{"id":2115,"date":"2025-09-24T19:37:15","date_gmt":"2025-09-24T17:37:15","guid":{"rendered":"https:\/\/rxquora.com\/en\/?p=2115"},"modified":"2025-09-24T19:37:18","modified_gmt":"2025-09-24T17:37:18","slug":"coxflam-uses-side-effects-warnings-precautions","status":"publish","type":"post","link":"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/","title":{"rendered":"COXFLAM: Uses,Side Effects,Warnings,Precautions"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>COXFLAM <\/strong> is a non-steroidal anti-inflammatory medicine (NSAID) used to relieve pain and inflammation in conditions that affect the joints, spine and surrounding tissues. It is intended for <strong>symptomatic<\/strong> relief, which means it helps with pain, swelling and fever, but it does not cure the underlying illness. COXFLAM is a <strong>Schedule S3<\/strong> medicine, so it is supplied under a healthcare professional\u2019s guidance. The tablets contain <strong>lactose<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_it_is_and_what_it_is_used_for\"><\/span>What it is and what it is used for<span class=\"ez-toc-section-end\"><\/span><\/h2><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#What_it_is_and_what_it_is_used_for\" >What it is and what it is used for<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#How_it_works\" >How it works<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Who_should_NOT_use_this_medicine\" >Who should NOT use this medicine<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Warnings_and_precautions_Read_before_use\" >Warnings and precautions (Read before use)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Pregnancy_planning_pregnancy_and_breastfeeding\" >Pregnancy, planning pregnancy, and breastfeeding<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Interactions\" >Interactions<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#How_to_take_Step-by-step\" >How to take (Step-by-step)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Dosing_table\" >Dosing table<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Possible_side_effects\" >Possible side effects<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Serious%E2%80%94seek_urgent_help_and_stop_taking_COXFLAM\" >Serious\u2014seek urgent help and stop taking COXFLAM<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Common_side_effects\" >Common side effects<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Less_common_or_frequency_unknown_tell_your_doctor_if_troublesome\" >Less common or frequency unknown (tell your doctor if troublesome)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Storage_and_disposal\" >Storage and disposal<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#What_the_medicine_contains\" >What the medicine contains<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Pack_information_and_appearance\" >Pack information and appearance<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/#Practical_FAQs\" >Practical FAQs<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\">COXFLAM contains <strong>meloxicam<\/strong>, an NSAID in the group of medicines known as <strong>antirheumatics<\/strong> (anti-inflammatory agents). It helps reduce <strong>pain, inflammation and fever<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is used for the symptomatic relief of:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Osteoarthritis<\/strong><\/li>\n\n\n\n<li><strong>Rheumatoid arthritis<\/strong><\/li>\n\n\n\n<li><strong>Acute sciatica<\/strong> (pain affecting the hip nerve)<\/li>\n\n\n\n<li><strong>Ankylosing spondylitis<\/strong> (a form of spinal arthritis)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_it_works\"><\/span>How it works<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">COXFLAM is an <strong>anti-inflammatory pain reliever<\/strong>. In everyday terms, it helps to <strong>turn down the body\u2019s inflammation signals<\/strong>, easing <strong>pain, swelling and fever<\/strong> associated with joint and musculoskeletal problems.