Side Effects:

Common Abdominal pain, Constipation, Diarrhoea, Epigastric pain, Flatulence, Nausea, Vomiting, Indigestion.

Expert advice for Pixi Tablet DT
Inform your doctor if you have ever been diagnosed with kidney or liver problems. It should be taken with food or milk to avoid getting an upset stomach. It can cause serious complications like stomach bleeding and kidney problems if taken for a long time. Pixi can raise your risk of blood clots, heart attack, or a stroke. Inform your doctor if you are pregnant or planning to conceive or breastfeeding.

Frequently Asked Questions

Q. What is the difference between Pixi and diclofenac?
Both Pixi and diclofenac are pain killers. However, piroxicam is a non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain) inhibitor whereas diclofenac has a bit more selectivity to a COX-2 enzyme. This selectivity of diclofenac is supposed to decrease the side effects as compared to Pixi.

Q. What is the difference between Pixi and naproxen?
Both Pixi and naproxen are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, gastric side effects are lesser with naproxen as compared to Pixi.

Q. What is the difference between Pixi and meloxicam?
Both Pixi and meloxicam are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, acute gastric side effects are lesser with meloxicam as compared to Pixi.

Q. What is the difference between Pixi and ketoprofen?
Both Pixi and ketoprofen are pain killers. Both are non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain). Research studies have shown ketoprofen topical gel is better and effective as compared to Pixi. Ketoprofen gel also showed excellent tolerability.

Q. What is the difference between Pixi and tramadol?
Pixi is a COX (cyclooxygenase -an enzyme responsible for inflammation and pain) whereas Tramadol is a narcotic-like painkiller. Tramadol is a habit forming medicine.

Q. What is the difference between Pixi and nimesulide?
Both Pixi and nimesulide are pain killers. However, Pixi is a non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain) inhibitor whereas nimesulide is selective to the COX-2 enzyme. This selectivity of nimesulide is supposed to decrease the side effects as compared to piroxicam. It should not be used in children below 12 years of age.

Q. Can Pixi be used in the treatment of chikungunya?
Usually, the platelet count does not dip in cases of chikungunya and painkillers like piroxicam can lead to the risk of increased bleeding tendency. So refrain from taking Pixi or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Pixi.

Q. Are Pixi and aspirin same?
No. Pixi and aspirin are not same. They belong to the same class of drugs known as COX (cyclooxygenase) inhibitors. They both are anti-inflammatory and analgesic.

Q. Can Pixi be used along with dexamethasone?
No. Pixi should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.

Q. Can Pixi be used with methocarbamol?
Yes. Methocarbamol can be used with Pixi as no serious side effects are known. Inform your doctor before starting any of the medication.

Q. Can Pixi be used along with paracetamol?
Yes. Paracetamol can be used with Pixi as no serious side effects are known. Inform your doctor before starting any of the medication.

Q. Is Pixi a NSAID?
Yes. Pixi is a non-steroidal anti-inflammatory drug (NSAID).

Q. Is Pixi a sulfa drug?
Pixi is a sulphur containing compound. Pixi can cause serious adverse events in sensitive individuals. It can cause severe skin reactions like Steven Johnson Syndrome. Do inform your doctor if you have any kind of allergies.

Q. Is Pixi a blood thinner?
No. Pixi is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.

Q. Is Pixi a muscle relaxant?
No. Pixi is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.

Q. Is Pixi a narcotic?
No. Pixi is not a narcotic. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme to decrease the pain and inflammation.

Q. Can Pixi be used in hypertension?
No. Pixi is not a medication to control hypertension. It is important to note that Pixi decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Pixi.

Q. Can Pixi be used along with Losartan?
No. Pixi should not be combined with Losartan. It is important to note that Pixi decreases the effectiveness of the antihypertensive medication like losartan when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Pixi.

Q. Can Pixi be used with Lisinopril?
No. Pixi should be avoided with lisinopril. It is important to note that piroxicam decreases the effectiveness of the antihypertensive medication like lisinopril when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Pixi.

Q. Can Pixi be used with calcium channel blocker?
Yes. Pixi can be taken with calcium channel blocker. NSAIDs have been observed to reduce the effectiveness of all antihypertensive drugs except calcium channel blockers (ref: White 2007)

Q. Can Pixi be used with Tizanidine?
Yes, Pixi can be combined with tizanidine. Piroxicam is a pain killer and tizanidine is a skeletal muscle relaxant. It is used in the condition like a backache.

