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Meloxicam Capsules

Meloxicam Capsules Generic Name & Formulations General Description

Meloxicam 5mg, 10mg.

Pharmacological Class

NSAID (oxicam).

Mechanism of Action

The mechanism of action, like that of other NSAIDs, is not completely understood but involves inhibition of cyclooxygenase (COX-1 and COX-2). Meloxicam is a potent inhibitor of prostaglandin synthesis in vitro. Prostaglandins sensitize afferent nerves and potentiate the action of bradykinin in inducing pain in animal models. Prostaglandins are mediators of inflammation. Because meloxicam is an inhibitor of prostaglandin synthesis, its mode of action may be due to a decrease of prostaglandins in peripheral tissues.

Meloxicam Capsules Indications Indications

Osteoarthritis pain.

Meloxicam Capsules Dosage and Administration Adult

Use lowest effective dose for shortest duration. ≥18yrs: initially 5mg once daily; may increase up to max 10mg/day. Hemodialysis: max 5mg/day.

Children

<18yrs: not established.

Meloxicam Capsules Contraindications Contraindications

Aspirin or other NSAID allergy. Coronary artery bypass graft surgery.

Meloxicam Capsules Boxed Warnings Boxed Warning

Risk of serious cardiovascular and gastrointestinal events.

Meloxicam Capsules Warnings/Precautions Warnings/Precautions

Not interchangeable with other forms of oral meloxicam. Increase risk of serious cardiovascular events (including MI, stroke). Avoid in recent MI or severe HF; if used, monitor for cardiac ischemia or worsening HF. Hypertension; monitor BP. Increased risk of serious GI adverse events (eg, inflammation, bleeding, ulceration, perforation). History of ulcer disease and/or GI bleeding. Advanced liver disease and/or coagulopathy. Discontinue if signs/symptoms of liver disease develops. Hepatic or renal impairment; monitor. Dehydration. Hypovolemia; correct volume status prior to starting. Avoid in advanced renal disease; if used, monitor for worsening renal function. Pre-existing asthma. Discontinue if rash or other signs of hypersensitivity occur. Hematologic toxicity. Monitor CBCs, blood chemistry, hepatic and renal function in long-term therapy. May mask signs of infection. Elderly. Debilitated. Labor & delivery. Women with infertility: not recommended. Pregnancy (≥30 weeks gestation; avoid). Nursing mothers.

Meloxicam Capsules Pharmacokinetics Elimination

Renal, fecal. Half-life: ~22 hours.

Meloxicam Capsules Interactions Interactions

Avoid concomitant aspirin (at analgesic doses), other NSAIDs, or salicylates. Increased risk of GI bleed with anticoagulants (monitor), oral corticosteroids, SSRIs, SNRIs, smoking, alcohol, or prolonged NSAID therapy. May antagonize or increase risk of acute renal failure (esp. In elderly, volume-depleted, or have renal impairment) with ACE inhibitors, ARBs, β-blockers, diuretics; monitor. Potentiates digoxin, lithium; monitor levels. Caution with methotrexate; monitor for toxicity. Increased nephrotoxicity with cyclosporine; monitor. Concomitant pemetrexed may increase pemetrexed-associated myelosuppression, renal, and GI toxicity.

Meloxicam Capsules Adverse Reactions Adverse Reactions

Diarrhea, nausea, abdominal discomfort; elevated ALT/AST, anemia, cardiovascular events, GI bleed/ulcer, edema, hyperkalemia, anaphylactic reactions, rash, hepatotoxicity, renal papillary necrosis.

Meloxicam Capsules Clinical Trials

See Literature

Meloxicam Capsules Note Notes

Formerly known under the brand name Vivlodex.

Meloxicam Capsules Patient Counseling

See Literature

Finasteride - Uses, Side Effects, And More

Who should not use finasteride?

Allergies to Ingredients. People who are allergic to any of the following should not take finasteride products.

Finasteride

Propecia

Proscar

Any of the ingredients in the specific product dispensed

Your pharmacist can tell you all of the ingredients in the specific finasteride products they stock.

Pregnancy. Finasteride is not for use in women. See the Pregnancy section for more details.

What should I know about finasteride before using it?

Do not take finasteride unless it has been prescribed to you by a healthcare provider. Take it as prescribed.

Do not share finasteride with other people, even if they have the same condition as you. It may harm them.

Keep finasteride out of the reach of children.