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Who_should_NOT_use_this_medicine\"><\/span>Who should NOT use this medicine<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do not take COXFLAM if:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>You are <strong>allergic<\/strong> to <strong>meloxicam<\/strong> or any of the ingredients in the tablets.<\/li>\n\n\n\n<li>You have ever had an <strong>allergic reaction<\/strong> to <strong>aspirin<\/strong> or any other <strong>anti-inflammatory medicines (NSAIDs)<\/strong>.<\/li>\n\n\n\n<li>You are <strong>pregnant<\/strong>.<\/li>\n\n\n\n<li>You have ever developed <strong>wheezing<\/strong>, <strong>nasal polyps<\/strong> with runny nose, <strong>skin swelling<\/strong> or <strong>urticaria<\/strong> (nettle rash) when taking aspirin or other anti-inflammatory medicines.<\/li>\n\n\n\n<li>You currently have, or have a history of, a <strong>stomach or intestinal ulcer<\/strong>, or <strong>active inflammatory bowel disease<\/strong> (such as <strong>Crohn\u2019s disease<\/strong> or <strong>ulcerative colitis<\/strong>).<\/li>\n\n\n\n<li>You have any <strong>bleeding disorder<\/strong> or have previously had <strong>gastrointestinal bleeding<\/strong> (stomach bleeding) or <strong>cerebrovascular bleeding<\/strong> (bleeding in the brain).<\/li>\n\n\n\n<li>You have <strong>serious liver disease<\/strong>.<\/li>\n\n\n\n<li>You have <strong>serious kidney disease<\/strong> and are <strong>not<\/strong> on dialysis.<\/li>\n\n\n\n<li>You have <strong>severe heart failure<\/strong>.<\/li>\n\n\n\n<li>You have been diagnosed with <strong>ischaemic heart disease<\/strong> (reduced blood flow to the heart), or <strong>peripheral arterial disease<\/strong> (narrowing of blood vessels causing poor circulation).<\/li>\n\n\n\n<li>You are scheduled for <strong>coronary artery bypass graft (CABG) surgery<\/strong> and have pain <strong>before<\/strong> the surgery.<\/li>\n\n\n\n<li>You are <strong>under 12 years<\/strong> of age.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Note:<\/strong> COXFLAM contains <strong>lactose<\/strong>. If you\u2019ve been told you have a <strong>sugar intolerance<\/strong>, speak to your doctor before using it.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Warnings_and_precautions_Read_before_use\"><\/span>Warnings and precautions (Read before use)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Speak to your doctor or pharmacist <strong>before<\/strong> taking COXFLAM if any of the following apply to you:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Digestive tract conditions:<\/strong> current or past <strong>oesophagitis<\/strong> (gullet inflammation), <strong>gastritis<\/strong> (stomach inflammation), <strong>ulcerative colitis<\/strong>, <strong>Crohn\u2019s disease<\/strong>, <strong>angiodysplasia<\/strong>, or <strong>hiatus hernia<\/strong>.<\/li>\n\n\n\n<li><strong>Cardiovascular risks or conditions:<\/strong> <strong>high blood pressure<\/strong>, <strong>heart disease<\/strong>, <strong>pre-existing heart failure<\/strong>, <strong>high blood cholesterol<\/strong>, <strong>smoking<\/strong>, or being <strong>elderly<\/strong>. Fluid retention has been reported.<\/li>\n\n\n\n<li><strong>Kidney or liver problems:<\/strong> any degree of <strong>renal<\/strong> or <strong>hepatic<\/strong> disease.<\/li>\n\n\n\n<li><strong>Diabetes.<\/strong><\/li>\n\n\n\n<li><strong>Recent allergic issues:<\/strong> such as <strong>urticaria<\/strong>, <strong>skin rash from aspirin<\/strong>, or <strong>allergic rhinitis<\/strong> (hay fever).<\/li>\n\n\n\n<li><strong>Low blood volume (hypovolaemia):<\/strong> after <strong>blood loss<\/strong>, <strong>burns<\/strong>, <strong>surgery<\/strong> or <strong>poor fluid intake<\/strong>.<\/li>\n\n\n\n<li><strong>Current medicines<\/strong> such as <strong>diuretics (\u201cwater tablets\u201d)<\/strong>, <strong>ACE-inhibitors<\/strong>, <strong>angiotensin II receptor antagonists (ARBs\/sartans)<\/strong>\u2014these taken together with COXFLAM can increase the risk of <strong>kidney problems<\/strong> (overt renal decompensation).