Flexilor 4 Tablet (Lornoxicam 4 mg): Complete Medicine Guide

[{"condition":"Osteoarthritis","description":"Reduces joint pain, stiffness, and inflammation" class="semantic-link" title="Medicines for swelling">swelling, helping patients maintain mobility and perform daily activities.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Provides symptomatic relief of pain and inflammation in rheumatoid arthritis as part of a broader treatment plan.","evidence":"Well-established"},{"condition":"Ankylosing spondylitis","description":"Helps relieve back pain and stiffness associated with ankylosing spondylitis.","evidence":"Well-established"},{"condition":"Acute low back pain","description":"Short-term use reduces acute musculoskeletal back pain and improves function.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used for short-term management of moderate post-surgical pain and inflammation.","evidence":"Moderate"},{"condition":"Acute gout flare","description":"Can reduce pain and inflammation during an acute gout attack when other options are unsuitable.","evidence":"Moderate"},{"condition":"Dental pain","description":"Provides short-term relief of pain and inflammation after dental procedures or in dental infections.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Primary dysmenorrhea","description":"Sometimes used off-label for menstrual cramps when other NSAIDs are not tolerated.","evidence":"Limited"},{"condition":"Acute migraine","description":"Occasionally used off-label for acute migraine pain, though not a first-line choice.","evidence":"Limited"}]

Primary treatment for: Pain and inflammation associated with musculoskeletal and joint conditions

Also treats: Osteoarthritis, Rheumatoid arthritis, Ankylosing spondylitis, Acute low back pain, Post-operative pain, Acute gout flare, Dental pain

Generic Name(s)	Lornoxicam (4mg)
Brand Name	jornox 4 tablet
Manufacturer	Morecare Pharmatec Pvt Ltd
Packaging / Form	Varies by brand (Allopathy)
Therapeutic Class	PAIN ANALGESICS
Action Class	NSAID's- Non-Selective COX 1&2 Inhibitors (enolic acids)
Route of Administration	Oral
Storage	Store this medicine at room temperature between 15°C and 30°C in a dry place, away from direct sunlight and moisture. Keep it in its original packaging to protect it from light and contamination.
Shelf Life	The shelf life of this medicine is typically 24 months from the date of manufacture when stored as directed. Always check the expiry date on the pack before use and do not use it after the expiry date.
WHO Guideline	Not established from the available information.
ICMR Guideline	Not established from the available information.

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

Drug	Severity	Effect
Warfarin	Major
Aspirin	Major
Ibuprofen	Major
ACE inhibitors	Major
Lithium	Major
Methotrexate	Major
SSRIs	Moderate
Diuretics	Moderate
Corticosteroids	Moderate
Fluconazole	Moderate

🚫 Contraindications

["Active or history of recurrent peptic ulcer or gastrointestinal bleeding","Severe kidney disease or dialysis","Severe liver disease","Severe heart failure or recent heart attack","Known allergy to lornoxicam, other oxicam NSAIDs, or any component of the tablet","History of asthma, nasal polyps, or angioedema triggered by aspirin or other NSAIDs","Bleeding disorders or active bleeding","Third trimester of pregnancy","Children and adolescents under 18 years unless specifically prescribed by a specialist"]

⚠️ Warnings & Precautions

["Take this medicine with food or milk to reduce stomach irritation.","Use the lowest effective dose for the shortest possible duration.","Avoid alcohol while taking this medicine.","Do not combine with other NSAIDs unless directed by your doctor.","Inform your doctor if you have a history of stomach ulcers, kidney disease, liver disease, heart disease, or high blood pressure.","This medicine may cause dizziness or drowsiness; avoid driving or operating machinery until you know how it affects you.","Stop the medicine and seek medical advice if you develop signs of bleeding, allergic reaction, or liver problems.","Elderly patients are at higher risk of side effects and should be monitored closely.","Do not use this medicine for fever or minor aches without medical advice.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether this medicine passes into breast milk in significant amounts. Because of the lack of safety data, this medicine is generally not recommended during breastfeeding. If treatment is essential, consult your doctor to weigh the benefits and risks, and consider alternative medicines that are better studied in lactation.

Additional Safety Advice

If you are planning pregnancy, discuss this medicine with your doctor before conception. NSAIDs like this medicine can interfere with ovulation and are not recommended during pregnancy, especially in the third trimester. Your doctor may recommend safer alternatives for pain management. If you become pregnant while taking this medicine, stop it and contact your doctor immediately.

This medicine may be used for short-term pain relief after surgery, but it should be used with caution because it can increase bleeding risk and affect kidney function, especially after major surgery. Inform your surgeon and anesthesiologist about all medicines you are taking. Do not start this medicine after surgery without your doctor's approval, as it may interact with other post-operative medicines.

Inform your dentist if you are taking this medicine before any dental procedure, especially if you are scheduled for tooth extraction or gum surgery. This medicine can increase bleeding risk and may need to be stopped temporarily before certain procedures. Do not stop the medicine on your own; consult your doctor or dentist for specific instructions.

While taking this medicine, you may feel less pain and be tempted to overexert yourself. Gradually increase your activity level and avoid high-impact exercises that strain your joints. If you experience dizziness or drowsiness, avoid activities that require balance or coordination. Consult your physiotherapist or doctor before starting any new exercise program, especially after surgery or an injury.

This medicine may cause dizziness or drowsiness in some people, which can affect your ability to drive or operate heavy machinery. Avoid these activities until you know how the medicine affects you. Most people can continue their normal work routine while taking this medicine, but if your job involves physical strain, discuss with your doctor about workplace modifications. Take regular breaks and avoid prolonged sitting or standing to reduce pain and stiffness.

Stop taking this medicine and consult your doctor immediately if you develop signs of gastrointestinal bleeding such as black stools or vomiting blood, severe abdominal pain, allergic reactions such as rash or swelling, yellowing of the eyes or skin, decreased urine output, or chest pain. Do not stop long-term treatment suddenly without consulting your doctor, as your pain may worsen. If your pain is not improving after 7 to 14 days, consult your doctor for a review of your treatment plan.

Long-term use of this medicine can increase the risk of gastrointestinal ulcers and bleeding, kidney impairment, liver enzyme elevation, high blood pressure, and cardiovascular events such as heart attack and stroke. Regular monitoring of kidney function, liver function, blood pressure, and blood counts is recommended for patients who need prolonged treatment. The lowest effective dose should be used for the shortest duration. If long-term pain control is needed, your doctor may consider alternative medicines or additional treatments such as physical therapy.

🔄 Substitutes for jornox 4 tablet

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[{"medicine":"This medicine (Lornoxicam 4 mg)","class":"Oxicam NSAID","half_life":"3-4 hours","common_uses":"Arthritis, acute pain, post-operative pain","gi_risk":"Moderate to high","prescription":"Yes"},{"medicine":"Ibuprofen","class":"Propionic acid NSAID","half_life":"2-4 hours","common_uses":"Pain, fever, inflammation","gi_risk":"Moderate","prescription":"No (low dose)"},{"medicine":"Naproxen","class":"Propionic acid NSAID","half_life":"12-17 hours","common_uses":"Arthritis, musculoskeletal pain","gi_risk":"Moderate to high","prescription":"Yes/No"},{"medicine":"Etoricoxib","class":"COX-2 selective NSAID","half_life":"22 hours","common_uses":"Arthritis, acute pain","gi_risk":"Lower than non-selective NSAIDs","prescription":"Yes"}]