Tirovel
Tirovel Uses, Dosage, Side Effects, Food Interaction and all others data.
Tirovel 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.
Tirovel is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Tirovel works by reducing hormones that cause inflammation and pain in the body. Tirovel is used to reduce the pain, inflammation, and stiffness caused by rheumatoid arthritis and osteoarthritis.
Trade Name | Tirovel |
Availability | Prescription only |
Generic | Piroxicam |
Piroxicam Other Names | Piroxicam, Piroxicam betadex, Piroxicamum, Pyroxycam |
Related Drugs | Humira, Buprenex, aspirin, prednisone, ibuprofen, acetaminophen, tramadol, meloxicam, naproxen, diclofenac |
Type | |
Formula | C15H13N3O4S |
Weight | Average: 331.346 Monoisotopic: 331.062676609 |
Groups | Approved, Investigational |
Therapeutic Class | Drugs for Osteoarthritis, Drugs used for Rheumatoid Arthritis, Non-steroidal Anti-inflammatory Drugs (NSAIDs) |
Manufacturer | |
Available Country | Argentina |
Last Updated: | September 19, 2023 at 7:00 am |
![Tirovel Tirovel](https://www.medicinesfaq.com/media/png/tirovel.png)
Uses
Carefully consider the potential benefits and risks of Tirovel and other treatment options before deciding to use Tirovel. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals. Tirovel is used for relief of the signs and symptoms of osteoarthritis, for relief of the signs and symptoms of rheumatoid arthritis.
Tirovel is also used to associated treatment for these conditions: Ankylosing Spondylitis (AS), Osteoarthritis (OA), Rheumatoid Arthritis
How Tirovel works
The antiinflammatory effect of Tirovel may result from the reversible inhibition of cyclooxygenase, causing the peripheral inhibition of prostaglandin synthesis. The prostaglandins are produced by an enzyme called Cox-1. Tirovel blocks the Cox-1 enzyme, resulting into the disruption of production of prostaglandins. Tirovel also inhibits the migration of leukocytes into sites of inflammation and prevents the formation of thromboxane A2, an aggregating agent, by the platelets.
Dosage
Tirovel dosage
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.
Side Effects
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.
Toxicity
Symptoms of overdose include drowsiness, nausea, stomach pain, and/or vomiting.
Precaution
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.
Interaction
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.
Food Interaction
- Avoid alcohol.
- Take with food.
Tirovel Alcohol interaction
[Moderate] GENERALLY AVOID:
The concurrent use of aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) and ethanol may lead to gastrointestinal (GI) blood loss.
The mechanism may be due to a combined local effect as well as inhibition of prostaglandins leading to decreased integrity of the GI lining.
Patients should be counseled on this potential interaction and advised to refrain from alcohol consumption while taking aspirin or NSAIDs.
Tirovel Hypertension interaction
[Major] Fluid retention and edema have been reported in association with the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Therapy with NSAIDs should be administered cautiously in patients with preexisting fluid retention, hypertension, or a history of heart failure.
Blood pressure and cardiovascular status should be monitored closely during the initiation of NSAID treatment and throughout the course of therapy.
Hypertension interaction[Moderate] Nonsteroidal anti-inflammatory drugs (NSAIDs), including topicals, can lead to new onset of hypertension or worsening of preexisting hypertension, either of which can contribute to the increased incidence of cardiovascular events.
NSAIDs should be used with caution in patients with hypertension.
Blood pressure should be monitored closely during the initiation of NSAID therapy and throughout the course of therapy.
Tirovel Drug Interaction
Major: celecoxibModerate: duloxetine, omega-3 polyunsaturated fatty acids, metoprolol, sertralineUnknown: amphetamine / dextroamphetamine, zolpidem, diphenhydramine, calcium / vitamin d, atorvastatin, pregabalin, esomeprazole, acetaminophen, montelukast, levothyroxine, cyanocobalamin, ascorbic acid, cholecalciferol, alprazolam, cetirizine
Tirovel Disease Interaction
Major: asthma, fluid retention, GI toxicity, rash, renal toxicities, thrombosisModerate: anemia, heart failure, hepatotoxicity, hyperkalemia, hypertension, platelet aggregation inhibition
Volume of Distribution
- 0.14 L/kg
Elimination Route
Well absorbed following oral administration.
