MELOXICAM 15 mg Tablet, 30-count
🆔 Identity & classification
Where does this data come from?
🏷️ RxNorm drug class
This medicine belongs to the Nonsteroidal Anti-inflammatory Drug class.
Where does this data come from?
🏭 Manufacturer & labeler
Where does this data come from?
🩺 Clinical
Meloxicam is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints) and rheumatoid arthritis (arthritis caused by swelling of the lining of the joints). Meloxicam is also used to relieve the pain, tenderness, swelling, and stiffness caused by juvenile rheumatoid arthritis (a type of arthritis that affects children) in children 2 years of age and older. Meloxicam is in a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). It works by stopping the body's production of a substance that...
Read the full MedlinePlus article ↗- Meloxicam treats pain and inflammation from osteoarthritis and rheumatoid arthritis in adults. It's also approved for juvenile rheumatoid arthritis in children — the oral suspensio...
- What conditions is meloxicam actually used to treat?
- Good news — you can take meloxicam with or without food, so whatever is easiest for you works fine. Taking it with a small snack can help if you find it bothers your stomach. It's...
- Can I take meloxicam with food, and does it matter what time of day I take it?
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Meloxicam — tap one for details:
Meloxicam may be associated with lower levels of 1 nutrient — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
Ask a licensed pharmacist directly — free, answered by our team.
💊 What it looks like
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🧪 Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII OP1R32D61U
Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
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UNII 68401960MK
Crospovidone is a synthetic polymer made from polyvinylpyrrolidone. It acts as a disintegrant, helping tablets break apart quickly in the stomach so the medicine dissolves and absorbs into the body.
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UNII EWQ57Q8I5X
Lactose monohydrate is a natural sugar derived from milk. It serves as a filler and binder in tablets and capsules, helping create the proper size, texture, and consistency of the medicine.
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UNII 70097M6I30
Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
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UNII 390RMW2PEQ
Povidone K29/32 is a synthetic polymer made from vinyl pyrrolidone. It acts as a binder to hold tablet ingredients together and as a disintegrant to help the tablet break down in the stomach for drug release.
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UNII ETJ7Z6XBU4
Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
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UNII B22547B95K
A salt derived from citric acid that helps maintain the proper acid-base balance in the medicine. It's used as a buffer to keep the product stable and at the right pH level.
7 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
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Can inactive ingredients matter?
💲 Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per each | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · Q2 2026 | $0.0985 | $2.96 / 30 tablets |
Where does this data come from?
🔁 Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Meloxicam 15 mg 11788-0047-01 | AiPing | 100 tablets | $0.018 | AB | Availability likely | — |
| meloxicam 15 mg 29300-0125-01 | Unichem | 100 tablets | $0.018 | AB | Availability likely | — |
| Meloxicam 15 mg 50268-0526-15 | AvPAK | 50 tablets | $0.018 | AB | Availability likely | — |
| Meloxicam 15 mg 60687-0199-01 | American | 100 tablets | $0.018 | AB | Availability likely | — |
| Meloxicam 15 mg 61442-0127-10 | Carlsbad | 1000 tablets | $0.018 | AB | Availability likely | — |
| Meloxicam 15 mg 62135-0716-18 | Chartwell | 180 tablets | $0.018 | AB | Availability likely | — |
| meloxicam 15 mg 68382-0051-01 | Zydus | 100 tablets | $0.018 | AB | Availability likely | — |
| Meloxicam 15 mg 69097-0159-07 | Cipla | 100 tablets | $0.018 | AB | Availability likely | — |
| Meloxicam 15 mg 76282-0153-01 | Exelan | 100 tablets | $0.018 | AB | Availability likely | — |
| meloxicam 15 mg 82009-0130-05 | Quallent | 500 tablets | $0.018 | AB | Availability likely | — |
| Meloxicam 15 mg 00615-8124-39 | NCS | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 11788-0099-00 | AiPing | 83000 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 31722-0227-01 | Camber | 100 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 42708-0007-30 | QPharma, | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 43063-0396-07 | PD-Rx | 7 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 43063-0401-06 | PD-Rx | 6 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 43353-0979-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 49999-0869-15 | Quality | 15 tablets | — | AB | Discontinued | — |