It may take several months of taking finasteride before you notice any improvement in symptoms. Talk to your healthcare provider if you have concerns about how well finasteride is working.

Finasteride may affect semen. You may have less semen than usual, and the number and activity of sperm may be reduced. These changes may continue after finasteride is stopped. It is unknown if these changes could affect your fertility (the ability to father a baby). If you have any concerns or questions about this, talk to your healthcare provider before starting finasteride. 

People who are or may be pregnant should not touch broken or crushed finasteride tablets. Finasteride can be absorbed through the skin and may harm an unborn baby. If skin contact occurs, wash the area right away with soap and water.

Finasteride can lower the levels of prostate-specific antigen (PSA) in your blood. You should still get PSA tests to check for prostate cancer as advised by your healthcare provider. Finasteride does not help prevent prostate cancer.

Tell your healthcare provider right away if you get any breast pain, breast lumps, or nipple discharge. Breast cancer in men has rarely been reported. 

What should I tell my healthcare provider before using finasteride?

Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if finasteride is right for you.

Current and Past Health Conditions. Tell your healthcare provider if you have any of the following.

Liver problems

Prostate problems

Bladder problems

Pregnancy. Do not take finasteride, and tell your healthcare provider if you are or plan to become pregnant. Finasteride may cause harm to an unborn baby if the medicine is taken or broken or crushed tablets are touched by someone who is pregnant. 

Breastfeeding. People who can breastfeed are not usually prescribed finasteride. It is not known if finasteride passes into breast milk. Tell your healthcare provider if you are breastfeeding or plan to breastfeed.

 

Moxicam Tablets

meloxicam

Consumer Medicine Information

What is in this leaflet

This leaflet answers some common questions about MOXICAM. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.

All medicines have benefits and risks. Your doctor has weighed the risks of you taking MOXICAM against the benefits they expect it will have for you.

If you have any concerns about taking this medicine, talk to your doctor or pharmacist.

Keep this leaflet with the medicine.

You may need to read it again.

What MOXICAM is used for

MOXICAM is used to treat the symptoms of osteoarthritis and rheumatoid arthritis. Both diseases mainly affect the joints causing pain and swelling.

Although MOXICAM can relieve symptoms such as pain and inflammation, it will not cure your condition.

MOXICAM belongs to a family of medicines called Non-Steroidal Anti-inflammatory Drugs (NSAIDs). These medicines work by relieving pain and inflammation.

Ask your doctor if you have any questions about why this medicine has been prescribed for you.

Your doctor may have prescribed it for another reason.

It is available only with a doctor's prescription.

Before you take MOXICAM When you must not take it

Do not take MOXICAM if you have an allergy to:

any medicine containing meloxicam

any of the other ingredients listed at the end of this leaflet

aspirin or any other NSAID medicine

Some of the symptoms of an allergic reaction may include:

shortness of breath

wheezing or difficulty breathing

swelling of the face, lips, tongue or other parts of the body

rash, itching or hives on the skin

Do not take MOXICAM if:

you are about to undergo coronary artery bypass graft surgery

you have a disease of the heart with shortness of breath and swelling of the feet or lips due to fluid build-up

you experience bleeding from the stomach, gut or any other bleeding

you have had a stroke resulting from a bleed in the brain or have a bleeding disorder

have a galactose intolerance

you currently have a peptic (stomach) ulcer

you have or have had inflammation of the lining of the stomach or intestines (e.G. Crohn's Disease or Ulcerative Colitis)

you have severe liver or kidney problems

you are currently taking other medicines such as: sulfinpyrazone (used to treat gout), fluconazole (used to treat fungal infections) or certain sulfur antibiotics (e.G. Sulfaphenazole or sulfamethoxazole)

Do not breast-feed if you are taking this medicine.

The active ingredient in MOXICAM passes into breast milk and there is a possibility that your baby may be affected.

Do not give this medicine to a child under the age of 18 years.

Safety and effectiveness in children younger than 18 years have not been established.

Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.

If it has expired or is damaged, return it to your pharmacist for disposal.

If you are not sure whether you should start taking this medicine, talk to your doctor.

Before you start to take it

Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.

Tell your doctor if you have or have had any of the following medical conditions:

high blood pressure or fluid retention

diabetes

high cholesterol

heartburn, indigestion, ulcers or other stomach problems

kidney or liver problems

asthma or any other breathing problems

Tell your doctor if you are pregnant, planning to become pregnant.

