Kyrox-MD Tablet DT is a pain-relieving medicine. It is used to treat moderate to severe pain in conditions such as osteoarthritis and rheumatoid arthritis. It helps relieve pain and swelling in the joints and muscles. Kyrox-MD Tablet DT should be taken with food. This will prevent you from getting an upset stomach. The dose and duration will depend on what you are taking it for and how well it helps your symptoms. You should keep taking the medicine even if you feel better until the doctor says it is alright to stop using it. The most common side effects of this medicine include mild vomiting, stomach pain, nausea, headache, and dizziness. If any of these side effects persist or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms. Before using it, you should let your doctor know if you have a history of stomach ulcers, heart diseases, high blood pressure, and liver or kidney disease. Let your doctor also know about all the other medicines you are taking because they may affect, or be affected by, this medicine. Pregnant and breastfeeding mothers should consult their doctors before using the medicine.

• Stomach pain
• Nausea
• Headache
• Dizziness

If you miss a dose of Kyrox-MD Tablet DT, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

• Q. Q. What is the difference between Kyrox-MD Tablet DT and diclofenac??
  Ans: Both Kyrox-MD Tablet DT 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 Kyrox-MD Tablet DT.
• Q. Q. What is the difference between Kyrox-MD Tablet DT and naproxen??
  Ans: Both Kyrox-MD Tablet DT 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 Kyrox-MD Tablet DT.
• Q. Q. What is the difference between Kyrox-MD Tablet DT and meloxicam??
  Ans: Both Kyrox-MD Tablet DT 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 Kyrox-MD Tablet DT.
• Q. Q. What is the difference between Kyrox-MD Tablet DT and ketoprofen??
  Ans: Both Kyrox-MD Tablet DT 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 Kyrox-MD Tablet DT. Ketoprofen gel also showed excellent tolerability.
• Q. Q. What is the difference between Kyrox-MD Tablet DT and tramadol??
  Ans: Kyrox-MD Tablet DT 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. Q. What is the difference between Kyrox-MD Tablet DT and nimesulide??
  Ans: Both Kyrox-MD Tablet DT and nimesulide are pain killers. However, Kyrox-MD Tablet DT 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. Q. Can Kyrox-MD Tablet DT be used in the treatment of chikungunya??
  Ans: 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 Kyrox-MD Tablet DT or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Kyrox-MD Tablet DT.
• Q. Q. Are Kyrox-MD Tablet DT and aspirin same??
  Ans: No. Kyrox-MD Tablet DT 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. Q. Can Kyrox-MD Tablet DT be used along with dexamethasone??
  Ans: No. Kyrox-MD Tablet DT should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.
• Q. Q. Can Kyrox-MD Tablet DT be used with methocarbamol??
  Ans: Yes. Methocarbamol can be used with Kyrox-MD Tablet DT as no serious side effects are known. Inform your doctor before starting any of the medication.
• Q. Q. Can Kyrox-MD Tablet DT be used along with paracetamol??
  Ans: Yes. Paracetamol can be used with Kyrox-MD Tablet DT as no serious side effects are known. Inform your doctor before starting any of the medication.
• Q. Q. Is Kyrox-MD Tablet DT a NSAID??
  Ans: Yes. Kyrox-MD Tablet DT is a non-steroidal anti-inflammatory drug (NSAID).
• Q. Q. Is Kyrox-MD Tablet DT a sulfa drug??
  Ans: Kyrox-MD Tablet DT is a sulphur containing compound. Kyrox-MD Tablet DT 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. Q. Is Kyrox-MD Tablet DT a blood thinner??
  Ans: No. Kyrox-MD Tablet DT is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.
• Q. Q. Is Kyrox-MD Tablet DT a muscle relaxant??
  Ans: No. Kyrox-MD Tablet DT is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.
• Q. Q. Is Kyrox-MD Tablet DT a narcotic??
  Ans: No. Kyrox-MD Tablet DT 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. Q. Can Kyrox-MD Tablet DT be used in hypertension??
  Ans: No. Kyrox-MD Tablet DT is not a medication to control hypertension. It is important to note that Kyrox-MD Tablet DT decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Kyrox-MD Tablet DT.
• Q. Q. Can Kyrox-MD Tablet DT be used along with Losartan??
  Ans: No. Kyrox-MD Tablet DT should not be combined with Losartan. It is important to note that Kyrox-MD Tablet DT 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 Kyrox-MD Tablet DT.
• Q. Q. Can Kyrox-MD Tablet DT be used with Lisinopril??
