounding heartbeats, persistent/severe headache, mental/mood changes, ringing in the ears (tinnitis), sudden or unexplained weight gain, swelling of the hands or feet, vision changes. Tell your doctor immediately if any of these rare but very serious side effects occur: change in the amount of urine, seizures, signs of infection (e.g., fever, persistent sore throat), unexplained stiff neck. This medication may infrequently cause serious bleeding from the stomach or intestines. If you notice any of the following unlikely, but very serious side effects, stop taking Meloxicam and consult your doctor immediately: black stools, persistent stomach/abdominal pain, vomit that looks like coffee grounds. This drug may rarely cause serious liver disease. If you notice any of the following rare but very serious side effects, stop taking this medication and consult your doctor immediately: yellowing eyes and skin, dark urine, unusual/extreme tiredness. A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor. Symptoms of overdose may include: slowed or shallow breathing, extreme drowsiness, severe stomach pain, coffee ground-like vomit. If you suspect an overdose of Meloxicam, seek medical attention immediately.

Precaution

Before taking Meloxicam, tell your doctor if you are allergic to it; or to aspirin or other NSAIDs (e.g., Ibuprofen, Naproxen, Celecoxib); or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor if you have: a history of asthma that gets worse after taking aspirin or other NSAIDs (more trouble breathing with runny/stuffy nose). Before using this medication, tell your doctor your medical history, especially of: asthma, bleeding or clotting problems, blood disorders (e.g., anemia), dehydration, growth in the nose (nasal polyps), heart disease (e.g., congestive heart failure), high blood pressure, kidney disease, liver disease, poorly controlled diabetes, stomach problems (e.g., bleeding, ulcers), swelling (edema, fluid retention). This medication may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. This medication may cause stomach bleeding. Daily use of alcohol and tobacco, especially when combined with this medication, may increase your risk for stomach bleeding. Limit alcohol and smoking. This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths or sunlamps. Use a sunscreen and wear protective clothing when outdoors. Before having surgery, tell your doctor or dentist that you are using this medication. Caution is advised when using this drug in the elderly because they may be more sensitive to its side effects, especially stomach bleeding and kidney effects. This medication should be used only when clearly needed during the first 6 months of pregnancy. It is not recommended for use during the last 3 months of pregnancy due to possible fetal harm. Discuss the risks and benefits with your doctor. This medication may pass into breast milk and could have undesirable effects on a nursing infant. Therefore, breast-feeding is not recommended while using this medication. Consult your doctor before breast-feeding.

Drug interactions

This drug should not be used with the following medications because very serious interactions may occur: cidofovir, ketorolac. If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting Meloxicam. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: anti-platelet drugs (e.g., cilostazol, clopidogrel), oral bisphosphonates (e.g., alendronate), "blood thinners" (e.g., warfarin), cholestyramine, corticosteroids (e.g., prednisone), certain drugs which decrease immune system function (e.g., cyclosporine, tacrolimus), high blood pressure drugs (including ACE inhibitors such as captopril, angiotensin II receptor antagonists such as losartan, and beta-blockers such as metoprolol), lithium, methotrexate, pemetrexed, SSRI antidepressants (e.g., fluoxetine, sertraline, paroxetine), water pills (diuretics such as furosemide, hydrochlorothiazide). Check all prescription and nonprescription medicine labels carefully since many contain pain relievers/fever reducers (NSAIDs such as aspirin, ibuprofen, or naproxen). These medicines are similar to Meloxicam and if you take them together, your risk for side effects may increase. Low-dose aspirin (generally 81-325 mg per day), as prescribed by your doctor for specific medical reasons such as heart attack or stroke prevention, should be continued. Consult your doctor or pharmacist for more details.

Missed dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Store at room temperature 77 degrees F (25 degrees C) away from light and moisture. Brief storage up to 59 to 86 degrees F (15 to 30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

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