Meloxicam Dosage, Uses, Side Effects & Interactions Explained

Meloxicam: Key Points and Overview

Meloxicam is a prescription medication used to relieve pain and inflammation associated with conditions like osteoarthritis, rheumatoid arthritis, and other joint disorders. It belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). Meloxicam works by reducing the production of hormones that cause inflammation and pain in the body. Always consult your healthcare provider before starting or adjusting your dose. Our telemedicine providers are available to help manage your treatment plan.

Meloxicam: Brand and Generic Names

US Brand Name: Mobic

Generic Name: Meloxicam

The generic name refers to the active ingredient in the medication, while the brand name is assigned by the manufacturer. The generic name is typically listed in parentheses.

Pharmacologic Category: NSAID Pain Reliever

Meloxicam is classified as a Nonsteroidal Anti-inflammatory Drug (NSAID).

Other medications in this category include ibuprofen, naproxen, and celecoxib.

Meloxicam Dosage: How to Take It

Meloxicam is prescribed for various conditions, and the dosage and frequency depend on the specific condition being treated. Always follow your doctor’s instructions and consult them before making any changes to your dosage. If you need to speak with a healthcare provider, our telemedicine service is available for immediate consultation.

Meloxicam Dosage for Osteoarthritis

Dosage: 7.5 mg once daily. Some patients may require up to 15 mg once daily.

Duration: Long-term use as directed by your doctor.

Meloxicam Dosage for Rheumatoid Arthritis

Dosage: 7.5 mg once daily. Some patients may require up to 15 mg once daily.

Duration: Long-term use as directed by your doctor.

Meloxicam for Juvenile Idiopathic Arthritis (Children 2 Years and Older)

Dosage: 0.125 mg/kg once daily, up to a maximum of 7.5 mg per day.

Duration: Long-term use as directed by your doctor.

Meloxicam Dosage for Ankylosing Spondylitis

Dosage: 7.5 mg once daily. Some patients may require up to 15 mg once daily.

Duration: Long-term use as directed by your doctor.

Meloxicam for Gout

Dosage: 7.5 mg to 15 mg once daily during acute flare-ups.

Duration: Short-term use during flare-ups as directed by your doctor.

Meloxicam for Tendinitis

Dosage: 7.5 mg to 15 mg once daily.

Duration: Short-term use as directed by your doctor.

Meloxicam for Bursitis

Dosage: 7.5 mg to 15 mg once daily.

Duration: Short-term use as directed by your doctor.

Meloxicam for Pain and Inflammation

Dosage: 7.5 mg to 15 mg once daily depending on the severity of the pain.

Duration: Short-term use as directed by your doctor.

Meloxicam for Osteoporosis

Dosage: 7.5 mg to 15 mg once daily.

Duration: Long-term use as directed by your doctor.

Meloxicam Dosage Forms and Strengths

Meloxicam is available in the following forms:

1. Tablet: 7.5 mg, 15 mg
2. Oral Suspension: 7.5 mg/5 mL
3. Capsule: 5 mg, 10 mg

How to Take Meloxicam: Administration Instructions

Meloxicam should be taken by mouth, usually once daily, with or without food. Taking it with food or milk can help reduce the risk of stomach upset. Always follow your doctor’s instructions regarding dosage and timing. Do not crush or chew the tablets. If you miss a dose, take it as soon as you remember unless it is almost time for the next dose. In that case, skip the missed dose and continue with your regular schedule.

Meloxicam Side Effects: What to Expect

Like all medications, Meloxicam can cause side effects. Some are more common, while others are rare but serious. If you experience any side effects, contact your healthcare provider immediately. You can also schedule a telemedicine appointment with one of our providers for further guidance.

Common Meloxicam Side Effects

Stomach upset: Nausea, vomiting, or indigestion may occur.

Diarrhea: Loose stools or increased bowel movements.

Headache: Mild to moderate headaches may occur.

Dizziness: Feeling lightheaded or unsteady.

Serious Meloxicam Side Effects

Heart attack or stroke: Meloxicam may increase the risk of serious cardiovascular events, especially with long-term use.

Stomach ulcers or bleeding: Meloxicam can cause serious gastrointestinal issues, including ulcers and bleeding.

Kidney problems: Meloxicam may affect kidney function, leading to symptoms like swelling, weight gain, or reduced urine output.

Allergic reactions: Severe allergic reactions, such as rash, itching, swelling, or difficulty breathing, can occur.

Meloxicam Contraindications: When Not to Use It

A contraindication is a specific situation or condition where a medication should not be used because it may cause harm. For Meloxicam, there are several situations where it is not safe to take this medication. These include:

1. Allergy to NSAIDs: If you have had an allergic reaction to nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen (Advil), or naproxen (Aleve), you should not take Meloxicam. Allergic reactions can include rash, swelling, or difficulty breathing.
2. History of Asthma Attacks: If you have asthma that worsens after taking aspirin or other NSAIDs, Meloxicam may trigger a similar reaction, leading to breathing difficulties.
3. Active or Recent Gastrointestinal Bleeding: Meloxicam can increase the risk of stomach or intestinal bleeding, especially if you have a history of ulcers or gastrointestinal bleeding.
4. Severe Kidney Disease: Meloxicam is processed by the kidneys, and if your kidneys are not functioning properly, taking this medication can lead to further kidney damage.
5. Severe Liver Disease: If you have significant liver impairment, Meloxicam may not be safe as it is metabolized by the liver, and poor liver function can lead to toxic buildup in the body.
6. Heart Failure or Recent Heart Attack: Meloxicam can increase the risk of heart-related complications, including heart attack and stroke, especially in people with pre-existing heart conditions.