Half Life
30 to 86 hours
Elimination Route
Tirovel and its biotransformation products are excreted in urine and feces, with about twice as much appearing in the urine as in the feces. Approximately 5% of a piroxicam dose is excreted unchanged. However, a substantial portion of piroxicam elimination occurs by hepatic metabolism. Tirovel is excreted into human milk.
Pregnancy & Breastfeeding use
Pregnancy catagort C (in 1st & 2nd trimester), D (in 3rd trimester)
Contraindication
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.
Acute Overdose
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.
Innovators Monograph
You find simplified version here Tirovel
FAQ
What is Tirovel used for?
Tirovel is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis and rheumatoid arthritis.
How does Tirovel work?
Tirovel works by stopping the body's production of a substance that causes pain, fever, and inflammation.
What are the common side effects of Tirovel?
The common side effects of are include:
- diarrhea.
- constipation.
- gas.
- headache.
- dizziness.
- ringing in the ears.
Is Tirovel a painkiller?
Tirovel is a nonsteroidal anti-inflammatory drug used for the treatment of osteoarthritis and rheumatoid arthritis pain and inflammation.
When should be taken of Tirovel?
Tirovel is usually taken once or twice a day. Take Tirovel at around the same time every day.
Is Tirovel safe during pregnancy?
Tirovel capsules are not recommended for use in pregnant women since safety has not been established in humans.Tirovel should be used during pregnancy only if the possible benefit outweighs the possible risk to the unborn baby.
Is Tirovel safe during breastfeeding?
Tirovel passes through breast milk and may cause side effects in a child who is breastfed. It's not recommended to breastfeed while taking this medication.
Can I drink alcohol with Tirovel?
Avoid drinking alcohol. It may increase your risk of stomach bleeding. Avoid taking aspirin while you are taking Tirovel.
Can I drive after taking Tirovel?
Tirovel may cause drowsiness, dizziness, tiredness, and vision disturbances, do not drive or operate heavy machinery if you feel dizzy.
How long does Tirovel take to work?
Tirovel usually begins to work within 1 week, but in severe cases up to two weeks or even longer may pass before you begin to feel better.
Can I take Tirovel at night?
Tirovel was equally effective when administered in the morning or at night, evidence for the view that a single daily dose relieves symptoms for at least 24 hours.
Is Tirovel a muscle relaxant?
Tirovel helps relieve pain and swelling of various joints and muscles.
Can I take Tirovel on an empty stomach?
You do not need to take Tirovel with food. However, if you experience some stomach upset, Tirovel can be taken with food. Ask your doctor or pharmacist if you have any other concerns about your diet and this medicine.
How quickly does Tirovel work?
Tirovel usually begins to work within 1 week, but in severe cases up to two weeks or even longer may pass before you begin to feel better.
Is Tirovel good for back pain?
Tirovel can provide effective relief of acute low-back pain with good toleration; it should be considered for use in the initial treatment of this condition.
Does Tirovel cause weight gain?
Tirovel can causes weight gain also with other side effects.
Can I take Tirovel for a long time?
Tirovel usually begins to work within 1 week, but in severe cases up to two weeks or even longer may pass before you begin to feel better.
Who should not take?
Tirovel can increase your risk of fatal heart attack or stroke. Do not use Tirovel just before or after heart bypass surgery . Tirovel may also cause stomach or intestinal bleeding, which can be fatal.
What happens if I miss a dose?
Take Tirovel as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
What happens if I overdose on Tirovel?
Seek emergency medical attention.Overdose symptoms may include nausea, vomiting, stomach pain, black or bloody stools, or coughing up blood.