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Piroxicam overdose

Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and swelling. Piroxicam overdose occurs when someone takes too much of this drug.

This is for information only and not for use in the treatment or management of an actual overdose. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Poisonous Ingredient

Piroxicam

Where Found

Piroxicam is also sold under the brand name Feldene.

Symptoms

Airways and lungs:

Eyes, ears, nose, and throat:

Nervous system:

Skin:

  • Rash

Stomach and intestines:

  • Diarrhea
  • Heartburn
  • Nausea
  • Stomach pain (possible bleeding in the stomach and intestines)
  • Vomiting

Before Calling Emergency

The following information is helpful for emergency assistance:

  • The person's age, weight, and condition
  • Name of product (as well as the ingredients and strength if known)
  • The time it was swallowed
  • The amount swallowed
  • If the medicine was prescribed for the patient

However, DO NOT delay calling for help if this information is not immediately available.

Poison Control

Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. You can call 24 hours a day, 7 days a week.

Take the container with you to the hospital, if possible.

What to Expect at the Emergency Room

The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The person may receive:

  • Activated charcoal
  • Airway support, including oxygen, breathing tube through the mouth (intubation), and ventilator (breathing machine)
  • Blood and urine tests
  • Chest x-ray
  • EKG (electrocardiogram, or heart tracing)
  • Fluids through the vein (intravenous or IV)
  • Laxative
  • Medicines to treat symptoms

Outlook (Prognosis)

Recovery without serious complications is likely in most cases. Very large overdoses can be deadly.

Alternative Names

Feldene overdose

References

Goldfrank LR, ed. Goldfrank's Toxicologic Emergencies. 9th ed. New York, NY: McGraw Hill; 2011.

Seger DL, Murray L. Aspirin and nonsteroidal agents. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 149.

Update Date 1/17/2015

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