Like most NSAID medicines, MOXICAM is not recommended for use during pregnancy. Your doctor can discuss with you the risks and benefits involved.

Tell your doctor if you are currently using an IUD (intrauterine device) for birth control.

NSAID medicines like MOXICAM may decrease the effectiveness of your IUD.

Tell your doctor if you currently have an infection.

MOXICAM may hide some of the signs of an infection. This may make you think, mistakenly, that you are better or that it is not serious.

If you have not told your doctor about any of the above, tell them before you start taking MOXICAM.

Taking other medicines

Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

Some medicines and MOXICAM may interfere with each other. These include:

aspirin, salicylates or other NSAID medicines

medicines used to prevent blood clots, such as warfarin, heparin and ticlopidine

medicines used to treat high blood pressure and other heart problems (e.G. ACE inhibitors, angiotensin receptor antagonists and diuretics, also called fluid or water tablets)

When taken together these medicines can cause kidney problems.

lithium, a medicine used to treat some types of depression

antidepressants known as selective serotonin reuptake inhibitors (SSRIs)

methotrexate, a medicine used to treat rheumatoid arthritis and some types of cancer

ciclosporin, a medicine used to help prevent organ transplant rejection or treat certain problems with the immune system

terfenadine and astemizole, medicines used to prevent or relieve the symptoms of allergy, such as hay fever or insect stings

medicines to treat diabetes

colestyramine, a medicine used to treat high cholesterol levels in the blood

corticosteroids (medicines usually used to treat inflammatory conditions, such as skin rash and asthma)

some medicines used to treat infections (e.G. Erythromycin, sulfur antibiotics, ketoconazole, itraconazole)

some medicines used to treat irregular heartbeats (e.G. Amiodarone and quinidine)

pemetrexed, a medicine used in the treatment of certain lung cancers

These medicines may be affected by MOXICAM or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.

Your doctor and pharmacist may have more information on medicines to be careful with or avoid while taking this medicine.

How to take MOXICAM

Follow all directions given to you by your doctor and pharmacist carefully.

They may differ from the information contained in this leaflet.

If you do not understand the instructions on the pack, ask your doctor or pharmacist for help.

How much to take

For the treatment of osteoarthritis

The usual dose of MOXICAM is 7.5 mg, taken as a single dose each day.

Depending on the severity of your condition and your response to treatment, your doctor may increase this dose to 15 mg taken as a single dose each day.

For the treatment of rheumatoid arthritis

The usual dose of MOXICAM is 15 mg taken as a single dose each day.

Depending on your response to treatment, your doctor may reduce this dose to 7.5 mg taken as a single dose each day.

The maximum recommended daily dose of MOXICAM is 15 mg.

For patients with kidney problems undergoing dialysis, the maximum recommended daily dose is 7.5 mg.

Ask your doctor for more information if you have been advised to take a different dose.

How to take it

Swallow the tablets with a full glass of water.

When to take it

Take your medicine at about the same time each day.

Taking it at the same time each day will have the best effect. It will also help you remember when to take it.

Take your medicine with or immediately after food.

This will reduce the chance of a stomach upset.

How long to take it for

Continue taking your medicine for as long as your doctor tells you.

This medicine helps to control your condition, but does not cure it. It is important to keep taking your medicine even if you feel well.

If you forget to take it

If it is almost time for your next dose (e.G. Within 2 to 3 hours), skip the dose you missed and take the next dose when you are meant to.

Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally.

Do not take a double dose to make up for the dose that you missed.

This may increase the chance of you getting an unwanted side effect.

If you are not sure what to do, ask your doctor or pharmacist.

If you have trouble remembering to take your medicine, ask your pharmacist for some hints.

If you take too much (overdose)

Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much MOXICAM. Do this even if there are no signs of discomfort or poisoning.

You may need urgent medical attention.

Symptoms of an overdose may include:

nausea and/or vomiting

headache

drowsiness and/or dizziness

blurred vision

fits or seizures

feeling faint

low blood pressure

difficulty in breathing

impaired consciousness

kidney failure

While you are taking MOXICAM Things you must do

If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking MOXICAM.

Tell any other doctors, dentists and pharmacist who treat you that you are taking this medicine.

If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine.

MOXICAM can slow down blood clotting.

If you become pregnant while taking this medicine, tell your doctor immediately.

If you get an infection while taking this medicine, tell your doctor immediately.

