Q. What is the difference between Pisicam 20mg Injection and ketoprofen?
Both Pisicam 20mg Injection and ketoprofen are pain killers. Both are non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain). Research studies have shown ketoprofen topical gel is better and effective as compared to Pisicam 20mg Injection. Ketoprofen gel also showed excellent tolerability.
Q. What is the difference between Pisicam 20mg Injection and tramadol?
Pisicam 20mg Injection is a COX (cyclooxygenase -an enzyme responsible for inflammation and pain) whereas Tramadol is a narcotic-like painkiller. Tramadol is a habit forming medicine.
Q. What is the difference between Pisicam 20mg Injection and nimesulide?
Both Pisicam 20mg Injection and nimesulide are pain killers. However, Pisicam 20mg Injection is a non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain) inhibitor whereas nimesulide is selective to the COX-2 enzyme. This selectivity of nimesulide is supposed to decrease the side effects as compared to piroxicam. It should not be used in children below 12 years of age.
Q. Can Pisicam 20mg Injection be used in the treatment of chikungunya?
Usually, the platelet count does not dip in cases of chikungunya and painkillers like piroxicam can lead to the risk of increased bleeding tendency. So refrain from taking Pisicam 20mg Injection or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Pisicam 20mg Injection.
Q. Are Pisicam 20mg Injection and aspirin same?
No. Pisicam 20mg Injection and aspirin are not same. They belong to the same class of drugs known as COX (cyclooxygenase) inhibitors. They both are anti-inflammatory and analgesic.
Q. Can Pisicam 20mg Injection be used along with dexamethasone?
No. Pisicam 20mg Injection should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.
Q. Can Pisicam 20mg Injection be used with methocarbamol?
Yes. Methocarbamol can be used with Pisicam 20mg Injection as no serious side effects are known. Inform your doctor before starting any of the medication.
Q. Can Pisicam 20mg Injection be used along with paracetamol?
Yes. Paracetamol can be used with Pisicam 20mg Injection as no serious side effects are known. Inform your doctor before starting any of the medication.
Q. Is Pisicam 20mg Injection a NSAID?
Yes. Pisicam 20mg Injection is a non-steroidal anti-inflammatory drug (NSAID).
Q. Is Pisicam 20mg Injection a sulfa drug?
Pisicam 20mg Injection is a sulphur containing compound. Pisicam 20mg Injection can cause serious adverse events in sensitive individuals. It can cause severe skin reactions like Steven Johnson Syndrome. Do inform your doctor if you have any kind of allergies.
Q. Is Pisicam 20mg Injection a blood thinner?
No. Pisicam 20mg Injection is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.
Q. Is Pisicam 20mg Injection a muscle relaxant?
No. Pisicam 20mg Injection is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.
Q. Is Pisicam 20mg Injection a narcotic?
No. Pisicam 20mg Injection is not a narcotic. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme to decrease the pain and inflammation.
Q. Can Pisicam 20mg Injection be used in hypertension?
No. Pisicam 20mg Injection is not a medication to control hypertension. It is important to note that Pisicam 20mg Injection decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Pisicam 20mg Injection.
Q. Can Pisicam 20mg Injection be used along with Losartan?
No. Pisicam 20mg Injection should not be combined with Losartan. It is important to note that Pisicam 20mg Injection decreases the effectiveness of the antihypertensive medication like losartan when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Pisicam 20mg Injection.
Q. Can Pisicam 20mg Injection be used with Lisinopril?
No. Pisicam 20mg Injection should be avoided with lisinopril. It is important to note that piroxicam decreases the effectiveness of the antihypertensive medication like lisinopril when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Pisicam 20mg Injection.
Q. Can Pisicam 20mg Injection be used with calcium channel blocker?
Yes. Pisicam 20mg Injection can be taken with calcium channel blocker. NSAIDs have been observed to reduce the effectiveness of all antihypertensive drugs except calcium channel blockers (ref: White 2007)
Q. Can Pisicam 20mg Injection be used with Tizanidine?
Yes, Pisicam 20mg Injection can be combined with tizanidine. Piroxicam is a pain killer and tizanidine is a skeletal muscle relaxant. It is used in the condition like a backache.
Q. Why is beta cyclodextrin added to Pisicam 20mg Injection?
Yes. Pisicam 20mg Injection can be combined with beta-cyclodextrin. Research has shown that combining Pisicam 20mg Injection with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.
Q. Are there any alternatives of Pisicam 20mg Injection?
Yes. There are alternatives to Pisicam 20mg Injection. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.
Q. What are the contraindications for Pisicam 20mg Injection?
Contraindications to piroxicam are an allergy, bleeding tendency, duodenal/gastric/peptic ulcer, stomatitis, Systemic Lupus Erythematosus (SLE), ulcerative colitis, upper GI disease, late pregnancy, cardiac disease, hepatic impairment, renal impairment.
