Side Effects:

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

Expert advice for Pinij 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. Pinij 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 Pinij and diclofenac?
Both Pinij 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 Pinij.

Q. What is the difference between Pinij and naproxen?
Both Pinij 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 Pinij.

Q. What is the difference between Pinij and meloxicam?
Both Pinij 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 Pinij.

Q. What is the difference between Pinij and ketoprofen?
Both Pinij 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 Pinij. Ketoprofen gel also showed excellent tolerability.

Q. What is the difference between Pinij and tramadol?
Pinij 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 Pinij and nimesulide?
Both Pinij and nimesulide are pain killers. However, Pinij 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 Pinij 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 Pinij or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Pinij.

Q. Are Pinij and aspirin same?
No. Pinij 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 Pinij be used along with dexamethasone?
No. Pinij should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.

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

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

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

Q. Is Pinij a sulfa drug?
Pinij is a sulphur containing compound. Pinij 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 Pinij a blood thinner?
No. Pinij is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.

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

Q. Can Pinij be used along with Losartan?
No. Pinij should not be combined with Losartan. It is important to note that Pinij 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 Pinij.

Q. Can Pinij be used with Lisinopril?
No. Pinij 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 Pinij.

Q. Can Pinij be used with calcium channel blocker?
Yes. Pinij 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 Pinij be used with Tizanidine?
Yes, Pinij 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 Pinij?
Yes. Pinij can be combined with beta-cyclodextrin. Research has shown that combining Pinij with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.

Q. Are there any alternatives of Pinij?
Yes. There are alternatives to Pinij. 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 Pinij?
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 Pinij be used in the treatment of allergy?
No. Pinij is not a drug to treat allergy. It is a pain killer.

Q. How long does Pinij work?
Pinij 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 Pinij?
No. Pinij is not known to cause high. It is a non-narcotic painkiller.

Q. Can Pinij be used to treat menstrual cramp?
Pinij 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 Pinij for a migraine?
Pinij is not approved for the treatment of migraine. Research studies have shown that Pinij is effective in significantly decreasing the pain associated with migraine without aura.

Q. Is Pinij 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 Pinij as the cause of back pain can be different for different person.

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

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

Q. Can I use Pinij if I am a diabetic?
Pinij 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 Pinij so taking piroxicam can lead to increased risk of renal failure by many folds.

Q. Can I use Pinij if I have a deranged renal function?
No. Pinij 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 Pinij lead to skin reactions?
Yes. Pinij 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 Pinij if I am pregnant?
No. Pinij 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 Pinij if I have peptic ulcer disease?
No. Pinij is contraindicated in cases of active peptic ulcer disease. Pinij is known to cause gastric ulceration and bleeding.

Q. Can I use Pinij 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 Pinij lead to difficulty in conception?
Yes. Pinij 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 Pinij be used with diuretics?
No. Pinij should not be used with diuretics. Pinij 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 Pinij be used with lithium?
No. Pinij should not be used with lithium. Pinij 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 Pinij be used with warfarin?
No. Pinij 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 Pinij?
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)/ Pinij?
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 Pinij?
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.