MOXICAM may hide some of the signs of an infection (e.G. Pain, fever, redness and swelling). You may think, mistakenly, that you are better or that the infection is not serious.

Things you must not do

Do not take MOXICAM to treat any other complaints unless your doctor tells you to.

Do not give your medicine to anyone else, even if they have the same condition as you.

Do not stop taking your medicine or lower the dosage without checking with your doctor.

Things to be careful of

Be careful driving or operating machinery until you know how MOXICAM affects you.

This medicine may cause dizziness, drowsiness or blurred vision in some people. If you have any of these symptoms, do not drive, operate machinery or do anything else that could be dangerous.

Side effects

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking MOXICAM.

This medicine helps most people with osteoarthritis or rheumatoid arthritis, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.

Do not be alarmed by the following lists of side effects. You may not experience any of them.

Ask your doctor or pharmacist to answer any questions you may have.

Tell your doctor or pharmacist if you notice any of the following and they worry you:

stomach upset including nausea, vomiting, heartburn, indigestion, belching, cramps or pain

headache

'flu'-like symptoms, runny or blocked nose, coughing, sore mouth or throat, discomfort when swallowing

constipation, diarrhoea or wind

dizziness or light-headedness

skin rashes, which may be caused by exposure to sunlight, can blister and may take on the appearance of a severe burn, or itching

buzzing, ringing or other persistent noise in the ears.

increase in blood pressure

The above list includes the more common side effects of your medicine. These side effects are usually mild.

Tell your doctor immediately if you notice any of the following:

blurred vision

any change in the amount or colour of your urine (red or brown) or any pain or difficulty experienced when urinating

collapse or fainting, shortness of breath or tiredness, fast or irregular heartbeat, chest pain, swollen or sore leg veins

severe dizziness

severe pain or tenderness in the stomach

flaking of the skin

yellowing of the skin and eyes, known as jaundice

swelling of your ankles, legs or other parts of your body

signs of anaemia, such as tiredness, being short of breath and looking pale

irritation of your mucous membranes (e.G. Lips, mouth, eyes or genitals)

These are rare but serious side effects. You may need urgent medical attention.

If any of the following happen, stop taking MOXICAM and either tell your doctor immediately or go to Accident and Emergency at your nearest hospital:

vomiting of blood or material that looks like coffee grounds

bleeding from your back passage (rectum), black sticky bowel motions (stools) or bloody diarrhoea

swelling of the face, lips or tongue which may make swallowing or breathing difficult

asthma, wheezing or shortness of breath

sudden or severe itching, skin rash or hives

weakness in one part or side of your body, slurred speech, blurred vision or visual disturbances

The above list includes very serious side effects. You may need urgent medical attention or hospitalisation.

Tell your doctor or pharmacist if you notice anything that is making you feel unwell.

Other side effects not listed above may occur in some people.

After taking MOXICAM Storage

Keep your tablets in the pack until it is time to take them.

If you take the tablets out of the pack they may not keep well.

Keep your tablets in a cool dry place where the temperature stays below 25°C.

Do not store MOXICAM or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car on hot days.

Heat and dampness can destroy some medicines.

Keep it where children cannot reach it.

A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.

Disposal

If your doctor tells you to stop taking this medicine, or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over.

Product description What it looks like

MOXICAM tablets are available in two strengths: -

MOXICAM 7.5 mg tablets are yellow coloured, circular 7mm, flat bevelled uncoated tablet, with a central breakline on one side and plain on the other

MOXICAM 15 mg tablets are pale yellow coloured, circular 10mm, flat bevelled uncoated tablet, with a central breakline on one side and plain on the other

MOXICAM is available in packs of 30 tablets.

Ingredients

MOXICAM contains either 7.5 mg or 15 mg of meloxicam as the active ingredient.

The tablets also contain the following inactive ingredients:

cellulose microcrystalline

pregelatinised maize starch

lactose monohydrate

maize starch

sodium citrate dihydrate

colloidal anhydrous silica

magnesium stearate

Moxicam tablets contain lactose.

Supplier

Alphapharm Pty Ltd trading as Viatris

Level 1, 30 The Bond

30 - 34 Hickson Road

Millers Point NSW 2000

www.Viatris.Com.Au

Phone: 1800 274 276

This leaflet was prepared in January 2022.

MOXICAM 7.5 mg tablets - AUST R 126214

MOXICAM 15 mg tablets - AUST R 126215

Moxicam_cmi\Jan22/00

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