Q. Can Pisicam 20mg Injection be used in the treatment of allergy?
No. Pisicam 20mg Injection is not a drug to treat allergy. It is a pain killer.
Q. How long does Pisicam 20mg Injection work?
Pisicam 20mg Injection is a long acting drug. Once the daily dose is enough for the relief of pain but it depends from person to person as the effectiveness of piroxicam increases when given for few weeks.
Q. Can you get high by using Pisicam 20mg Injection?
No. Pisicam 20mg Injection is not known to cause high. It is a non-narcotic painkiller.
Q. Can Pisicam 20mg Injection be used to treat menstrual cramp?
Pisicam 20mg Injection is not approved for the treatment of menstrual cramps. Research studies have shown that piroxicam is quite effective in significantly decreasing the menstrual cramps.
Q. Can I use Pisicam 20mg Injection for a migraine?
Pisicam 20mg Injection is not approved for the treatment of migraine. Research studies have shown that Pisicam 20mg Injection is effective in significantly decreasing the pain associated with migraine without aura.
Q. Is Pisicam 20mg Injection effective in back pain management?
Yes. It can be given for decreasing the back pain. However, you should consult your doctor for the exact cause of your back pain and then start the treatment. Do not self-medicate yourself with Pisicam 20mg Injection as the cause of back pain can be different for different person.
Q. Is Pisicam 20mg Injection affective in gout management?
Yes. Pisicam 20mg Injection can be given for the treatment of acute gout. Research studies have shown Pisicam 20mg Injection to be highly effective in the treatment of acute gout.
Q. Can you donate blood when on the medication with Pisicam 20mg Injection?
Yes. You can donate blood when on Pisicam 20mg Injection. Do inform your doctor before donating blood.
Q. Can I use Pisicam 20mg Injection if I am a diabetic?
Pisicam 20mg Injection in a diabetic patient can only be taken only by consulting a doctor because these medicines have the propensity to cause renal failure when taken for a long period. Diabetes itself causes renal Pisicam 20mg Injection so taking piroxicam can lead to increased risk of renal failure by many folds.
Q. Can I use Pisicam 20mg Injection if I have a deranged renal function?
No. Pisicam 20mg Injection should not be taken if you have a abnormal renal function because long-term administration of NSAIDs has resulted in renal papillary necrosis and another renal injury.
Q. Can Pisicam 20mg Injection lead to skin reactions?
Yes. Pisicam 20mg Injection is known to cause skin reactions which can be very severe such as exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. These serious events may occur without warning. You should inform your doctor if you feel you have a mild rash and immediately discontinue the drug.
Q. Can I use Pisicam 20mg Injection if I am pregnant?
No. Pisicam 20mg Injection should not be taken in pregnancy. It causes premature closure of the ductus arteriosus which can lead to fetal heart failure and death of the baby.
Q. Can I use Pisicam 20mg Injection if I have peptic ulcer disease?
No. Pisicam 20mg Injection is contraindicated in cases of active peptic ulcer disease. Pisicam 20mg Injection is known to cause gastric ulceration and bleeding.
Q. Can I use Pisicam 20mg Injection if I have asthma?
Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory (NSAID) drugs like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.
Q. Can Pisicam 20mg Injection lead to difficulty in conception?
Yes. Pisicam 20mg Injection can sometimes cause reversible infertility. Piroxicam by its mechanism of action may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.
Q. Can Pisicam 20mg Injection be used with diuretics?
No. Pisicam 20mg Injection should not be used with diuretics. Pisicam 20mg Injection reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
Q. Can Pisicam 20mg Injection be used with lithium?
No. Pisicam 20mg Injection should not be used with lithium. Pisicam 20mg Injection leads to an elevation of plasma lithium levels and a reduction in renal lithium clearance. This is because of inhibition of renal prostaglandin synthesis by the NSAID. Consult and inform your doctor before starting this medication.
Q. Can Pisicam 20mg Injection be used with warfarin?
No. Pisicam 20mg Injection should be avoided with warfarin as they both lead to increase in bleeding tendencies. Inform your doctor if you are taking any of the medications. If given together then the therapy should be monitored closely.
Q. What increases the chances of getting a gastric ulcer when I am already taking Pisicam 20mg Injection?
The chances of gastric ulceration increases if you take medicines like corticosteroids and anticoagulants. Long term use, alcohol, smoking and old age are few other factors which can increase the chances of ulceration.
Q. Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ Pisicam 20mg Injection?
Patients who had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine or for pain right before or after heart bypass surgery.
Q. What are the serious side effects of Pisicam 20mg Injection?
GI discomfort and, rarely, serious GI side effects, such as ulcers and bleeding, serious skin side effects such as exfoliative, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis, liver failure, renal damage.
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