📌 COMPOSITION

Each capsule contains: Tenoxicam B.P. 20 mg.

📌 DESCRIPTION

Tenoxam 20 (Tenoxicam) is a non‑steroidal anti‑inflammatory and analgesic drug which acts by inhibiting prostaglandin synthesis. Its anti‑inflammatory effects may also be produced by scavenging or inhibiting the production of active oxygen radicals and by inhibiting leukocyte chemotaxis and phagocytosis. Tenoxicam is well absorbed after oral administration, and its peak plasma concentration occurs within 1 to 2.6 hours in fasting subjects and in 4 to 6 hours when given with food. It is over 98.5% protein‑bound and penetrates synovial fluid. The plasma half‑life of Tenoxicam is about 60 to 75 hours, and it is completely metabolised to inactive metabolites which are excreted mainly in the urine.

📌 INDICATIONS

Tenoxam 20 is indicated in:

• Treatment of osteoarthritis and rheumatoid arthritis, ankylosing spondylitis and gout.
• Treatment of non‑articular rheumatism (tendinitis, bursitis, back pain).

📌 DOSAGE & ADMINISTRATION

Tenoxam 20 capsules should be swallowed with a full glass of water after meals and at the same time each day.

• Adults: Tenoxam 20 is given as a single daily dose of 20 mg. For acute attacks of gouty arthritis, the recommended dosage is 40 mg once daily for 2 days, followed by 20 mg once daily for a further 5 days.

📌 RESTRICTIONS ON USE

Contraindications

• Known hypersensitivity to Tenoxicam.
• Patients with active peptic ulcer, active hepatic disease and renal failure.

Precautions

• Antacids slow the absorption of Tenoxicam.
• Should not be given to patients who are to undergo a surgical procedure.

Use in Pregnancy and Lactation

Not recommended.

📌 DRUG INTERACTIONS

• Tenoxicam may enhance the anticoagulant effect of coumarins.
• Concomitant use of probenecid increases the elimination rate of Tenoxicam.

📌 ADVERSE EFFECTS

Tenoxicam is well tolerated. The major adverse effects include epigastric pain, nausea and indigestion. Less frequent adverse effects include headache and dizziness. The drug should be discontinued if GIT bleeding occurs.

📌 STORAGE INSTRUCTIONS

Store below 30°C protected from light.

📌 PHARMACEUTICAL FORMS

• Tenoxam 20: Pack of 10 capsules and hospital packs of different sizes.

📌 INSTRUCTIONS TO THE PATIENT

• Medicament is a product which affects your health, and its consumption contrary to instructions is dangerous for you.
• Follow strictly the doctor's prescription, the method of use and the instructions of the pharmacist who sold the medicament.
• The doctor and the pharmacist are experts in medicine, its benefits and risks.
• Do not by yourself interrupt the period of treatment prescribed for you.
• Do not repeat the same prescription without consulting your doctor.

Keep medicament out of reach of children

Council of Arab Health Ministers | Union of Arab Pharmacists