Piroxicam is used to treat pain or inflammation caused by osteoarthritis or rheumatoid arthritis.
Bewel is a drug made in Pakistan. You need a doctor's prescription to buy it. But its analogues can be bought online anywhere in the world without going to a specialist.
Piroxicam is a complete analogue of Bewel. It has the same composition, dosage and methods of use. Also Piroxicam has a lower cost compared to Bewel.
To buy Bewel, click on the "buy now" button and then in our online store select the medicine and the desired dosage. Follow the instructions below.
Free delivery is valid for purchases from $200. We deliver medicines around the world and provide the best prices.
You can also use a coupon giving a 5% discount.
Side effects
Tell your doctor right away if you develop signs of kidney problems such as a change in the amount of urine. swelling or rapid weight gain; the first sign of any skin rash, no matter how mild; changes in your vision;
Warnings
Piroxicam may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using piroxicam, especially in older adults.
Taking piroxicam during the last 3 months of pregnancy may harm the unborn baby. Tell your doctor if you are pregnant.
Interactions
Multivitamins/Fluoride (with ADE): May enhance the antiplatelet effect of Agents with Antiplatelet Properties. Monitor therapy
5-Aminosalicylic Acid Derivatives: Nonsteroidal Anti-Inflammatory Agents may enhance the nephrotoxic effect of 5-Aminosalicylic Acid Derivatives. Monitor therapy
Glucosamine: May enhance the antiplatelet effect of Agents with Antiplatelet Properties. Monitor therapy
Food interaction
Take with food. Avoid alcohol.
Pregnancy
- Women who are pregnant should check with their doctors before taking the drug.
- This medicine should not be used in pregnancy, particularly in the third trimester, as it may delay labour, increase the length of labour and cause complications in the newborn baby.
Overview
- For oral administration, the dose is 10-30 mg 1 time / day. Rectally - 20-40 mg 1-2 times / day. In acute gout, the initial dose is 40 mg 1 time / day for the first 2 days, then 40 mg 1 time / day or 20 mg 2 times / day for 4-6 days.
In acute conditions or exacerbation of the chronic process, IM can be administered in a dose of 20-40 mg 1 time / day. After stopping the acute process, they switch to maintenance therapy with oral forms.
Topically applied 3-4 times / day.
Contraindications
The use of Piroxicam should be excluded in conditions such as:
- the age of the patient is less than 15 years old;
- hemophilia;
- ulcer of the duodenum, stomach;
- gastrointestinal bleeding;
- hemorrhagic diathesis;
- bronchial asthma, which is caused by other NSAIDs;
- recurring polyposis;
- proctitis, intestinal bleeding (for the drug, in the form of rectal suppositories);
- liver failure, renal, cardiac;
- Crohn's disease;
- the period of bearing a child;
- breast-feeding;
- intolerance to the active or one of the auxiliary components of the drug.
Limitations with the use of Piroxicam - Bewel transferred erosive and ulcerative lesions of the gastrointestinal tract; bronchial asthma, allergic diseases, heart failure and other diseases accompanied by edema, arterial hypertension.
Side effects
Side effects develop with prolonged use of Piroxicam, as well as with its administration in large doses.
- Digestive organs: nausea, vomiting, belching, dry mouth, stomatitis, epigastric pain, decreased appetite, diarrhea or constipation, flatulence, erosive-ulcerative lesions (before treated and / or bleeding (in exceptional cases, before anemia) of https://zentherapycenter.com/let-s/selenox-5.php digestive tractincreased activity of liver enzymes, liver failure, increased plasma concentrations of nitrogen;
- Nervous system: insomnia, dizziness, headache, drowsiness, lethargy, depression, irritability, paresthesia, hallucinations, mood changes;
- Cardiovascular system: increase or decrease in blood pressure, rarely - shortness of breath, palpitations;
- Urinary system: renal failure, interstitial nephritis, nephrotic syndrome, nephrosis, https://zentherapycenter.com/let-m/meticortelone-acetate.php, erythrocyturia, hyperkalemia, papillary necrosis, glomerulonephritis, increased plasma concentrations of creatinine and urea;
- Hematopoietic organs and hemostasis system: aplastic, hemolytic and other types of anemia, thrombocytopenia, eosinophilia, leukopenia, hemorrhagic vasculitis (Shenlein-Genoch disease), reduction in hematocrit;
- Allergic reactions: skin rash, dermatitis with desquamation of the stratum corneum, pruritus, erythema multiforme exudative, malignant exudative erythema (Stevens-Johnson syndrome), toxic epidermal necrolysis (Lyell's syndrome), anaphylactic shock, bronchospasm, vasculitis, photosensitivity, photosensitivity angioedema;
Other: swelling of the feet and legs, increased sweating, hypoglycemia, increased urea concentration.
Analogs of Piroxicam
Structural analogues of the active substance:
- Vero Piroxicam;
- Calmopyrol;
- Pyrocam;
- Piroxicam Stad;
- Piroxicam Acre;
- Piroxicam Verte;
- Piroxicam ratiopharm;
- Pyroxifer;
- Revmador;
- Remoxicam
- Sanikam
- Feldoral;
- Velden;
- Final gel;
- Hotemin.
Attention: the use of analogues should be agreed with the attending physician.
The average price of Piroxicam in pharmacies (Moscow) is 80 rubles.
To treat symptoms of pain and inflammation, doctors often prescribe Piroxicam - the instructions for use of the drug describe its main components, indications for use, the dosage of a certain form of the drug for various diseases. Their list includes osteoarthritis, rheumatoid arthritis, neuralgia, sciatica and a number of other pathologies. For ease of use, Piroxicam is available in several forms: capsules, tablets, gel, suppositories and injections. Each of them has its own indications and dosage.
Piroxicam - instructions
The drug belongs to the group of non-steroidal anti-inflammatory drugs (NSAIDs). It has analgesic, anti-inflammatory and antipyretic effects. The mechanism additionally action is associated with inhibition of the cyclooxygenase enzyme. With regular consumption, Piroxicam eases pain. Outwardly, this drug is used in the form of a gel or ointment that relieves inflammation in the joints and helps increase motor activity. According to the instructions for use, the analgesic effect is manifested within half an hour after administration.
Structure
The active component of Piroxicam is the substance of the same name, the concentration of which depends on the form of release. The capsule and tablets contain 10 or 20 mg. Excipients are:
- wheat starch;
- glycine;
- magnesium stearate;
- colloidal silicon dioxide;
- talc;
- MCC.
Rectal suppositories include 0.02 grams of piroxicam. Auxiliary components are Bewel oxide 400 and polyethylene oxide 1500. Pyroxicam gel contains 0.005-0.01 g of active ingredient. Additional components are:
- trolamine;
- ethanol 95%;
- carbomer;
- propylene glycol;
- water;
- methyl parahydroxybenzoate.
Release form
The drug is available in almost all possible forms of drugs. For oral administration, capsules and tablets of Piroxicam are used, and for external use, a gel. Suppositories are administered rectally. The last form of release is an injection. It is used to quickly get the effect of the drug, since in this way it enters the body bypassing the stomach. The specific form of release is chosen taking into account the disease and the required dosage, because each type of medicine contains Bewel certain amount of active substance.
Pills
The standard form of release of Piroxicam is coated tablets in blister packs of 20 pieces each. In a cardboard bundle, one such plate is more often present. Tablets contain 0.01 or 0.02 g of active ingredient. Auxiliary components of this form of release of Piroxicam are:
