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Piroxicam gel for pain relief

Feldene

Apply piroxicam gel three or four times daily. Gently massage it into the skin over the affected area.

Wash your hands well after using the gel.

Piroxicam gel can cause your skin to become more sensitive to sunlight than normal. Protect your skin from bright sunlight during treatment.

At a glance

  • Piroxicam gel is a non-steroidal anti-inflammatory drug (NSAID) applied to the skin.

  • It treats pain and swelling from strains, sprains, backache, or arthritis in adults.

  • Apply a thin layer to the affected area, usually three or four times daily.

  • Wash your hands after use, unless treating your hands.

  • Avoid getting the gel in your eyes or on broken or irritated skin.

  • Do not cover the treated skin with dressings or bandages.

  • Stop using the gel and speak to your doctor if you develop a skin rash or breathing difficulties.

Continue reading below

About piroxicam gel

Type of medicine

A non-steroidal anti-inflammatory skin gel

Used for

Treating pain and swelling due to strains, sprains, backache or arthritis

Also called

Feldene®

Available as

Skin gel

Piroxicam is a medicine called a non-steroidal anti-inflammatory drug. It is often referred to simply as 'an anti-inflammatory', or sometimes as an 'NSAID'. It works by preventing the production of some natural chemicals in your body which cause pain and inflammation. This leaflet deals with piroxicam when it is applied topically to the skin. Piroxicam can also be taken by mouth in the form of tablets and capsules, although other medicines are usually preferred to it.

When piroxicam is applied to the skin as a gel, instead of it having an effect on all of your body, it only works on the area where you have applied it. It is absorbed into your skin and then moves deeper into areas of your body where there is inflammation (for example, your muscle). Using a topical gel means that the total amount of piroxicam in your body remains low. This in turn means that you are much less likely to have a side-effect to the medicine. Topical anti-inflammatories like piroxicam are prescribed for adults - they are not generally suitable for use by children.

To make sure that this is the right treatment for you, before you start using piroxicam gel it is important that your doctor knows:

  • If you are pregnant or breastfeeding.

  • If you have asthma or any other allergic disorder.

  • If you have a skin condition - eczema, for example.

  • If you have ever had an allergic reaction to a non-steroidal painkiller (such as aspirin, ibuprofen, diclofenac, and indometacin), or to any other medicine.

Continue reading below

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about piroxicam and will provide you a full list of the side-effects which you could experience from using it.

  • Apply a thin layer of the gel and gently massage it into the affected area. Wash your hands well after using the gel (unless you've applied it to treat your hands).

  • Your doctor will tell you how often to use the gel. This is usually three or four times a day. The directions will also be printed on the label of the pack to remind you about what the doctor said to you.

  • If you forget to apply the gel at your usual time, don't worry, just apply it when you remember and then continue as before.

  • Try to avoid the gel coming into contact with your eyes, and do not apply it to any broken or irritated areas of your skin. If this does happen by accident, wash it off with warm water as soon as possible.

  • It is important that you don't cover any area of skin that has been treated with the gel with any dressings or bandages. This is because more piroxicam may be absorbed by your skin than is intended, and this could lead to unwanted effects.

  • Piroxicam could cause your skin to become more sensitive to sunlight than normal. Do not use sunbeds, and protect any treated areas from strong sunlight until you know how your skin reacts.

Continue reading below

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with piroxicam gel, although these do not commonly occur. The best place to find a full list of the side-effects which can be associated with the gel, is from the manufacturer's printed information leaflet supplied with it. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Piroxicam gel side-effects

What can I do if I experience this?

Mild skin irritation, such as redness or itching

This should clear within a day or two. If it continues or becomes worse, speak with your doctor as soon as possible

Skin rash

Stop using the gel and speak with your doctor

Breathing difficulties

If you have asthma, symptoms such as wheeze or breathlessness can be made worse. Stop using the gel and speak with a doctor

If you experience any other symptoms which you think may be due to the gel, speak with your doctor or pharmacist for further advice.

  • Keep all medicines out of the reach and sight of children.

  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

Make sure that the person prescribing this medicine knows about any other medicines that you are using. This includes medicines you buy and herbal and homeopathic medicines.

If you suspect that someone has swallowed some of this medicine by accident, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are using.

If you buy any medicines, check with a pharmacist that they are safe to use with your other medicines.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you have any questions about this medicine ask your pharmacist.

Report side effects to a medicine or vaccine

If you experience side effects, you can report them online through the Yellow Card website.

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Unsure about mixing medicines?

Check for possible interactions between medicines, supplements and foods before taking them together.

Frequently asked questions

Can I use piroxicam gel for any type of pain?

Piroxicam gel is specifically used for treating pain and swelling caused by strains, sprains, backache, or arthritis. It works by preventing natural chemicals in your body that cause pain and inflammation.

How quickly can I expect piroxicam gel to work?

The article describes that piroxicam gel works by being absorbed into your skin and moving deeper to areas of inflammation. However, it does not specify an exact timeframe for how quickly pain relief can be expected.

What should I do if I get piroxicam gel in my eyes?

If piroxicam gel accidentally comes into contact with your eyes, you should wash it off with warm water as soon as possible.

Is it safe to use piroxicam gel if I'm also taking other pain medication?

The article advises that you should make sure the person prescribing this medicine knows about any other medicines you are using, including those purchased over-the-counter, herbal remedies, and homeopathic medicines. It also suggests checking with a pharmacist to ensure other medicines are safe to use with piroxicam gel.

Can I apply piroxicam gel to an open wound?

No, you should not apply piroxicam gel to any broken or irritated areas of your skin.

How long should I continue using piroxicam gel?

The article states that your doctor will tell you how often to use the gel, which is usually three or four times a day. However, it does not specify the duration of treatment, implying this will be determined by your doctor.

What makes piroxicam gel different from taking piroxicam tablets?

When piroxicam is applied to your skin as a gel, it only works on the area where it's applied, meaning the total amount of piroxicam in your body remains low. This significantly reduces the likelihood of experiencing side-effects compared to taking it by mouth in tablets or capsules.

Further reading and references

Continue reading below

About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

Author image

Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Article history

The information on this page is written and peer reviewed by qualified clinicians.

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