<\/li>\n\n\n\n<li><strong>Infections:<\/strong> COXFLAM can <strong>mask signs<\/strong> of infection like fever and inflammation.<\/li>\n\n\n\n<li><strong>Electrolyte concerns:<\/strong> if you have been told you have <strong>high potassium<\/strong> levels. Your doctor may monitor you.<\/li>\n\n\n\n<li><strong>NSAID-related risks noted in general use:<\/strong> <strong>renal impairment<\/strong> and <strong>low potassium<\/strong> have also been associated with NSAIDs.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Driving and using machines<\/strong><br>The effect of COXFLAM on driving has <strong>not been studied<\/strong>. If you feel <strong>dizzy<\/strong>, <strong>drowsy<\/strong>, <strong>light-headed<\/strong> or develop <strong>visual disturbances<\/strong>, do <strong>not<\/strong> drive or operate machinery until you know how it affects you.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Alcohol<\/strong><br>Do <strong>not<\/strong> drink <strong>alcohol<\/strong> while taking COXFLAM because <strong>bleeding<\/strong> risk increases when alcohol and this medicine are used together.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Pregnancy_planning_pregnancy_and_breastfeeding\"><\/span>Pregnancy, planning pregnancy, and breastfeeding<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pregnancy:<\/strong> <strong>Do not<\/strong> take COXFLAM if you are <strong>pregnant<\/strong>.<\/li>\n\n\n\n<li><strong>Breastfeeding:<\/strong> It is <strong>not known<\/strong> if COXFLAM passes into breast milk, but other medicines in the same class <strong>do<\/strong>. Therefore, use during <strong>breastfeeding is not advised<\/strong>.<\/li>\n\n\n\n<li><strong>Fertility:<\/strong> COXFLAM may <strong>reduce female fertility<\/strong> and is <strong>not recommended<\/strong> if you are <strong>trying to conceive<\/strong>. Women who have trouble conceiving or are undergoing investigations for infertility <strong>should not<\/strong> take COXFLAM.<\/li>\n\n\n\n<li><strong>Planning pregnancy or unsure:<\/strong> <strong>Not specified in the source. Speak to your doctor or pharmacist before use.<\/strong><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Interactions\"><\/span>Interactions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Always<\/strong> tell your <a href=\"https:\/\/rxquora.com\/en\/lancap-capsules-uses-side-effects\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/lancap-capsules-uses-side-effects\/\">healthcare professional<\/a> about <strong>all<\/strong> medicines you use, including <strong>complementary<\/strong> or <strong>traditional<\/strong> products. The following may interact with COXFLAM:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Other anti-inflammatory medicines<\/strong>, including <strong>aspirin<\/strong><\/li>\n\n\n\n<li><strong>Anticoagulants<\/strong> (blood thinners) such as <strong>warfarin<\/strong><\/li>\n\n\n\n<li><strong>Thrombolytics<\/strong> (medicines that break down blood clots)<\/li>\n\n\n\n<li><strong>Medicines for high blood pressure<\/strong> (including ACE-inhibitors and ARBs\/sartans)<\/li>\n\n\n\n<li><strong>Corticosteroids<\/strong><\/li>\n\n\n\n<li><strong>Ciclosporin<\/strong><\/li>\n\n\n\n<li><strong>Diuretics<\/strong> (\u201cwater tablets\u201d)\u2014your doctor may monitor <strong>kidney function<\/strong><\/li>\n\n\n\n<li><strong>Lithium<\/strong><\/li>\n\n\n\n<li><strong>Potassium supplements<\/strong><\/li>\n\n\n\n<li><strong>Selective serotonin re-uptake inhibitors (SSRIs)<\/strong> used for depression<\/li>\n\n\n\n<li><strong>Methotrexate<\/strong><\/li>\n\n\n\n<li><strong>Cholestyramine<\/strong><\/li>\n\n\n\n<li><strong>Intra-uterine contraceptive device (IUD)<\/strong>\u2014ask your doctor or pharmacist if unsure<\/li>\n\n\n\n<li><strong>Alcohol<\/strong> (see above)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_to_take_Step-by-step\"><\/span>How to take (Step-by-step)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>General directions<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Follow your doctor\u2019s instructions exactly.