| meloxicam 15 mg 50090-0986-00 | A-S | 7 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 50090-4896-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 50090-5339-00 | A-S | 7 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 50090-5340-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 50090-6671-00 | A-S | 7 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 50090-6672-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 51407-0611-10 | Golden | 1000 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 51655-0571-26 | Northwind | 90 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 51655-0577-26 | Northwind | 90 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 53225-3015-01 | Terrain | 30 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 60760-0419-07 | St. | 7 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 60760-0653-07 | St. | 7 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mgthis 61919-0469-30 | Direct | 30 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 63187-0083-10 | Proficient | 10 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 63629-2019-01 | Bryant | 1000 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 63629-3328-00 | Bryant | 20 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 65841-0051-01 | Zydus | 100 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 65862-0098-01 | Aurobindo | 100 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 67046-0891-03 | Coupler | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 67296-1317-03 | Redpharm | 30 tablets | — | AB | Discontinued | — |
| meloxicam 15 mg 68071-1993-03 | NuCare | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 68071-2184-03 | NuCare | 30 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 68071-3030-05 | NuCare | 15 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 68788-7904-01 | Preferred | 15 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 68788-8801-00 | Preferred | 100 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 70518-0200-00 | REMEDYREPACK | 30 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 70518-0394-00 | REMEDYREPACK | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 70518-1630-02 | REMEDYREPACK | 60 tablets | — | AB | Discontinued | — |
| meloxicam 15 mg 70518-1828-02 | REMEDYREPACK | 100 tablets | — | AB | Discontinued | — |
| Meloxicam 15 mg 71205-0924-00 | Proficient | 100 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 71335-1888-00 | Bryant | 20 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 71335-1956-00 | Bryant | 20 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 71335-2327-00 | Bryant | 20 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 71610-0542-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 71610-0544-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 71610-0580-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 71610-0657-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 71610-0872-30 | Aphena | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 72162-1738-00 | Bryant | 1000 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 72789-0403-07 | PD-Rx | 7 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 72789-0447-14 | PD-Rx | 14 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 72865-0138-01 | XLCare | 100 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 72865-0333-01 | XLCare | 100 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 76420-0039-10 | Asclemed | 10 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 76420-0326-00 | Asclemed | 1000 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 80425-0044-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 80425-0045-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 80425-0083-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 80425-0584-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 80425-0585-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 80425-0586-01 | Advanced | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 82461-0712-30 | Medcore | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 82804-0029-07 | Proficient | 7 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 85509-1051-03 | PHOENIX | 30 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 85509-1125-03 | PHOENIX | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 85509-1159-03 | PHOENIX | 30 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 85766-0036-01 | Sportpharm | 100 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 68180-0502-01 | Lupin | 100 tablets | — | — | Discontinued | — |
| meloxicam 15 mg 85534-0020-00 | HAWAII | 30 tablets | — | AB | FDA listed | — |
| Meloxicam 15 mg 72189-0684-30 | Direct_Rx | 30 tablets | — | AB | FDA listed | — |
| meloxicam 15 mg 67296-1460-03 | Redpharm | 30 tablets | — | AB | Discontinued | — |
Where does this data come from?
⏳ Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
📊 Medicare Part D spend CMS · PART D · 2026 (Q1)
🔬 Reported adverse events (FAERS)
Top reported reactions
Age at onset
Reporter sex
Serious outcomes
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📦 Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Status |
|---|---|---|---|
| 61919-0469-30 You're viewing this | 30 TABLET in 1 BOTTLE (61919-469-30) | 2014-01-01 | Active |
| 61919-0469-60 | 60 TABLET in 1 BOTTLE (61919-469-60) | 2014-01-01 | Active |
| 61919-0469-90 | 90 TABLET in 1 BOTTLE (61919-469-90) | 2014-01-01 | Active |
| 61919-0469-07 | 7 TABLET in 1 BOTTLE (61919-469-07) | 2014-01-01 | Active |
| 61919-0469-15 | 15 TABLET in 1 BOTTLE (61919-469-15) | 2014-01-01 | Active |
You're viewing one of 5 pack sizes for this product.
