Feldene
In brief
- In our pharmacy, you can buy Feldene without a prescription, with delivery in 9–21 days throughout the United Kingdom. Discreet and anonymous packaging.
- Feldene is used for the treatment of osteoarthritis and rheumatoid arthritis. The drug is a non-steroidal anti-inflammatory drug (NSAID) that inhibits cyclooxygenase (COX) enzymes, reducing prostaglandin synthesis and inflammation.
- The usual dose of Feldene is 10–20 mg, typically taken as 20 mg once daily.
- The form of administration is available in capsules and dispersible tablets.
- Pain relief usually begins within a few hours.
- The duration of action is approximately 24 hours.
- Do not consume alcohol while taking Feldene.
- The most common side effect is gastrointestinal discomfort, including nausea and abdominal pain.
- Would you like to try Feldene without a prescription?
Basic Feldene information
- International nonproprietary name (INN): Piroxicam
- Brand names available in the United Kingdom: Feldene (capsules 10 mg, 20 mg; dispersible tablets 20 mg); generic piroxicam
- ATC code: M01AC01
- Forms and dosages: Capsules (10 mg, 20 mg), dispersible tablets (20 mg)
- Manufacturers in the United Kingdom: Pfizer and various generic manufacturers
- Registration status in the United Kingdom: Prescription-only medicine (POM)
- OTC / Rx classification: Prescription-only medicine (POM)
Everyday use and best practices
Feldene is usually taken once daily. Patients often wonder whether a morning or evening dose might serve them best.Morning vs evening dosing
A morning dose of Feldene may suit those managing conditions like osteoarthritis who need pain relief through the day. Conversely, an evening dose can be more beneficial for individuals whose symptoms intensify during the night.- Choose a time that fits your routine and take it at the same time each day.
- Evening doses might better manage nocturnal symptoms.
Taking with or without meals
Feldene should be taken with food or milk to mitigate gastrointestinal side effects.- Taking Feldene with food can reduce the risk of gastrointestinal upset, a common concern among NSAID users.
- Taking Feldene at the same time as a regular meal can improve tolerance.
Safety priorities
Being mindful of safety when using Feldene is essential, particularly in relation to specific patient groups and activities that may pose risks.Who should avoid it
Certain individuals should not take Feldene. These include those with:- Known hypersensitivity to piroxicam or other NSAIDs
- A history of active peptic ulcers or gastrointestinal bleeding
- Severe renal or hepatic impairment
- Pregnancy, particularly in the third trimester
Activities to limit
Various side effects associated with Feldene could impair activities requiring full concentration, such as driving or operating machinery.- Drowsiness, dizziness and gastrointestinal disturbances are not uncommon, emphasising the need for caution.
- Workers in safety-sensitive jobs should be particularly vigilant about their response to this medication.
Dosage and adjustments
Feldene is prescribed at the lowest effective dose for the shortest time needed, and treatment is usually started by a specialist.General regimen
For prevalent conditions like osteoarthritis and rheumatoid arthritis, standard dosages are as follows:- Feldene typically requires a dosage of 20 mg once daily; this is the maximum daily dose.
- Some patients may respond to a reduced dose of 10 mg daily based on their clinical assessment.
Special cases
Elderly patients or those with comorbidities may require tailored dosing adjustments due to increased sensitivity or the presence of additional health conditions.- Generally, minimising the dosage to the lowest effective level is recommended for this demographic.
- Regular monitoring of renal and hepatic function is crucial to identify potential adverse effects swiftly.
What’s inside and how it works
Feldene is a non-steroidal anti-inflammatory drug (NSAID) that contains piroxicam, which is used to treat inflammation and pain. It is available as capsules (10 mg and 20 mg) and dispersible tablets (20 mg). Piroxicam works by blocking the enzymes responsible for producing inflammatory compounds, which helps in managing conditions like arthritis.
Ingredients overview
Beyond piroxicam, Feldene may combine with excipients that aid absorption and stability. As an NSAID, piroxicam reduces both pain and inflammation.
Mechanism basics explained simply
Feldene alleviates discomfort primarily by inhibiting the production of prostaglandins, compounds that contribute to inflammation and pain sensation. By interfering with their synthesis, piroxicam helps lower swelling and eases pain, which is useful for patients with conditions like osteoarthritis and rheumatoid arthritis.
Main indications
In the UK, Feldene is licensed for the symptomatic relief of osteoarthritis, rheumatoid arthritis and ankylosing spondylitis in adults. Treatment is usually started by a specialist and piroxicam is not recommended as a first-line NSAID.
Approved uses
Feldene is a prescription-only medicine (POM) in the UK. Regular reviews help to determine whether continued use is appropriate for each patient.
Off-label uses in UK clinics
In exceptional cases, healthcare providers may prescribe piroxicam off-label, for example for gout or post-operative pain, with the potential risks and benefits weighed for each situation.
Interaction warnings
Alcohol can exacerbate gastrointestinal issues, so users should be cautious.
Food interactions (alcohol, tea/coffee)
Avoiding alcohol while taking Feldene is critical because it can elevate the risk of gastric irritation and bleeding. Tea and coffee do not interact significantly with Feldene.
Drug conflicts
Feldene can interact with drugs like anticoagulants, other NSAIDs, aspirin and corticosteroids, which increases the risk of bleeding and stomach ulcers. Suspected side effects can be reported via the Yellow Card scheme.
Alternative choices
If Feldene is not suitable, the NHS offers several alternative NSAIDs. Options like ibuprofen, diclofenac and meloxicam provide varied benefits and side effect profiles. It is essential to weigh pros and cons based on personal medical history and specific needs.
Comparison of alternatives
- Ibuprofen: Shorter half-life, often used first.
- Diclofenac: Effective for similar indications.
- Meloxicam: Once-daily dosing.
- Naproxen: Longer-lasting than ibuprofen, twice-daily dosage.
Choosing the right medication involves collaboration between patients and healthcare professionals.
Regulation snapshot
Feldene, known in generic form as Piroxicam, is an NSAID regulated by the MHRA in the UK. It is a prescription-only medicine (POM) used for pain and inflammation associated with conditions like osteoarthritis and rheumatoid arthritis.
The typical dose for adults is 20 mg once daily. Monitoring for side effects is important, particularly in populations with increased risk, such as the elderly or those with renal impairment. Treatment should be reviewed regularly.
Frequently asked questions
Patients often have several questions about Feldene and its use. Here are some of the most common queries:
- What is Feldene used for?
Feldene is prescribed primarily to relieve pain and inflammation associated with conditions like arthritis and musculoskeletal disorders. - How should I take Feldene?
It is typically taken as a capsule or dispersible tablet. The usual dosage for adults is 20 mg taken once daily. Always follow your healthcare provider's instructions. - Are there any side effects?
Common side effects include gastrointestinal discomfort, headaches, and dizziness. Serious side effects can occur—monitor for allergic reactions or significant gastrointestinal symptoms. - Can I buy Feldene over the counter?
No, Feldene is a prescription-only medicine in the UK, so it is used under the guidance of a healthcare professional.
Guidelines for proper use
UK pharmacist counselling style
Pharmacists play a crucial role in guiding patients on the proper use of Feldene. Typical patient questions include how to manage missed doses and what precautions to take regarding potential drug interactions. Pharmacists can also advise on how to reduce risk factors associated with long-term NSAID use.
NHS patient support advice
The NHS offers additional resources for patients using Feldene, including patient information leaflets. Patients are encouraged to maintain ongoing communication with their healthcare providers to discuss any concerns about side effects or the effectiveness of the medication.
| City | Region | Delivery time |
|---|---|---|
| London | Greater London | 9–21 days |
| Birmingham | West Midlands | 9–21 days |
| Manchester | North West | 9–21 days |
| Glasgow | Scotland | 9–21 days |
| Leeds | West Yorkshire | 9–21 days |
| Cardiff | Wales | 9–21 days |
| Sheffield | South Yorkshire | 9–21 days |
| Bristol | South West | 9–21 days |
| Newcastle | North East | 9–21 days |
| Nottingham | East Midlands | 9–21 days |
| Liverpool | North West | 9–21 days |
| Southampton | South East | 9–21 days |
| Leicester | East Midlands | 9–21 days |
| Gloucester | South West | 9–21 days |
