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At a glance

Tenoxicam is an NSAID used for rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, tendonitis, bursitis, and acute gout. It reduces inflammation and pain by inhibiting prostaglandin synthesis.

Indications
  • Rheumatoid arthritis
  • Osteoarthritis
  • Ankylosing spondylitis
  • Tendonitis, bursitis, periarthritis
  • Acute gout
Pharmacology

Tenoxicam inhibits COX-1 and COX-2 enzymes, preventing prostaglandin synthesis. It inhibits leukocyte phagocytosis and chemotaxis, scavenges free oxygen radicals, and inhibits human metalloproteinases to reduce cartilage breakdown, providing anti-inflammatory, analgesic, and antipyretic effects.

Dosage

Adult Dose (Oral):

  • Standard: 20 mg/day (at the same time each day)
  • Acute gout: 40 mg/day for 2 days, then 20 mg/day for 5 days
  • Chronic disorders: Not to exceed 20 mg/day; maintenance 10 mg/day
  • Elderly: Use the lowest effective dose
Side effects

Common Side Effects (>1%):

  • Gastric, epigastric, and abdominal discomfort, dyspepsia, heartburn, nausea
  • Dizziness, headache

Rare (<1%):

  • Constipation, diarrhea, stomatitis, vomiting, ulcers, GI bleeding
  • Fatigue, sleep disturbances, dry mouth, vertigo
  • Skin rash, pruritus, photosensitivity
  • Elevated liver enzymes, renal function changes
Use in pregnancy

Use in Pregnancy: May be unsafe; animal studies show harmful effects; do not use in the 3rd trimester; consult your doctor.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Do not use in active or history of recurrent GI bleeding or peptic ulcer
  • Do not use in severe heart failure, hemorrhagic diathesis, asthma
  • Caution in renal or hepatic impairment
  • Do not use in the 3rd trimester of pregnancy
Overdose effects

Overdose may increase side effects; gastric lavage, activated charcoal, cholestyramine may reduce absorption; provide symptomatic treatment.

Storage conditions

Store below 30°C, protected from light and moisture; keep out of reach of children.

Tenoxicam — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.