<\/strong> If unsure, check with your doctor or pharmacist.<\/li>\n\n\n\n<li>Use the <strong>lowest <a href=\"https:\/\/rxquora.com\/en\/lorien-uses-dose-side-effects-precautions\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/lorien-uses-dose-side-effects-precautions\/\">effective dose<\/a><\/strong> for the <strong>shortest possible<\/strong> time.<\/li>\n\n\n\n<li>Swallow the <a href=\"https:\/\/rxquora.com\/en\/hyospasmol-tablets-uses-side-effects-precautions\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/hyospasmol-tablets-uses-side-effects-precautions\/\">tablet <strong>with a full glass of water<\/strong><\/a>, <strong>with or after a meal<\/strong>.<\/li>\n\n\n\n<li><strong>Do not share<\/strong> your medicine with anyone else.<\/li>\n\n\n\n<li>In <strong>severe conditions<\/strong>, noticeable improvement may require <strong>1 to 2 weeks<\/strong> of continuous use.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Recommended doses<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Adults<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Rheumatoid arthritis:<\/strong> <strong>15 mg once daily<\/strong>. The dose may be <strong>reduced to 7,5 mg daily<\/strong> according to response.<\/li>\n\n\n\n<li><strong>Osteoarthritis:<\/strong> <strong>7,5 mg once daily<\/strong>; in <strong>severe cases<\/strong>, <strong>15 mg once daily<\/strong>.<\/li>\n\n\n\n<li><strong>Ankylosing spondylitis:<\/strong> <strong>15 mg once daily<\/strong>.<\/li>\n\n\n\n<li><strong>Acute sciatica:<\/strong> <strong>7,5 mg once daily<\/strong>; may be <strong>increased to 15 mg once daily<\/strong> depending on response.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Elderly:<\/strong> Start at <strong>7,5 mg once daily<\/strong> with <strong>careful monitoring<\/strong>.<\/li>\n\n\n\n<li><strong>Dialysis patients:<\/strong> <strong>Do not exceed 7,5 mg daily<\/strong>.<\/li>\n\n\n\n<li><strong>Children under 12 years:<\/strong> <strong>Contraindicated<\/strong>\u2014do <strong>not<\/strong> use.<\/li>\n\n\n\n<li><strong>Maximum recommended dose for all adults:<\/strong> <strong>15 mg meloxicam once daily<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Missed dose<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Take it <strong>as soon as you remember<\/strong>.<\/li>\n\n\n\n<li>If it is <strong>almost time for your next dose<\/strong>, <strong>skip<\/strong> the missed dose.<\/li>\n\n\n\n<li><strong>Do not<\/strong> take a <strong>double dose<\/strong> to make up for a missed tablet.<\/li>\n\n\n\n<li><strong>Do not exceed<\/strong> <strong>15 mg per day<\/strong> (one 15 mg tablet <strong>or<\/strong> two 7,5 mg tablets).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Overdose<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Contact your doctor or pharmacist immediately.<\/strong><\/li>\n\n\n\n<li>If they are not available, contact the <strong>nearest hospital<\/strong> or <strong>poison control centre<\/strong>.<\/li>\n\n\n\n<li>See also the <strong>Warnings<\/strong> and <strong>Possible side effects<\/strong> sections.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Dosing_table\"><\/span>Dosing table<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Patient group \/ Condition<\/th><th>Usual dose<\/th><th>When to adjust<\/th><th>Maximum daily dose<\/th><\/tr><\/thead><tbody><tr><td><strong>Adults \u2013 Rheumatoid arthritis<\/strong><\/td><td>15 mg <strong>once daily<\/strong><\/td><td>May <strong>reduce to 7,5 mg daily<\/strong> according to response<\/td><td><strong>15 mg<\/strong><\/td><\/tr><tr><td><strong>Adults \u2013 Osteoarthritis<\/strong><\/td><td>7,5 mg <strong>once daily<\/strong><\/td><td>In <strong>severe cases<\/strong>, increase to <strong>15 mg once daily<\/strong><\/td><td><strong>15 mg<\/strong><\/td><\/tr><tr><td><strong>Adults \u2013 Ankylosing spondylitis<\/strong><\/td><td>15 mg <strong>once daily<\/strong><\/td><td>\u2014<\/td><td><strong>15 