Piroxicam Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Unusual weight gain or swelling in legs
If experiencing severe symptoms, call emergency services immediately.
What is swelinex plus gel used for?
This medicine contains piroxicam, an NSAID used to treat pain and inflammation in conditions like arthritis and gout. It works by blocking prostaglandins. Take it with food to reduce stomach upset. It is not recommended during pregnancy or in people with active ulcers.
- Generic Name: Piroxicam (NA)
- Manufacturer: Tidal Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 swelinex plus gel के बारे में (Hindi Summary)
उपयोग: यह दवा पिरोक्सिकैम नामक एक NSAID है, जिसका उपयोग दर्द, सूजन और जकड़न को कम करने के लिए किया जाता है। यह ऑस्टियोआर्थराइटिस, रुमेटॉइड आर्थराइटिस, एंकिलोज़िंग स्पॉन्डिलाइटिस, गाउट और मांसपेशियों के दर्द में प्रभावी है। यह शरीर में प्रोस्टाग्लैंडिन नामक रसायनों को रोककर काम करती है, जो सूजन और दर्द का कारण बनते हैं। इसे भोजन के साथ लेना चाहिए ताकि पेट में जलन न हो। गर्भवती महिलाओं, स्तनपान कराने वाली महिलाओं, और जिन्हें पेट के अल्सर, गुर्दे या यकृत की गंभीर बीमारी है, उन्हें यह दवा नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में पेट दर्द, जलन, मतली, उल्टी, दस्त, कब्ज, सिरदर्द, चक्कर आना और शरीर में सूजन शामिल हैं। गंभीर दुष्प्रभावों में पेट या आंतों से खून बहना, अल्सर, गुर्दे की समस्या, यकृत की क्षति, गंभीर एलर्जी, और दिल का दौरा या स्ट्रोक का खतरा शामिल है। अगर आपको काला मल, खून की उल्टी, तेज पेट दर्द, आंखों या त्वचा का पीलापन, या पेशाब कम आना जैसे लक्षण दिखें, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से मात्रा न बढ़ाएं और न ही लंबे समय तक लें। इसे हमेशा भोजन या दूध के साथ लें ताकि पेट में जलन न हो। इस दवा के साथ शराब न पिएं, क्योंकि इससे पेट में खून बहने का खतरा बढ़ जाता है। अन्य दर्द निवारक दवाओं (जैसे इबुप्रोफेन) को बिना डॉक्टर की सलाह के न लें। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या आपको दिल, गुर्दे, यकृत या पेट की बीमारी है, तो डॉक्टर को बताएं। दवा को बच्चों की पहुंच से दूर रखें और सूखी जगह पर कमरे के तापमान पर स्टोर करें।
💊 swelinex plus gel Uses & Benefits
[{"condition":"Osteoarthritis","description":"Relieves pain and improves joint mobility in knee, hip, and hand osteoarthritis.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Reduces joint pain, inflammation" class="semantic-link" title="Medicines for swelling">swelling, and stiffness in rheumatoid arthritis.","evidence":"Well-established"},{"condition":"Ankylosing spondylitis","description":"Helps relieve back pain and stiffness associated with ankylosing spondylitis.","evidence":"Well-established"},{"condition":"Acute musculoskeletal pain","description":"Provides short-term relief for strains, sprains, and other soft tissue injuries.","evidence":"Well-established"},{"condition":"Gout","description":"Used to reduce pain and inflammation during acute gout attacks.","evidence":"Well-established"},{"condition":"Postoperative pain","description":"May be used for short-term management of pain after surgery.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to prevent migraines, but evidence is limited.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual cramps, though other NSAIDs are preferred.","evidence":"Limited"}]
Primary treatment for: Osteoarthritis
Also treats: Rheumatoid arthritis, Ankylosing spondylitis, Acute musculoskeletal pain, Gout
📋 Drug Information
| Generic Name(s) | Piroxicam (NA) |
| Brand Name | swelinex plus gel |
| Manufacturer | Tidal Laboratories 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 at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by inhibiting the enzyme cyclooxygenase, which is involved in the production of prostaglandins. Prostaglandins are chemicals that cause inflammation, pain, and fever. By blocking their production, piroxicam reduces pain, swelling, and stiffness. It inhibits both COX-1 and COX-2 enzymes, but it is relatively more selective for COX-1, which is why it can cause stomach irritation.
Mechanism Steps
💡 How to Take swelinex plus gel
Strength: Immediate-release tablet, available in 10 mg and 20 mg strengths.
