Meloxicam

Aka: Meloxicam, Mobic, Vivlodex

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II. Indications

  1. See NSAID
  2. FDA approved indications in Adults
    1. Rheumatoid Arthritis
    2. Osteoarthritis
  3. FDA approved indications in children
    1. Juvenile Rheumatoid Arthritis

III. Contraindications

  1. See NSAID

IV. Mechanism

  1. See NSAID
  2. NSAID in the Oxicam Class
  3. Meloxicam has a long half life and may be dosed daily

V. Medications

  1. Meloxicam tablets 7.5 mg, 15 mg
  2. Meloxicam capsules 5 mg, 10 mg
  3. Meloxicam suspension 1.5 mg/ml
    1. Shake suspension well before use

VI. Dosing: Adults

  1. Arthritis (OA, RA)
    1. Meloxicam 7.5 mg orally daily
    2. May advance to a maximum of 15 mg orally daily

VII. Dosing: Child

  1. Juvenile Rheumatoid Arthritis (age >=2 years old)
    1. Meloxicam 0.125 mg/kg orally daily (up to maximum of 7.5 mg/day)

VIII. Adverse Effects

  1. See NSAID
  2. Despite being touted as more COX-2 specific, still has moderate gastrointestinal adverse effects
    1. See NSAID Gastrointestinal Adverse Effects

IX. Safety

  1. See NSAID
  2. Unknown safety in Lactation
  3. Avoid NSAIDs in pregnancy outside the first part of the second trimester (13 to 20 weeks)
    1. Teratogenic in first trimester
    2. Risk of premature ductus arteriosus closure in the fetus in third trimester
    3. Most NSAIDs carry a legacy system Pregnancy Category B or C designation (aside from third trimester)
      1. However, many obstetricians avoid NSAIDs entirely in pregnancy (even in second trimester)

X. Resources

  1. Meloxicam (DailyMed)
    1. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=5fe76337-eae5-4e5c-96ef-6cfa97983c6e

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Related Studies

Cost: Medications

meloxicam (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
MELOXICAM 15 MG TABLET Generic $0.02 each
MELOXICAM 7.5 MG TABLET Generic $0.02 each
mobic (on 1/10/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
MOBIC 7.5 MG TABLET Generic $0.02 each
FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See Needy Meds for financial assistance information. GoodRx is another tool for finding lower drug prices.

Related Topics in Analgesic Medications

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