Pack size FAQ
What quantity is in NDC 61919-0469-30?
What is the difference between NDC 61919-0469-30 and NDC 61919-0469-07?
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🧭 About this NDC listing & data coverage
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | ✓ Available |
| Inactive ingredients (structured) | ✓ Available |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | ✓ Available |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |
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📄 Full prescribing information FDA SPL
🚨 Boxed Warning ▾
BOXED WARNING WARNING: RISK OF SERIOUS CARDIOVASCULAR and GASTROINTESTINAL EVENTS Cardiovascular Risk Nonsteroidal anti-inflammatory drugs (NSAIDs) may cause an increased risk of serious cardiovascular (CV) thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk [see Warnings and Precautions (5.1) ].
Meloxicam tablets are contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery [see Contraindications (4.2) and Warnings and Precautions (5.1)]. Gastrointestinal Risk NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse reactions including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms.
Elderly patients are at greater risk for serious gastrointestinal events [see Warnings and Precautions (5.2)].
🎯 Indications and Usage ▾
FULL PRESCRIPING INFORMATION
1.1Osteoarthritis (OA) Meloxicam tablets are indicated for relief of the signs and symptoms of osteoarthritis [see Clinical Studies (14.1)].
1.2Rheumatoid Arthritis (RA) Meloxicam tablets are indicated for relief of the signs and symptoms of rheumatoid arthritis [see Clinical Studies (14.1)].
1.3Juvenile Rheumatoid Arthritis (JRA) Pauciarticular and Polyarticular Course Meloxicam tablets are indicated for relief of the signs and symptoms of pauciarticular or polyarticular course Juvenile Rheumatoid Arthritis in patients 2 years of age and older [see Clinical Studies (14.2)].
⏱️ Dosage and Administration ▾
2. DOSAGE AND ADMINISTRATION
2.1General Instructions Carefully consider the potential benefits and risks of meloxicam tablets USP and other treatment options before deciding to use meloxicam tablets USP. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals [see Warnings and Precautions (5.4)]. After observing the response to initial therapy with meloxicam tablets USP, adjust the dose to suit an individual patient's needs.
In adults, the maximum recommended daily oral dose of meloxicam tablets USP is 15 mg regardless of formulation. In patients with hemodialysis, a maximum daily dosage of 7.5 mg is recommended [see Warnings and Precautions (5.6), Use in Specific Populations (8.7) and Clinical Pharmacology (12.3)]. Meloxicam tablets USP may be taken without regard to timing of meals.
2.2Osteoarthritis For the relief of the signs and symptoms of osteoarthritis the recommended starting and maintenance oral dose of meloxicam tablets USP is 7.5 mg once daily. Some patients may receive additional benefit by increasing the dose to 15 mg once daily.
2.3Rheumatoid Arthritis For the relief of the signs and symptoms of rheumatoid arthritis, the recommended starting and maintenance oral dose of meloxicam tablets USP is 7.5 mg once daily. Some patients may receive additional benefit by increasing the dose to 15 mg once daily.
💊 Dosage Forms and Strengths ▾
3. DOSAGE FORMS AND STRENGHTS Tablets: 7.5 mg: Light yellow, round flat beveled edged tablet with UL debossed on one side and 7.5 debossed centrally on the other side. 15 mg: Light yellow, capsule shaped, biconvex, tablet with UL debossed on one side and 15 debossed centrally on the other side.
⛔ Contraindications ▾
CONTRAINDICATIONS
4.1Allergic Reactions Meloxicam tablets are contraindicated in patients with known hypersensitivity (e.g. anaphylactoid reactions and serious skin reactions) to meloxicam. Meloxicam tablets should not be given to patients who have experienced asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs. Severe, rarely fatal, anaphylactic-like reactions to NSAIDs have been reported in such patients [see Warnings and Precautions (5.7, 5.13)].
4.2Coronary Surgery Meloxicam tablets are contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery [see Warnings and Precautions (5.1)].