mg<\/strong><\/td><\/tr><tr><td><strong>Adults \u2013 Acute sciatica<\/strong><\/td><td>7,5 mg <strong>once daily<\/strong><\/td><td>May <strong>increase to 15 mg once daily<\/strong> according to response<\/td><td><strong>15 mg<\/strong><\/td><\/tr><tr><td><strong>Elderly<\/strong><\/td><td><strong>Start 7,5 mg once daily<\/strong><\/td><td>Monitor carefully<\/td><td><strong>15 mg<\/strong> (unless otherwise advised)<\/td><\/tr><tr><td><strong>Dialysis patients<\/strong><\/td><td><strong>Do not exceed 7,5 mg once daily<\/strong><\/td><td>\u2014<\/td><td><strong>7,5 mg<\/strong><\/td><\/tr><tr><td><strong>Children &lt; 12 years<\/strong><\/td><td><strong>Contraindicated<\/strong><\/td><td>\u2014<\/td><td>\u2014<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Note:<\/strong> Always follow the dose your doctor has prescribed for <strong>you<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Possible_side_effects\"><\/span>Possible side effects<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">COXFLAM can cause <a href=\"https:\/\/rxquora.com\/en\/donapan-tablet\/\" data-type=\"link\" data-id=\"https:\/\/rxquora.com\/en\/donapan-tablet\/\">side effects<\/a>, although not everyone gets them. If your <strong>general health worsens<\/strong> or you experience any <strong>unexpected symptoms<\/strong>, speak to your healthcare provider.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Serious%E2%80%94seek_urgent_help_and_stop_taking_COXFLAM\"><\/span>Serious\u2014seek urgent help and <strong>stop<\/strong> taking COXFLAM<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Skin and allergic reactions :<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Allergic reactions<\/strong> with <strong>skin rash and blistering<\/strong> that can be <strong>life-threatening<\/strong><\/li>\n\n\n\n<li><strong>Painful, red areas<\/strong> that <strong>spread quickly<\/strong>, raw or <strong>peeling skin<\/strong>, with <strong>fever<\/strong> or discomfort; may involve <strong>eyes, mouth, throat and genitals<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Stomach, intestine and bleeding risks (less frequent or frequency unknown):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Severe abdominal pain<\/strong>, <strong>chills<\/strong>, <strong>fever<\/strong>, <strong>nausea<\/strong> and <strong>vomiting<\/strong><\/li>\n\n\n\n<li><strong>Gastrointestinal bleeding<\/strong>: black or <strong>tarry stools<\/strong>, <strong>vomit like coffee grounds<\/strong>, <strong>bright red blood<\/strong> in vomit, <strong>dark\/bright red blood<\/strong> mixed with stool, <strong>cramps<\/strong>, <strong>dizziness or faintness<\/strong>, <strong>fatigue<\/strong>, <strong>paleness<\/strong>, <strong>shortness of breath<\/strong>, <strong>weakness<\/strong><\/li>\n\n\n\n<li><strong>Peptic ulcers<\/strong>, <strong>melaena<\/strong> (dark sticky faeces), <strong>haematemesis<\/strong> (vomiting blood)<\/li>\n\n\n\n<li><strong>Inflammation<\/strong> of the <strong>colon (colitis)<\/strong>, <strong>oesophagus (oesophagitis)<\/strong>, <strong>stomach lining (gastritis)<\/strong>, or <strong>mouth (stomatitis)<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Liver and blood (less frequent or frequency unknown):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hepatitis<\/strong> signs: <strong>fatigue<\/strong>, <strong>flu-like symptoms<\/strong>, <strong>dark urine<\/strong>, <strong>pale stools<\/strong>, <strong>abdominal pain<\/strong>, <strong>loss of appetite<\/strong>, <strong>unexplained weight loss<\/strong>, <strong>yellow skin\/eyes<\/strong> (jaundice)<\/li>\n\n\n\n<li><strong>Abnormal liver tests<\/strong><\/li>\n\n\n\n<li><strong>Anaemia<\/strong>: <strong>shortness of breath<\/strong>, <strong>dizziness<\/strong>, <strong>headache<\/strong>, <strong>cold hands\/feet<\/strong>, <strong>pale skin<\/strong>, <strong>chest pain<\/strong><\/li>\n\n\n\n<li><strong>Bleeding or bruising<\/strong> easily, <strong>pinpoint red spots<\/strong>, <strong>bleeding gums<\/strong>, <strong>pale