Q. Why is beta cyclodextrin added to Pixi?
Yes. Pixi can be combined with beta-cyclodextrin. Research has shown that combining Pixi with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.

Q. Are there any alternatives of Pixi?
Yes. There are alternatives to Pixi. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.

Q. What are the contraindications for Pixi?
Contraindications to piroxicam are an allergy, bleeding tendency, duodenal/gastric/peptic ulcer, stomatitis, Systemic Lupus Erythematosus (SLE), ulcerative colitis, upper GI disease, late pregnancy, cardiac disease, hepatic impairment, renal impairment.

Q. Can Pixi be used in the treatment of allergy?
No. Pixi is not a drug to treat allergy. It is a pain killer.

Q. How long does Pixi work?
Pixi is a long acting drug. Once the daily dose is enough for the relief of pain but it depends from person to person as the effectiveness of piroxicam increases when given for few weeks.

Q. Can you get high by using Pixi?
No. Pixi is not known to cause high. It is a non-narcotic painkiller.

Q. Can Pixi be used to treat menstrual cramp?
Pixi is not approved for the treatment of menstrual cramps. Research studies have shown that piroxicam is quite effective in significantly decreasing the menstrual cramps.

Q. Can I use Pixi for a migraine?
Pixi is not approved for the treatment of migraine. Research studies have shown that Pixi is effective in significantly decreasing the pain associated with migraine without aura.

Q. Is Pixi effective in back pain management?
Yes. It can be given for decreasing the back pain. However, you should consult your doctor for the exact cause of your back pain and then start the treatment. Do not self-medicate yourself with Pixi as the cause of back pain can be different for different person.

Q. Is Pixi affective in gout management?
Yes. Pixi can be given for the treatment of acute gout. Research studies have shown Pixi to be highly effective in the treatment of acute gout.

Q. Can you donate blood when on the medication with Pixi?
Yes. You can donate blood when on Pixi. Do inform your doctor before donating blood.

Q. Can I use Pixi if I am a diabetic?
Pixi in a diabetic patient can only be taken only by consulting a doctor because these medicines have the propensity to cause renal failure when taken for a long period. Diabetes itself causes renal Pixi so taking piroxicam can lead to increased risk of renal failure by many folds.

Q. Can I use Pixi if I have a deranged renal function?
No. Pixi should not be taken if you have a abnormal renal function because long-term administration of NSAIDs has resulted in renal papillary necrosis and another renal injury.

Q. Can Pixi lead to skin reactions?
Yes. Pixi is known to cause skin reactions which can be very severe such as exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. These serious events may occur without warning. You should inform your doctor if you feel you have a mild rash and immediately discontinue the drug.

Q. Can I use Pixi if I am pregnant?
No. Pixi should not be taken in pregnancy. It causes premature closure of the ductus arteriosus which can lead to fetal heart failure and death of the baby.

Q. Can I use Pixi if I have peptic ulcer disease?
No. Pixi is contraindicated in cases of active peptic ulcer disease. Pixi is known to cause gastric ulceration and bleeding.

Q. Can I use Pixi if I have asthma?
Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory (NSAID) drugs like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.

Q. Can Pixi lead to difficulty in conception?
Yes. Pixi can sometimes cause reversible infertility. Piroxicam by its mechanism of action may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.

Q. Can Pixi be used with diuretics?
No. Pixi should not be used with diuretics. Pixi reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.

Q. Can Pixi be used with lithium?
No. Pixi should not be used with lithium. Pixi leads to an elevation of plasma lithium levels and a reduction in renal lithium clearance. This is because of inhibition of renal prostaglandin synthesis by the NSAID. Consult and inform your doctor before starting this medication.

Q. Can Pixi be used with warfarin?
No. Pixi should be avoided with warfarin as they both lead to increase in bleeding tendencies. Inform your doctor if you are taking any of the medications. If given together then the therapy should be monitored closely.

Q. What increases the chances of getting a gastric ulcer when I am already taking Pixi?
The chances of gastric ulceration increases if you take medicines like corticosteroids and anticoagulants. Long term use, alcohol, smoking and old age are few other factors which can increase the chances of ulceration.

Q. Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ Pixi?
Patients who had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine or for pain right before or after heart bypass surgery.

Q. What are the serious side effects of Pixi?
GI discomfort and, rarely, serious GI side effects, such as ulcers and bleeding, serious skin side effects such as exfoliative, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis, liver failure, renal damage.