Apo-Tenoxicam

Apo-Tenoxicam Uses, Dosage, Side Effects, Food Interaction and all others data.

Apo-Tenoxicam is a non-steroidal antiinflammatory drug (NSAID) with anti inflammatory, analgesic, antipyretic properties and it also inhibits platelet aggregation. Apo-Tenoxicam inhibits prostaglandin biosynthesis and used in the treatment of inflammatory and degenerative disorders of the musculoskeletal system.

Apo-Tenoxicam, an antiinflammatory agent with analgesic and antipyretic properties, is used to treat osteoarthritis and control acute pain.

Trade Name Apo-Tenoxicam
Generic Tenoxicam
Tenoxicam Other Names Tenoxicam, Ténoxicam, Tenoxicamum
Type
Formula C13H11N3O4S2
Weight Average: 337.37
Monoisotopic: 337.019098194
Protein binding

99%

Groups Approved
Therapeutic Class Drugs for Osteoarthritis, Drugs used for Rheumatoid Arthritis, Non-steroidal Anti-inflammatory Drugs (NSAIDs)
Manufacturer
Available Country Canada
Last Updated: September 19, 2023 at 7:00 am
Apo-Tenoxicam
Apo-Tenoxicam

Uses

Apo-Tenoxicam is used for the symptomatic treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gout, and extra-articular inflammations such as tendinitis, bursitis and periarthritis of the shoulders or hips. It is also used for musculoskeletal & postoperative pain and in primary dysmenorrhea.

Apo-Tenoxicam is also used to associated treatment for these conditions: Backache, Osteoarthritis (OA), Pain, Rheumatoid Arthritis

How Apo-Tenoxicam works

The antiinflammatory effects of tenoxicam may result from the inhibition of the enzyme cycooxygenase and the subsequent peripheral inhibition of prostaglandin synthesis. As prostaglandins sensitize pain receptors, their inhibition accounts for the peripheral analgesic effects of tenoxicam. Antipyresis may occur by central action on the hypothalamus, resulting in peripheral dilation, increased cutaneous blood flow, and subsequent heat loss.

Dosage

Apo-Tenoxicam dosage

For all indications (except primary dysmenorrhea, post-operative pain and acute gout) the usual recommended dose is 20 mg once daily. Apo-Tenoxicam should be taken at the same time of day; in case of rheumatoid arthritis Apo-Tenoxicam should be taken at night to relieve the morning stiffness. The recommended dose for primary dysmenorrhea is 20 to 40 mg once daily. For post-operative pain the recommended dose is 40 mg once daily up to five days and for acute attacks of gout the recommended dose is 40 mg once daily for two days followed by 20 mg once daily for a further five days.

Apo-Tenoxicam is not recommended for use in patients under 16 years of age.

Side Effects

Apo-Tenoxicam is well tolerated in the recommended doses. The usual side effects are mild and transient gastric, abdominal discomfort, dyspepsia, heartburn, nausea, dizziness, headache, itching, erythema, rash, urticaria, increase in BUN or creatinine, edema and palpitations. In isolated cases GI-perforation, asthma, angioedema and elevated blood pressure may occur.

Precaution

Caution should be exercised in patients have symptoms of gastrointestinal diseases. If peptic ulceration or gastrointestinal bleeding occurs, Apo-Tenoxicam should be immediately withdrawn. It is necessary to adequately monitor the patient with increased risk of developing renal failure, impaired renal function in diabetics, hepatic cirrhosis and congestive heart failure. Patients having coagulation disorders or receiving therapy that interferes with haemostasis should, however, be carefully observed when treated with Apo-Tenoxicam. In women who have difficulty conceiving or are undergoing investigation of infertility, withdrawal of Apo-Tenoxicam should be considered.

Interaction

Salicylates increase the clearance and volume of distribution of Apo-Tenoxicam by displacing it from protein binding sites. Concurrent treatment with salicylate or other NSAIDs is not recommended because of increased risk of undesirable reactions. Co-administration of Apo-Tenoxicam and methotrexate has been associated with reduced renal tubular secretion of methotrexate. As with NSAIDs in general, Apo-Tenoxicam should not be administered concurrently with potassium sparing diuretics. Apo-Tenoxicam might attenuate the antihypertensive effects of adrenergic blockers and ACE-inhibitors. It may also enhance the effect of antidiabetic drug (sulphonylurea group).

