Fenkil (20mg) 30 Tablets

Tenoxicam, a non-steroidal anti-inflammatory drug (NSAID), exerts its mechanism of action by inhibiting the cyclooxygenase (COX) enzyme, primarily COX-2. This inhibition blocks the conversion of arachidonic acid to prostaglandin H2, a crucial step in the synthesis of prostaglandins and thromboxanes. By reducing the production of these inflammatory mediators, tenoxicam effectively diminishes pain, inflammation, and fever. Unlike some other NSAIDs, tenoxicam is selective in its COX-2 inhibition, which may contribute to a potentially reduced risk of gastrointestinal side effects associated with COX-1 inhibition.

Non-steroidal anti-inflammatory drug (NSAID)

Tablet

The following are the uses of Tenoxicam 20mg Tablet:

• Used for relieving inflammation and reducing pain associated with osteoarthritis and rheumatoid arthritis.
• Used to manage acute pain and inflammation after surgery or dental procedures.
• Used for treating ankylosing spondylitis, a type of arthritis affecting the spine.
• Used to alleviate pain and inflammation in soft tissue injuries, such as sprains and strains.
• Used for short-term management of gout attacks to reduce pain and inflammation.
• Used to relieve menstrual pain and discomfort in women.
• Used for controlling pain and inflammation in certain musculoskeletal conditions.

In the case of an overdose of Tenoxicam 20mg Tablets, it is important to recognize the potential risks and act swiftly. An overdose may lead to severe gastrointestinal symptoms, including stomach pain, nausea, and vomiting. Additionally, individuals may experience skin reactions, such as rashes or itching. If you suspect an overdose, promptly contact a healthcare professional or seek medical assistance. Quick action can help manage and mitigate the adverse effects of an overdose.

In the case of a missed dose of Tenoxicam 20mg Tablet, it is important to take the medication as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one, as this may increase the risk of side effects. If you miss multiple doses, consult your healthcare provider for guidance on how to safely adjust your dosing schedule and ensure the medication's effectiveness. It is recommended to set reminders or use a pill organizer to help you stay on track with your medication regimen.

To take Tenoxicam 20mg Tablet, swallow the tablet whole with a glass of water, preferably with or after food, as directed by your doctor, usually once daily or as instructed.

Following are the conditions or circumstances when Tenoxicam 20mg Tablet should not be taken:

• Tenoxicam 20mg Tablet should not be used in patients who are allergic to non-steroidal anti-inflammatory drugs (NSAIDs) or have a history of asthma or allergic reactions triggered by aspirin or other NSAIDs.
• Contraindicated in individuals with active or recent gastrointestinal bleeding or perforation.
• Not recommended for patients with severe heart failure or uncontrolled hypertension.
• Avoid using in patients with active peptic ulcer or a history of recurrent gastrointestinal ulcers/bleeding.
• Should not be used in individuals with severe liver or kidney disease.
• Contraindicated during the last trimester of pregnancy due to potential fetal risks.
• Not suitable for patients with bleeding disorders or those on anticoagulant therapy.

The side effects of Tenoxicam 20mg Tablet may include:

• Stomach pain or discomfort
• Nausea and vomiting
• Diarrhea
• Constipation
• Dizziness or lightheadedness
• Skin rashes or itching
• Increased blood pressure
• Fatigue

Following are the precautions and warnings for Tenoxicam 20mg Tablet:

• This medication is not suitable for individuals with a known allergy or hypersensitivity to Tenoxicam or other non-steroidal anti-inflammatory drugs (NSAIDs).
• Patients with a history of gastrointestinal problems such as ulcers, bleeding, or perforation should exercise caution, as this medication may increase the risk of gastrointestinal complications.
• Tenoxicam may cause an increased risk of cardiovascular events such as heart attack or stroke, especially in patients with pre-existing cardiovascular disease. Regular monitoring is recommended.
• Patients with kidney or liver problems should be closely monitored as Tenoxicam may affect these organs. Dosage adjustments might be necessary.
• Avoid using this medication during pregnancy, especially in the third trimester, as it may cause complications. Consult your doctor for alternative options.
• Breastfeeding women should exercise caution as Tenoxicam may pass into breast milk and potentially harm the nursing infant.
• This medication may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you.
• Tenoxicam should be used with caution in elderly patients as they may be more susceptible to side effects. Regular monitoring is advised.

Following are the drug interactions for Tenoxicam 20mg Tablet:

• May interact with other non-steroidal anti-inflammatory drugs (NSAIDs) and increase the risk of gastrointestinal bleeding and kidney problems.
• Lithium levels can be increased, leading to lithium toxicity. Close monitoring is required.
• Anticoagulants like warfarin may have their effects enhanced, potentially increasing the risk of bleeding.
• Thrombolytic agents might also increase the risk of bleeding.
• Can reduce the effectiveness of diuretics and antihypertensives, requiring careful monitoring.
• May decrease the elimination of methotrexate, potentially increasing its toxicity.
• Probenecid can increase the plasma concentration of Tenoxicam, requiring dosage adjustment.

Following are the food interactions for Tenoxicam 20mg Tablet:

• Alcohol consumption should be avoided as it can increase the risk of gastrointestinal bleeding and liver toxicity.
• Grapefruit and grapefruit juice should be consumed with caution as they may alter the metabolism of Tenoxicam, leading to increased drug levels in the body.
• Avoid high-sodium foods as Tenoxicam can cause sodium and fluid retention, potentially worsening conditions like hypertension.
• Limit foods rich in vitamin K (like leafy greens) as Tenoxicam may interfere with blood clotting.
• Consuming fatty meals may slightly delay the absorption of Tenoxicam but is generally not a concern.
• Avoid caffeine or limit its intake as it can increase the risk of gastrointestinal side effects.
• Ensure adequate fluid intake to reduce the risk of kidney-related complications.

Tenoxicam 20mg Tablets should be stored in a cool, dry place, preferably in a medicine cabinet or a similar storage area, ensuring protection from light and moisture. Maintain a consistent room temperature, avoiding excessive heat or cold. It is crucial to keep the tablets in their original packaging, tightly sealed, to prevent contamination and maintain their integrity. Never remove the tablets from their packaging unless you are about to take them. When disposing of unused or expired tablets, do not throw them in the trash or flush them down the toilet. Instead, consult your pharmacist or local waste management guidelines for safe disposal methods to protect the environment. Keep the medication out of children's reach to prevent accidental consumption.

Following are the quick tips for Tenoxicam 20mg Tablet:

• Take the tablet with or after food to prevent stomach irritation.
• Swallow the tablet whole with a sufficient amount of water.
• Avoid cutting, crushing, or chewing the tablet.
• Take it as directed by your doctor, usually once daily.
• Maintain a consistent dosing schedule for best results.
• Do not take more than the prescribed dose to avoid potential side effects.
• Store the tablets in a cool, dry place, away from direct sunlight and moisture.