Dosage Information
| Adult Dosage | The usual adult dose of piroxicam is 20 mg taken once daily. For some conditions, your doctor may prescribe 10 mg once daily or 20 mg twice daily. The maximum recommended daily dose is 20 mg for most patients, but in some cases, up to 40 mg daily may be used for a short period under close medical supervision. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Take with food or milk to reduce stomach upset. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) are at higher risk of side effects, especially gastrointestinal bleeding and kidney problems. The lowest effective dose should be used for the shortest duration. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | In patients with mild to moderate kidney impairment, no dose adjustment is usually needed, but caution is advised. In severe kidney impairment, piroxicam is not recommended. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | In patients with mild to moderate liver impairment, no dose adjustment is usually needed, but caution is advised. In severe liver impairment, piroxicam is contraindicated. Dose must be individualized by a qualified clinician based on hepatic function. |
| Maximum Daily Dose | 20 mg per day for most patients; up to 40 mg per day for short periods under medical supervision. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of swelinex plus gel
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Aspirin | Major | |
| Other NSAIDs | Major | |
| ACE inhibitors | Major | |
| Diuretics | Major | |
| Lithium | Major | |
| Methotrexate | Major | |
| Corticosteroids | Moderate | |
| SSRIs | Moderate | |
| Beta-blockers | Moderate |
🚨 Major Interactions
- Warfarin
- Aspirin
- Other NSAIDs
- ACE inhibitors and ARBs
- Diuretics
- Lithium
- Methotrexate
⚡ Moderate Interactions
- Corticosteroids
- SSRIs
- Beta-blockers
- Cyclosporine
🍷 Alcohol Interaction
Avoid drinking alcohol while taking this medicine. Alcohol increases the risk of stomach bleeding and ulcers. It can also worsen dizziness and drowsiness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Active peptic ulcer or history of recurrent ulcers","Severe heart failure","Severe kidney disease","Severe liver disease","History of asthma, urticaria, or allergic reaction to aspirin or other NSAIDs","Third trimester of pregnancy","Breastfeeding","Children under 18 years (safety not established)"]
⚠️ Warnings & Precautions
["Take with food or milk to reduce stomach upset.","Avoid alcohol while taking this medicine.","Do not use other NSAIDs concurrently.","Use with caution in elderly patients due to increased risk of side effects.","Monitor blood pressure regularly.","Report any signs of bleeding or unusual bruising.","Do not use for more than 10 days without medical advice.","Inform your doctor if you have heart, kidney, or liver disease.","May cause dizziness; avoid driving until you know how it affects you.","Do not take if you are pregnant or planning to become pregnant without consulting your doctor."]
🤱 Lactation Safety
Piroxicam is excreted in breast milk in small amounts. It is generally not recommended during breastfeeding, especially for prolonged periods, because of the potential for serious side effects in the infant. Consult your doctor for alternatives.
💊 Overdose Management
Overdose of piroxicam can cause severe stomach pain, nausea, vomiting, drowsiness, and gastrointestinal bleeding. In case of suspected overdose, seek emergency medical attention immediately. Treatment is supportive and may include activated charcoal, gastric lavage, and monitoring of vital signs and kidney function.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not take more than the recommended dose or use it for longer than advised. Always take it with food or a glass of milk to reduce stomach upset. Avoid drinking alcohol while taking this medicine, as it increases the risk of stomach bleeding. Do not take other NSAIDs, such as ibuprofen or naproxen, without consulting your doctor. If you have heart, kidney, liver, or stomach problems, tell your doctor before starting this medicine. Do not use this medicine if you are pregnant, especially in the last three months, without medical advice. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for the next dose. Never double the dose. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney problems, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor kidney function and blood pressure regularly. Avoid concomitant use of other NSAIDs or blood thinners.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy, especially in the third trimester, as it may harm the fetus. If you are planning to become pregnant, consult your doctor to discuss alternative treatments. Use effective contraception while taking this medicine if you are of childbearing age.
🏥 Post-Surgery Considerations
This medicine may be used for short-term pain management after surgery, but it can increase the risk of bleeding. Inform your surgeon and anesthesiologist about all medicines you are taking. It may also affect kidney function, so monitoring is advised.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure, as it can increase the risk of bleeding. You may need to stop it temporarily before surgery, as advised by your doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may experience dizziness or fatigue. Avoid strenuous exercise or activities that require alertness until you know how the medicine affects you. Low-impact exercises like swimming or walking are generally safe and beneficial for joint health.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause stomach upset, so take it with food. Most people can continue their normal daily activities with appropriate precautions.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor, especially if you are using it for a chronic condition. If you experience serious side effects like gastrointestinal bleeding, severe allergic reaction, or kidney problems, stop the medicine and seek immediate medical attention. Your doctor may advise stopping if your symptoms improve or if you develop contraindications.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of gastrointestinal bleeding, ulcers, kidney problems, liver damage, and cardiovascular events such as heart attack and stroke. Regular monitoring of kidney and liver function, blood pressure, and blood counts is recommended. Use the lowest effective dose for the shortest duration possible.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve joint function.
Evidence: Well-establishedMay help reduce pain and stiffness in joints.
Evidence: ModerateSome evidence for pain relief in osteoarthritis.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider about all medicines you are taking.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, continue taking your dose at the same interval as prescribed; consult your doctor if unsure. Check customs regulations for prescription medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Pain relief may begin within 1-2 hours, but full anti-inflammatory effects may take 1-2 weeks of regular use.
A: No, it should be taken with food or milk to reduce the risk of stomach upset and bleeding.
A: Do not take other NSAIDs without consulting your doctor, as it increases the risk of side effects.
A: Take it as soon as you remember, but if it's almost time for your next dose, skip it. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for swelinex plus gel
View AllAlternative brands with exact same active ingredient:
-
wirox injectionZee Laboratories ₹19.00 68.5% CHEAPER
-
pinij tablet dtSunij Pharma Pvt Ltd ₹27.70 54% CHEAPER
-
tixy kid dropBennet Pharmaceuticals Limited ₹47.00 22% CHEAPER
-
tixy kid syrupBennet Pharmaceuticals Limited ₹51.50 14.5% CHEAPER
-
dolonx cd tabletAdcock Ingram Healthcare Pvt Ltd ₹58.21 3.4% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Piroxicam is a painkiller that can be taken for any type of pain.
Fact: Piroxicam is an NSAID specifically for inflammatory pain. It is not effective for all types of pain and should only be used for approved indications. - Myth: Piroxicam is safe to take without a prescription.
Fact: Piroxicam is a prescription medicine. It can cause serious side effects and should only be taken under medical supervision. - Myth: You can take piroxicam on an empty stomach.
Fact: Piroxicam should be taken with food or milk to reduce the risk of stomach upset and bleeding.
🔄 Alternative Options
Generic Alternatives
- Piroxicam 10 mg tablet
- Piroxicam 20 mg tablet
Brand Alternatives
- Dolonx CD Tablet