Feldene (piroxicam)

Use with caution in

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- Elderly people.
- History of disorders affecting the stomach or intestines.
- Inflammatory bowel disease such as Crohn's disease or ulcerative colitis.
- Kidney disease.
- Liver disease.
- Heart failure.
- Heart disease caused by inadequate blood flow to the heart (ischaemic heart disease), eg angina or history of heart attack.
- Disease of the blood vessels in and around the brain (cerebrovascular disease), eg history of stroke or mini-stroke.
- Poor circulation in the arteries of the legs or feet (peripheral arterial disease).
- History of high blood pressure .
- Raised levels of fats such as cholesterol in the blood (hyperlipidaemia).
- Diabetes.
- Smokers.
- History of asthma.
- History of allergies.
- People with blood clotting problems or taking anticoagulant medicines.
- Diseases affecting connective tissue, eg systemic lupus erythematosus.
- Feldene Melt tablets contain aspartame, which is a source of phenylalanine. As a result, Feldene Melt tablets may not be suitable for people with an inherited disorder of protein metabolism called phenylketonuria.

Not to be used in

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- People in whom aspirin or other NSAIDs, eg ibuprofen, cause allergic reactions such as asthma attacks, itchy rash (urticaria), nasal inflammation (rhinitis) or swelling of the lips, tongue and throat (angioedema).
- Active peptic ulcer or bleeding from the gut.
- People who have had recurrent peptic ulcers or bleeding from the gut (two or more episodes).
- People who have previously experienced bleeding or perforation of the gut as a result of taking an NSAID.
- Severe heart failure.
- This medicine is not recommended for children.

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Pregnancy and breastfeeding

Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.

- This medicine is not recommended for use in pregnancy unless considered essential by your doctor. This is particularly important in the first and third trimesters. If taken in the third trimester it may delay labour, increase the length of labour and cause complications in the newborn baby. Some evidence suggests that NSAIDs should also be avoided by women attempting to conceive, as they may temporarily reduce female fertility during treatment and may also increase the risk of miscarriage or malformations. Seek medical advice from your doctor.
- This medicine may pass into breast milk in small amounts.

Label warnings

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- Take this medication with or after food.