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