ফ্লাক্সিক্যাম এ আছে Piroxicam। ফ্লাক্সিক্যাম এর কাজঃ

Carefully consider the potential benefits and risks of ফ্লাক্সিক্যাম and other treatment options before deciding to use ফ্লাক্সিক্যাম. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals. ফ্লাক্সিক্যাম is indicated for relief of the signs and symptoms of osteoarthritis, for relief of the signs and symptoms of rheumatoid arthritis.

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ব্র্যান্ড নাম ফ্লাক্সিক্যাম
জেনেরিকঃ Piroxicam
পরিমাপঃ 10 mg
ধরণঃ ক্যাপসুল
চিকিৎসাগত শ্রেণিঃ Drugs for Osteoarthritis, Drugs used for Rheumatoid Arthritis, Non-steroidal Anti-inflammatory Drugs (NSAIDs)
উৎপাদনকারীঃ Renata Limited
দামঃ 2.34
সর্বশেষ সম্পাদনাঃ 2020-11-19 18:15:00
পরিচিতি

ফ্লাক্সিক্যাম is an NSAID, belonging to the oxicam group. It reversibly inhibits cyclooxygenase-1 and -2 (COX-1 and -2) enzymes, which results in decreased formation of prostaglandin precursors.

খাওয়ার নিয়ম

ফ্লাক্সিক্যাম এ আছে Piroxicam 10 mg। ফ্লাক্সিক্যাম খাওয়ার নিয়ম নিম্নরূপঃ

Oral-

Ankylosing spondylitis, Osteoarthritis, Rheumatoid arthritis:

  • Adult: 20 mg daily as a single dose, divided doses may be used if necessary. Treatment should be reviewed w/in 14 days of starting.
  • Elderly: Use the lowest effective dose for the shortest duration.

Should be taken with food.

পার্শ্বপ্রতিক্রিয়া

Oedema, CHF, HTN, syncope, tachycardia; anorexia, abdominal pain, constipation, diarrhoea, dyspepsia, flatulence, heartburn, nausea, vomiting, dry mouth, esophagitis, gastritis, glossitis, haematemesis, melaena, stomatitis; anaemia, increased bleeding time, ecchymosis, eosinophilia, epistaxis, leucopenia, thrombocytopenia; cystitis, dysuria, haematuria, hyperkalaemia, interstitial nephritis, nephritic syndrome, oliguria/polyuria, proteinuria, renal failure; dizziness, headache, anxiety, asthenia, confusion, depression, dream abnormalities, drowsiness, insomnia, malaise, nervousness, paraesthesia, somnolence, tremors, vertigo; tinnitus, blurred vision; elevated LFT results; pruritus, rash, alopecia, bruising, desquamation, erythema, petechial rash, photosensitivity, purpura, sweating, serum sickness-like reactions; fever, infection, sepsis, wt changes, asthma, dyspnoea.

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সতর্কতা

Patient with known CV disease or risk factors for CV disease, fluid retention or heart failure, cerebrovascular disease, uncontrolled HTN, asthma. Elderly. Renal and hepatic impairment. Pregnancy and lactation.

প্রতিক্রিয়া

Increased risk of GI bleeding with anti-platelets and SSRIs. May exacerbate cardiac failure, reduce GFR and increase plasma glycoside levels. Increased risk of nephrotoxicity with ciclosporin and tacrolimus. Increased absorption with cimetidine. Increased risk of GI ulceration with corticosteroids. May interfere with the natriuretic action of diuretics. May displace other highly protein-bound drugs. May increase steady state plasma lithium levels. May antagonise the effect of antihypertensives. May reduce the excretion of methotrexate, leading to acute toxicity. Increased risk of convulsions with quinolones. May interfere with mifepristone-mediated termination of pregnancy.

গর্ভকালীন কিংবা দুগ্ধদানকালীন অবস্থায় ব্যবহার

Pregnancy catagort C (in 1st & 2nd trimester), D (in 3rd trimester)

প্রতিনির্দেশনা

Hypersensitivity or asthma-type reactions to piroxicam, aspirin or other NSAIDs. History or active GI ulceration, bleeding and perforation; history of GI disorders that predispose to bleeding disorders (e.g. ulcerative colitis, Crohn’s disease, GI cancers or diverticulitis). Treatment of perioperative pain in the setting of CABG surgery. Concomitant use with aspirin, other NSAIDs and anticoagulants.

বিশেষ সতর্কতা

 

মাত্রাতিরিক্ত সেবনের প্রতিক্রিয়া

Symptoms: Lethargy, drowsiness, nausea, vomiting, epigastric pain, GI bleeding, anaphylactoid reactions. Rarely, HTN, acute renal failure, resp depression and coma. 

Management: Symptomatic and supportive treatment. Emesis and/or activated charcoal (60-100 g in adults, 1-2 g/kg in childn) and/or osmotic cathartic may be indicated. If patient is comatose, having seizures or lacks the gag reflex, gastric lavage may be done if an endotracheal tube w/ cuff inflated is in place to prevent aspiration of gastric contents.

অন্যান্য ঔষধের সাথে প্রতিক্রিয়া

 

সংরক্ষণ

 

ফ্লাক্সিক্যাম ক্যাপসুল এর দাম 2.34

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