skin<\/strong>, <strong>tiredness<\/strong>, <strong>fever and chills<\/strong>\u2014may indicate <strong>abnormal blood cell or platelet counts<\/strong><\/li>\n\n\n\n<li><strong>Increased vulnerability to infection<\/strong> due to a <strong>decreased white blood cell count<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Kidney and electrolytes (less frequent or frequency unknown):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Urinary problems<\/strong>, including being <strong>temporarily unable to pass urine<\/strong><\/li>\n\n\n\n<li><strong>Kidney failure<\/strong><\/li>\n\n\n\n<li><strong>High potassium<\/strong> levels; <strong>sodium and water retention<\/strong><\/li>\n\n\n\n<li><strong>Risk of renal impairment<\/strong> and <strong>low potassium<\/strong> have also been reported with NSAIDs<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Heart and circulation (frequency unknown):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Peripheral oedema<\/strong> (swelling of legs\/arms)<\/li>\n\n\n\n<li><strong>Aggravated high blood pressure<\/strong> or <strong>increased blood pressure<\/strong><\/li>\n\n\n\n<li><strong>Irregular or fast heartbeat (dysrhythmia, tachycardia)<\/strong><\/li>\n\n\n\n<li><strong>Heart failure<\/strong> (shortness of breath, difficulty breathing, generalised swelling, tiredness)<\/li>\n\n\n\n<li><strong>Myocardial infarction (heart attack)<\/strong><\/li>\n\n\n\n<li><strong>Cerebrovascular incidents (strokes)<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nervous system and other (less frequent or frequency unknown):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Disorientation<\/strong>, <strong>confusion<\/strong><\/li>\n\n\n\n<li><strong>Severe allergic skin reactions<\/strong> such as <strong>urticaria<\/strong> (intensely itchy weals) or <strong>photosensitivity<\/strong> reactions<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If you experience any of the above, <strong>stop<\/strong> taking COXFLAM and seek <strong>medical attention immediately<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Common_side_effects\"><\/span>Common side effects<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Indigestion (dyspepsia)<\/strong><\/li>\n\n\n\n<li><strong>Nausea<\/strong><\/li>\n\n\n\n<li><strong>Diarrhoea<\/strong><\/li>\n\n\n\n<li><strong>Vomiting<\/strong><\/li>\n\n\n\n<li><strong>Constipation<\/strong><\/li>\n\n\n\n<li><strong>Gas (flatulence)<\/strong><\/li>\n\n\n\n<li><strong>Abdominal pain<\/strong><\/li>\n\n\n\n<li><strong>Headache<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Less_common_or_frequency_unknown_tell_your_doctor_if_troublesome\"><\/span>Less common or frequency unknown (tell your doctor if troublesome)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Asthma<\/strong> in people allergic to aspirin or other NSAIDs<\/li>\n\n\n\n<li><strong>Altered mood<\/strong>, <strong>nightmares<\/strong>, <strong>insomnia<\/strong><\/li>\n\n\n\n<li><strong>Dizziness<\/strong>, <strong>sleepiness<\/strong><\/li>\n\n\n\n<li><strong>Palpitations<\/strong>, <strong>flushing<\/strong><\/li>\n\n\n\n<li><strong>Blurred vision<\/strong>, <strong>conjunctivitis<\/strong><\/li>\n\n\n\n<li><strong>Allergic reactions<\/strong> (non-severe)<\/li>\n\n\n\n<li><strong>Swelling<\/strong> (including legs)<\/li>\n\n\n\n<li><strong>Belching (eructation)<\/strong><\/li>\n\n\n\n<li><strong>Itchy skin (pruritus)<\/strong><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Storage_and_disposal\"><\/span>Storage and disposal<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Store at or below <strong>30 \u00b0C<\/strong>.<\/li>\n\n\n\n<li>Keep the <strong>blister<\/strong> in the <strong>outer carton<\/strong> until use.<\/li>\n\n\n\n<li>Keep <strong>out of reach<\/strong> of <strong>children<\/strong>.<\/li>\n\n\n\n<li>Do <strong>not<\/strong> use after the <strong>expiry date<\/strong> on the packaging.<\/li>\n\n\n\n<li>Return all <strong>unused<\/strong> medicine to your pharmacist.<\/li>\n\n\n\n<li>Do <strong>not<\/strong> dispose of unused medicine in <strong>drains<\/strong> or <strong>toilets<\/strong>.