Ask your doctor if you have any questions about why feldene has been prescribed for you.
Information about Feldene.
During concomitant use of FELDENE and ACE-inhibitorsARBsor beta-blockersmonitor blood pressure to ensure that the desired blood pressure is obtainedDuring concomitant use of FELDENE and ACE-inhibitors or ARBs in patients who are elderlyvolume-depletedor have impaired renal functionmonitor for signs of worsening renal functionsee WARNINGS AND PRECAUTIONSWhen these drugs are administered concomitantlypatients should be adequately hydratedAssess renal function at the beginning of the concomitant treatment and periodically thereafter.
This list is not complete and there may be other drugs that can interact with piroxicamTell your doctor about all the prescription and over-the-counter medications you useThis includes vitaminsmineralsherbal productsand drugs prescribed by other doctorsDo not start using a new medication without telling your doctor.
Feldene should be used with caution in patients with renalhepatic and cardiac impairmentIn rare casesnon-steroidal anti-inflammatory drugs may cause interstitial nephritisglomerulitispapillary necrosis and the nephrotic syndromeSuch agents inhibit the synthesis of the prostaglandin which plays a supportive role in the maintenance of renal perfusion in patients whose renal blood flow and blood volume are decreasedIn these patientsadministration of a non-steroidal anti-inflammatory drug may precipitate overt renal decompensationwhich is typically followed by recovery to pre-treatment state upon discontinuation of non-steroidal anti-inflammatory therapyPatients at greatest risk of such a reaction are with congestive heart failureliver cirrhosisnephrotic syndrome and overt renal diseasesuch patients should be carefully monitored whilst receiving NSAID therapyBecause of reports of adverse eye findings with non-steroidal anti-inflammatory drugsit is recommended that patients who develop visual complaints during treatment with Feldene have ophthalmic evaluation.
Elderly patientscompared to younger patientsare at greater risk for NSAID-associated serious cardiovasculargastrointestinaland/or renal adverse reactionsIf the anticipated benefit for the elderly patient outweighs these potential risksstart dosing at the low end of the dosing rangeand monitor patients for adverse effectssee WARNINGS AND PRECAUTIONS
There is no consistent evidence that concurrent use of aspirin mitigates the increased risk of serious CV thrombotic events associated with NSAID useThe concurrent use of aspirin and an NSAIDsuch as piroxicamincreases the risk of serious gastrointestinalGIeventssee Gastrointestinal BleedingUlcerationAnd Perforation
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