Drug to Drug Interactions

Meloxicam can interact with other medications, potentially leading to harmful effects. It’s important to inform your healthcare provider about all the medications you are taking, including over-the-counter drugs and supplements. Some common medications that may interact with Meloxicam include:

1. Blood Thinners: Warfarin (Coumadin), Apixaban (Eliquis), and Rivaroxaban (Xarelto) – Meloxicam can increase the risk of bleeding when taken with these medications.
2. Other NSAIDs: Ibuprofen (Advil), Naproxen (Aleve) – Taking multiple NSAIDs together raises the risk of stomach ulcers and bleeding.
3. ACE Inhibitors and ARBs: Lisinopril (Zestril), Losartan (Cozaar) – These blood pressure medications can interact with Meloxicam, potentially reducing kidney function.
4. Diuretics: Furosemide (Lasix), Hydrochlorothiazide (Microzide) – Meloxicam may reduce the effectiveness of these medications, which are used to manage fluid retention and high blood pressure.
5. SSRIs: Sertraline (Zoloft), Fluoxetine (Prozac) – These antidepressants can increase the risk of bleeding when taken with Meloxicam.

Meloxicam in Pregnancy

Is it safe to take Meloxicam during pregnancy?

Meloxicam is generally not recommended during pregnancy, particularly in the third trimester. Taking Meloxicam later in pregnancy can lead to complications, such as premature closure of a vital blood vessel in the baby’s heart (ductus arteriosus) and other developmental issues. If you are pregnant or planning to become pregnant, consult your healthcare provider before using Meloxicam. They may suggest safer alternatives for managing pain during pregnancy.

Meloxicam while Breastfeeding

Is it safe to take Meloxicam while breastfeeding?

There is limited information on the safety of Meloxicam during breastfeeding. Small amounts of the drug may pass into breast milk, but the effects on a breastfeeding infant are not well understood. If you are breastfeeding, discuss the potential risks and benefits of taking Meloxicam with your healthcare provider. They may recommend alternative treatments or monitor your baby for any possible side effects.

Estimated Cost of Meloxicam

The estimated cost of a 30-day supply of Meloxicam (15 mg tablets) without insurance ranges from approximately $10 to $20 when using a GoodRx coupon. Prices may vary depending on the pharmacy and location. Be sure to check for available discounts or coupons to help reduce your medication costs.

Possible Alternatives to Meloxicam

Depending on your condition, alternative treatments or lifestyle changes may help manage your symptoms. Always discuss these options with your healthcare provider before making any changes to your treatment plan. You can also schedule a telemedicine appointment with one of our providers to explore these alternatives.

1. Osteoarthritis: Alternatives include acetaminophen (Tylenol), physical therapy, weight loss, and joint injections (such as corticosteroids or hyaluronic acid).
2. Rheumatoid Arthritis: Disease-modifying antirheumatic drugs (DMARDs) like methotrexate, biologics such as adalimumab (Humira), and lifestyle changes like regular exercise and a balanced diet may help.
3. Juvenile Idiopathic Arthritis: Treatment options include DMARDs, biologics, and physical therapy to maintain joint function and reduce inflammation.
4. Ankylosing Spondylitis: Biologic medications like infliximab (Remicade), physical therapy, and regular exercise can help manage symptoms.
5. Gout: Alternatives include medications like allopurinol (Zyloprim) or colchicine, along with dietary changes to reduce uric acid levels.
6. Tendinitis: Rest, physical therapy, and corticosteroid injections may be effective alternatives to NSAIDs like Meloxicam.
7. Bursitis: Rest, ice, physical therapy, and corticosteroid injections can help reduce inflammation and pain.
8. Pain: Acetaminophen (Tylenol), physical therapy, and alternative pain management techniques like acupuncture may be considered.
9. Inflammation: Corticosteroids, physical therapy, and lifestyle changes such as anti-inflammatory diets may help reduce inflammation.
10. Osteoporosis: Bisphosphonates like alendronate (Fosamax), calcium and vitamin D supplements, and weight-bearing exercises can help improve bone health.

Recent Updates on Meloxicam Research

Recent studies have focused on the long-term safety of Meloxicam, particularly its effects on the cardiovascular system. Research indicates that while Meloxicam is effective in managing pain and inflammation, it may increase the risk of heart attack and stroke, especially in patients with pre-existing heart conditions. Ongoing studies are also exploring the potential for Meloxicam to be used in combination with other medications to reduce these risks.

Additionally, researchers are investigating whether lower doses of Meloxicam could provide similar pain relief with fewer side effects. If you have concerns about the safety of Meloxicam, particularly if you have heart disease or other risk factors, discuss them with your healthcare provider. You can schedule a telemedicine appointment with one of our providers to review your treatment options and ensure you are on the safest and most effective medication for your condition.

James Kingsley

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