  Ans: No. Kyrox-MD Tablet DT 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 Kyrox-MD Tablet DT.
• Q. Q. Can Kyrox-MD Tablet DT be used with calcium channel blocker??
  Ans: Yes. Kyrox-MD Tablet DT 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. Q. Can Kyrox-MD Tablet DT be used with Tizanidine??
  Ans: Yes, Kyrox-MD Tablet DT 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. Q. Why is beta cyclodextrin added to Kyrox-MD Tablet DT??
  Ans: Yes. Kyrox-MD Tablet DT can be combined with beta-cyclodextrin. Research has shown that combining Kyrox-MD Tablet DT with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.
• Q. Q. Are there any alternatives of Kyrox-MD Tablet DT??
  Ans: Yes. There are alternatives to Kyrox-MD Tablet DT. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.
• Q. Q. What are the contraindications for Kyrox-MD Tablet DT??
  Ans: 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. Q. Can Kyrox-MD Tablet DT be used in the treatment of allergy??
  Ans: No. Kyrox-MD Tablet DT is not a drug to treat allergy. It is a pain killer.
• Q. Q. How long does Kyrox-MD Tablet DT work??
  Ans: Kyrox-MD Tablet DT 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. Q. Can you get high by using Kyrox-MD Tablet DT??
  Ans: No. Kyrox-MD Tablet DT is not known to cause high. It is a non-narcotic painkiller.
• Q. Q. Can Kyrox-MD Tablet DT be used to treat menstrual cramp??
  Ans: Kyrox-MD Tablet DT 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. Q. Can I use Kyrox-MD Tablet DT for a migraine??
  Ans: Kyrox-MD Tablet DT is not approved for the treatment of migraine. Research studies have shown that Kyrox-MD Tablet DT is effective in significantly decreasing the pain associated with migraine without aura.
• Q. Q. Is Kyrox-MD Tablet DT effective in back pain management??
  Ans: 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 Kyrox-MD Tablet DT as the cause of back pain can be different for different person.
• Q. Q. Is Kyrox-MD Tablet DT affective in gout management??
  Ans: Yes. Kyrox-MD Tablet DT can be given for the treatment of acute gout. Research studies have shown Kyrox-MD Tablet DT to be highly effective in the treatment of acute gout.
• Q. Q. Can you donate blood when on the medication with Kyrox-MD Tablet DT??
  Ans: Yes. You can donate blood when on Kyrox-MD Tablet DT. Do inform your doctor before donating blood.
• Q. Q. Can I use Kyrox-MD Tablet DT if I am a diabetic??
  Ans: Kyrox-MD Tablet DT 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 Kyrox-MD Tablet DT so taking piroxicam can lead to increased risk of renal failure by many folds.
• Q. Q. Can I use Kyrox-MD Tablet DT if I have a deranged renal function??
  Ans: No. Kyrox-MD Tablet DT 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. Q. Can Kyrox-MD Tablet DT lead to skin reactions??
  Ans: Yes. Kyrox-MD Tablet DT 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. Q. Can I use Kyrox-MD Tablet DT if I am pregnant??
  Ans: No. Kyrox-MD Tablet DT 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. Q. Can I use Kyrox-MD Tablet DT if I have peptic ulcer disease??
  Ans: No. Kyrox-MD Tablet DT is contraindicated in cases of active peptic ulcer disease. Kyrox-MD Tablet DT is known to cause gastric ulceration and bleeding.
• Q. Q. Can I use Kyrox-MD Tablet DT if I have asthma??
  Ans: 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. Q. Can Kyrox-MD Tablet DT lead to difficulty in conception??
  Ans: Yes. Kyrox-MD Tablet DT 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. Q. Can Kyrox-MD Tablet DT be used with diuretics??
  Ans: No. Kyrox-MD Tablet DT should not be used with diuretics. Kyrox-MD Tablet DT reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
• Q. Q. Can Kyrox-MD Tablet DT be used with lithium??
  Ans: No. Kyrox-MD Tablet DT should not be used with lithium. Kyrox-MD Tablet DT 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. Q. Can Kyrox-MD Tablet DT be used with warfarin??
  Ans: No. Kyrox-MD Tablet DT 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. Q. What increases the chances of getting a gastric ulcer when I am already taking Kyrox-MD Tablet DT??
  Ans: 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. Q. Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ Kyrox-MD Tablet DT??
  Ans: 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. Q. What are the serious side effects of Kyrox-MD Tablet DT??
  Ans: 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.

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