Food Interaction

  • Take with food. Food may minimize stomach upset caused by tenoxicam.

Elimination Route

Oral absorption of tenoxicam is rapid and complete (absolute bioavailability 100%).

Half Life

72 hours (range 59 to 74 hours)

Pregnancy & Breastfeeding use

The safety of Apo-Tenoxicam during pregancy has not been established therefore it should be used with caution during pregnancy and only if the benefit to the mother is greater than the risk of the fetus. There is no information available about the safety of Apo-Tenoxicam during breastfeeding therefore it should not be used during lactation.

Contraindication

Apo-Tenoxicam should not be administered to patients with active peptic ulcer or active inflammatory diseases of the gastrointestinal tract. Apo-Tenoxicam is contraindicated in patients who have shown hypersensitivity to the drug. It should not be used in patients in whom acute asthmatic attacks, urticaria, rhinitis or other allergic manifestations are precipitated by ASA or other nonsteroidal anti-inflammatory agents. Fatal anaphylactoid reactions have occurred in such individuals. Before anesthesia or surgery, Apo-Tenoxicam should not be given to elderly patients, to patients at risk of renal failure, or to patients with increased risk of bleeding, because of an increased risk of acute renal failure and possibility of impaired hemostasis. Apo-Tenoxicam is relatively contraindicated in patients with liver dysfunction.

Acute Overdose

Although there is no experience of acute overdosage with Apo-Tenoxicam. Overdose should be countered by reducing absorption (eg. gastrolavage and charcoal) and speed up elimination (eg. cholestyramine).

Storage Condition

Store in cool and dry place, away from children.

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FAQ

What is Apo-Tenoxicam used for?

Apo-Tenoxicam is used to reduce pain, swelling, joint stiffness, and other symptoms from rheumatoid arthritis, osteoarthritis, and other inflammatory conditions.

What are the common side effects of Apo-Tenoxicam?

The common side effects of Apo-Tenoxicam are include:

Upset stomach, nausea, heartburn, dizziness, drowsiness, diarrhea, and headache may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. This medication may raise your blood pressure.

How do I take Apo-Tenoxicam?

Take one tablet a day, preferably after a meal or snack.

Is Apo-Tenoxicam safe during pregnancy?

Apo-Tenoxicam can be taken in the first and second trimester when necessary, but it is a contraindication in the third trimester.

Is Apo-Tenoxicam safe during breastfeeding?

This medication passes into breast milk. If you are a breast-feeding mother and are taking Apo-Tenoxicam, it may affect your baby.

Can I drink alcohol with Apo-Tenoxicam?

This medicine may cause stomach bleeding. Daily use of alcohol may increase your risk for stomach bleeding.

Can I take Apo-Tenoxicam long time?

Take this medication at the lowest effective dose for the shortest possible time. Do not increase your Apo-Tenoxicam, take it more frequently, or take it for a longer time than prescribed.

How does Apo-Tenoxicam work??

Apo-Tenoxicam works by blocking the effect of chemicals in your body, called cyclo-oxygenase enzymes.

Will Apo-Tenoxicam affect my fertility?

Apo-Tenoxicam may affect egg release (ovulation). This may affect being able to get pregnant. This goes back to normal when this drug is stopped.

Can I drive after taking Apo-Tenoxicam?

Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you. Have your blood work checked if you are on this drug for a long time.

What is the effect of Apo-Tenoxicam on the Kidneys?

Consumption of Apo-Tenoxicam can harm for kidneys. So it is important to take medical advice beforehand.


What is the effect of Apo-Tenoxicam on the Liver?

There may be severe side effects of Apo-Tenoxicam on your liver. Do not take it unless a doctor says.

What is the effect of Apo-Tenoxicam on the Heart?

The heart can be affected by Apo-Tenoxicam. If you experience any unwanted effects of this drug, stop taking it and consult your doctor. You should restart the medicine only after medical advice.

Is Apo-Tenoxicam able to treat mental disorders?

No, Apo-Tenoxicam cannot treat any kind of mental disorder.

*** Taking medicines without doctor's advice can cause long-term problems.
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