What is Meloxicam: Uses, Warnings & Interactions

Updated Jan. 18, 2024  •  Published Dec. 30, 2020

Meloxicam overview

BRAND NAMES:

  • Vivlodex

Generic Names:

  • Meloxicam

Uses:

  • Treats symptoms of osteoarthritis (OA), rheumatoid arthritis (RA), and juvenile idiopathic arthritis (JIA).

Therapeutic Classes:

  • Nonsteroidal anti-inflammatory drug (NSAID), analgesic, antirheumatic, central nervous system agent, musculoskeletal agent

Forms:

  • Tablet, capsule, oral suspension (liquid)

How it’s taken:

  • By mouth

What is Meloxicam used for?

Meloxicam is prescribed to treat the symptoms of osteoarthritis, rheumatoid arthritis, and juvenile rheumatoid arthritis.

What form(s) does Meloxicam come in

  • Tablet

    • 7.5 mg

    • 15 mg

  • Capsule

    • 5 mg

    • 10 mg

  • Oral suspension (liquid)

    • 7.5 mg/5 mL

What are common Meloxicam doses?

  • For rheumatoid arthritis in adults: 7.5–15 mg tablet or oral suspension taken once per day

  • For osteoarthritis in adults: 5 mg or 10 mg capsule taken once per day OR 7.5–15 mg tablet or oral suspension taken once per day

  • For juvenile rheumatoid arthritis in children weighing more than 60 kg (132 lbs.): 7.5 mg tablet taken once per day

Common Meloxicam prescriptions

  • Meloxicam
    100ml of 7.5mg/5ml bottle

  • Meloxicam
    10mg capsule

  • Meloxicam
    5mg capsule

  • Meloxicam
    15mg tablet

  • Meloxicam
    7.5mg tablet

How to take Meloxicam

  • Take this medication as instructed.

  • Do not take more than the prescribed dose.

  • Do not take more than one dose each day.

  • Try to take each day’s dose at the same time.

  • Do not substitute capsules for either the tablets or oral solution or the other way around. Get a prescription first.

  • This medication will come with an NSAID Medication Guide. Please read it before starting the drug. If the medication guide is missing, ask the pharmacist for a copy.

  • How to take meloxicam tablets and capsules

    • Meloxicam capsules are taken at different doses than meloxicam tablets or oral suspensions. Make sure you understand the correct dose.

    • Swallow the tablet or capsule whole with water.

    • Store at room temperature. Protect the tablets or capsules from moisture by making sure the bottle is always tightly closed.

  • How to administer meloxicam oral suspension

    • Shake the bottle gently before measuring a dose.

    • Use the calibrated measuring device that came with the medication to measure out a dose. Do not use kitchen utensils or tableware.

    • Store meloxicam oral suspension at room temperature in a tightly sealed container.

What to do if you miss a dose of Meloxicam

  • Meloxicam doses are taken once per day. Never take more than one dose per day.

  • If a dose is missed, it can be taken when remembered if it’s taken on the same day it was scheduled.

  • Skip the missed dose if it’s the next day. Just take the next day’s dose.

  • Do not take extra doses to make up for a missed dose.

Meloxicam contraindications

  • This medicine is not right for everyone. 

  • Meloxicam should not be taken by anyone who has had an allergic reaction such as asthma or hives to aspirin or any other NSAID.

  • Meloxicam is not to be used before or after coronary artery bypass surgery.

Meloxicam warnings

  • Because of possible side effects, healthcare providers are urged to prescribe the lowest possible dose for the shortest possible time.

  • The doctor may require regular blood tests to ensure meloxicam treatment is not causing problems. Keep all appointments.

  • Meloxicam increases the risk of blood clots, heart attack, stroke, heart failure, and edema. 

  • Meloxicam can without warning cause serious gastrointestinal problems including ulcers, bleeding, and perforation of the stomach, esophagus, or intestines.

  • NSAIDs like diclofenac may cause severe allergic or skin reactions. If an allergic reaction occurs, stop taking meloxicam immediately and contact your doctor.

  • Tell the doctor if you have any of the following conditions:

    • Heart disease

    • Recent heart attack

    • Heart failure

    • History of ulcers

    • History of gastrointestinal bleeding

    • Kidney disease

    • Liver disease

    • Asthma

    • High blood pressure

    • Blood vessel problems

    • Bleeding problems 

    • Dehydration

    • Pregnancy or plans to get pregnant

  • Meloxicam can cause

    • Kidney damage

    • Liver damage

    • High blood pressure

    • High potassium

    • Anemia

  • Meloxicam can delay ovulation in women and decrease sperm production in men. 

  • Because of possible risks to an unborn child, NSAIDs should not be taken after 20 weeks of pregnancy.

  • Your headaches may become worse if you use an NSAID for 10 or more days per month. Write down how often your headaches occur and how often you use this medicine.

Meloxicam interactions

  • Because of possible drug interactions, tell healthcare providers you are using this medicine.

  • Avoid taking other NSAIDs such as aspirin or naproxen or salicylates. The prescription NSAID ketorolac should never be combined with meloxicam.

  • Avoid alcohol when taking meloxicam. 

  • Other medications that may cause problems with ibuprofen include:

    • Blood thinners

    • Blood pressure medications called ACE inhibitors

    • Diuretics

    • Corticosteroids

    • Certain types of antibiotics called aminoglycoside antibiotics

    • Lithium, digoxin, pemetrexed, methotrexate, and cyclosporine

  • Meloxicam oral suspension contains sorbitol. Combining sorbitol with sodium polystyrene sulfonate, a treatment for high potassium, can cause potentially fatal intestinal problems.

Meloxicam side effects

Meloxicam can cause serious side effects. Talk to a doctor if you notice any signs or symptoms of a possible serious side effect including:

  • Severe stomach pain, vomiting blood, bloody stools, or black and tarry stools

  • Chest pain, trouble breathing, weakness on one side of your body, severe headache, trouble seeing or talking, pain in your lower leg 

  • Chest pain that may spread to your arms, jaw, back, or neck, trouble breathing, nausea, unusual sweating, faintness

  • Swelling in your hands, ankles, or feet, rapid weight gain

  • Changes in how much or how often you urinate

  • Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes

  • Bleeding and bruising

  • High blood pressure

  • Trouble seeing, blind spots, change in how you see colors

  • Hearing loss

  • Allergic reactions: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

  • Blistering, peeling, or red skin rash

Less serious side effects

  • Infection

  • Diarrhea

  • Headache

  • Nausea

  • Abdominal discomfort

  • Heartburn

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