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_the_medicine_contains\"><\/span>What the medicine contains<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Active ingredient:<\/strong> <strong>meloxicam<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>COXFLAM 7,5:<\/strong> each tablet contains <strong>7,5 mg meloxicam<\/strong> and <strong>lactose monohydrate 43 mg<\/strong> (contains sugar)<\/li>\n\n\n\n<li><strong>COXFLAM 15:<\/strong> each tablet contains <strong>15 mg meloxicam<\/strong> and <strong>lactose monohydrate 86 mg<\/strong> (contains sugar)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Other ingredients <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Both strengths:<\/strong> colloidal anhydrous silica, lactose monohydrate, magnesium stearate, maize starch, microcrystalline cellulose, sodium citrate dihydrate<\/li>\n\n\n\n<li><strong>Only in COXFLAM 7,5:<\/strong> <em>colloidal silicon dioxide<\/em>, <em>low-substituted hydroxypropyl cellulose<\/em>, <em>povidone<\/em><\/li>\n\n\n\n<li><strong>Only in COXFLAM 15:<\/strong> <strong>pregelatinised starch<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Composition snapshot<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Tablet<\/th><th>Meloxicam per tablet<\/th><th>Lactose per tablet<\/th><th>Selected excipients only in this strength<\/th><\/tr><\/thead><tbody><tr><td><strong>COXFLAM 7,5<\/strong><\/td><td>7,5 mg<\/td><td><strong>43 mg<\/strong><\/td><td>Colloidal silicon dioxide; Low-substituted hydroxypropyl cellulose; Povidone<\/td><\/tr><tr><td><strong>COXFLAM 15<\/strong><\/td><td>15 mg<\/td><td><strong>86 mg<\/strong><\/td><td>Pregelatinised starch<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Allergen\/sugar note:<\/strong> Contains <strong>lactose<\/strong>. If you have been told you are <strong>intolerant to some sugars<\/strong>, consult your doctor before use.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Pack_information_and_appearance\"><\/span>Pack information and appearance<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>COXFLAM 7,5:<\/strong> yellow, circular, flat, bevelled, <strong>uncoated<\/strong> tablet with a <strong>central break-line<\/strong> on one side and <strong>plain<\/strong> on the other. Supplied in aluminium foil\/amber PVC\/PVDC blister strips of <strong>10 tablets<\/strong>, packed in cartons of <strong>10\u2019s, 30\u2019s or 100\u2019s<\/strong>.<\/li>\n\n\n\n<li><strong>COXFLAM 15:<\/strong> yellow, circular, flat, bevelled, <strong>uncoated<\/strong> tablet with a <strong>central break-line<\/strong> on one side and <strong>\u201815\u2019 embossed<\/strong> on the other. Supplied in aluminium foil\/amber PVC\/PVDC blister strips of <strong>10 tablets<\/strong>, packed in cartons of <strong>10\u2019s, 20\u2019s, 30\u2019s or 50\u2019s<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Holder of certificate of registration:<\/strong><br><strong>CIPLA MEDPRO (PTY) LTD<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Practical_FAQs\"><\/span>Practical FAQs <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1) Can I take COXFLAM during pregnancy?<\/strong><br>No. <strong>Do not<\/strong> take COXFLAM if you are <strong>pregnant<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2) Can I use COXFLAM while breastfeeding?<\/strong><br><strong>Use during breastfeeding is not advised.<\/strong> It is unknown if COXFLAM passes into breast milk, but other medicines in the same class do.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3) I\u2019m trying to fall pregnant. Is COXFLAM suitable?<\/strong><br>COXFLAM may <strong>reduce female fertility<\/strong> and is <strong>not recommended<\/strong> if you are trying to conceive. Women who have difficulty conceiving or are being investigated for infertility <strong>should not<\/strong> take COXFLAM.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4) Can children take COXFLAM?<\/strong><br>No. It is <strong>contraindicated<\/strong> in children <strong>under 12 years<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>5) How should I take my tablets? With food or on an empty stomach?<\/strong><br>Take each dose <strong>with a full glass of water<\/strong>, <strong>with or after a meal<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>6) Can I drink alcohol while taking COXFLAM?<\/strong><br>No. <strong>Do not<\/strong> consume <strong>alcohol<\/strong> with COXFLAM because it increases the risk of <strong>bleeding<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>7) What if I miss a dose?<\/strong><br>Take it <strong>as soon as you remember<\/strong>. If it\u2019s almost time for the next dose, <strong>skip<\/strong> the missed dose. <strong>Do not double<\/strong> the dose.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>8) When will I start to feel better?<\/strong><br>In <strong>severe conditions<\/strong>, noticeable improvement may require <strong>1 to 2 weeks<\/strong> of continuous use.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>9) What is the maximum amount I can take in a day?<\/strong><br>Do not exceed <strong>15 mg<\/strong> of meloxicam per day (one 15 mg tablet or two 7,5 mg tablets).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>10) Does COXFLAM contain sugar or lactose?<\/strong><br>Yes. Each <strong>7,5 mg<\/strong> tablet contains <strong>43 mg lactose<\/strong>, and each <strong>15 mg<\/strong> tablet contains <strong>86 mg lactose<\/strong>. If you have a <strong>sugar intolerance<\/strong>, consult your doctor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>11) Can I drive after taking it?<\/strong><br>The effect on driving hasn\u2019t been studied. If you feel <strong>dizzy<\/strong>, <strong>drowsy<\/strong>, <strong>light-headed<\/strong> or have <strong>visual disturbances<\/strong>, avoid driving or using machines.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>12) Can I take COXFLAM with my other medicines?<\/strong><br>Some medicines interact with COXFLAM, including <strong>other anti-inflammatories<\/strong>, <strong>warfarin<\/strong>, <strong>thrombolytics<\/strong>, <strong>blood pressure medicines<\/strong>, <strong>corticosteroids<\/strong>, <strong>ciclosporin<\/strong>, <strong>diuretics<\/strong>, <strong>lithium<\/strong>, <strong>potassium supplements<\/strong>, <strong>SSRIs<\/strong>, <strong>methotrexate<\/strong>, <strong>cholestyramine<\/strong>, and even an <strong>IUD<\/strong> may be relevant\u2014<strong>speak to your doctor or pharmacist<\/strong> before combining.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>COXFLAM is a non-steroidal anti-inflammatory medicine (NSAID) used to relieve pain and inflammation in conditions that affect the joints, spine and surrounding tissues. It is intended for symptomatic relief, which means it helps with pain, swelling and fever, but it does not cure the underlying illness. COXFLAM is a Schedule S3 medicine, so it is &#8230; <a title=\"COXFLAM: Uses,Side Effects,Warnings,Precautions\" class=\"read-more\" href=\"https:\/\/rxquora.com\/en\/coxflam-uses-side-effects-warnings-precautions\/\" aria-label=\"Read more about COXFLAM: Uses,Side Effects,Warnings,Precautions\">Read more<\/a><\/p>\n","protected":false},"author":4,"featured_media":2473,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[],"class_list":["post-2115","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-first-aid"],"_links":{"self":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts\/2115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/comments?post=2115"}],"version-history":[{"count":0,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/posts\/2115\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/media\/2473"}],"wp:attachment":[{"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/media?parent=2115"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/categories?post=2115"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rxquora.com\/en\/wp-json\/wp\/v2\/tags?post=2115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}