⚠️ Warnings and Cautions ▾
5. WARNINGS AND PRECAUTIONS
5.1Cardiovascular Thrombotic Events Clinical trials of several COX-2 selective and nonselective NSAIDs of up to three years’ duration have shown an increased risk of serious cardiovascular (CV) thrombotic events, myocardial infarction, and stroke, which can be fatal. All NSAIDs, both COX-2 selective and nonselective, may have a similar risk. Patients with known CV disease or risk factors for CV disease may be at greater risk.
To minimize the potential risk for an adverse CV event in patients treated with an NSAID, the lowest effective dose should be used for the shortest duration possible. Physicians and patients should remain alert for the development of such events, even in the absence of previous CV symptoms. Patients should be informed about the signs and/or symptoms of serious CV events and the steps to take if they occur.
Two large, controlled, clinical trials of a COX-2 selective NSAID for the treatment of pain in the first 10-14 days following CABG surgery found an increased incidence of myocardial infarction and stroke [see Contraindications (4.2)]. There is no consistent evidence that concurrent use of aspirin mitigates the increased risk of serious CV thrombotic events associated with NSAID use. The concurrent use of aspirin and an NSAID does increase the risk of serious GI events [see Warnings and Precautions (5.2)].
5.2Gastrointestinal (GI) Effects - Risk of GI Ulceration, Bleeding, and Perforation NSAIDs, including meloxicam tablets, can cause serious gastrointestinal (GI) adverse events including inflammation, bleeding, ulceration, and perforation of the stomach, small intestine, or large intestine, which can be fatal. These serious adverse events can occur at any time, with or without warning symptoms, in patients treated with NSAIDs. Only one in five patients who develop a serious upper GI adverse event on NSAID therapy is symptomatic.
Upper GI ulcers, gross bleeding, or perforation caused by NSAIDs, occur in approximately 1% of patients treated for 3 to 6 months, and in about 2 to 4% of patients treated for one year. These trends continue with longer duration of use, increasing the likelihood of developing a serious GI event at some time during the course of therapy. However, even short-term therapy is not without risk.
Prescribe NSAIDS, including meloxicam tablets, with extreme caution in those with a prior history of ulcer disease or gastrointestinal bleeding. Patients with a prior history of peptic ulcer disease and/or gastrointestinal bleeding who use NSAIDs have a greater than 10-fold increased risk for developing a GI bleed compared to patients with neither of these risk factors. Other factors that increase the risk for GI bleeding in patients treated with NSAIDs include concomitant use of oral corticosteroids or anticoagulants, longer duration of NSAID therapy, smoking, use of alcohol, older age, and poor general health status.
Most spontaneous reports of fatal GI events are in elderly or debilitated patients and therefore, special care should be taken in treating this population. To minimize the potential risk for an adverse GI event in patients treated with an NSAID, use the lowest effective dose for the shortest possible duration. Patients and physicians should remain alert for signs and symptoms of GI ulceration and bleeding during meloxicam therapy and promptly initiate additional evaluation and treatment if a serious GI adverse event is suspected.
This should include discontinuation of meloxicam until a serious GI adverse event is ruled out. For high-risk patients, consider alternate therapies that do not involve NSAIDs.
5.3Hepatic Effects Borderline elevations of one or more liver tests may occur in up to 15% of patients taking NSAIDs including meloxicam tablets. These laboratory abnormalities may progress, may remain unchanged, or may be transient with continuing therapy. Notable elevations of ALT or AST (approximately three or more times the upper limit of normal…
🤒 Adverse Reactions ▾
6. ADVERSE REACTIONS Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The following serious adverse reactions are discussed elsewhere in the labeling: Cardiovascular thrombotic events [see Boxed Warning and Warnings and Precautions (5.1)] Gastrointestinal effects – risk of GI ulceration, bleeding, and perforation [see Boxed Warning and Warnings and Precautions (5.2)] Hepatic effects [see Warnings and Precautions (5.3)] Hypertension [see Warnings and Precautions (5.4)] Congestive heart failure and edema [see Warnings and Precautions (5.5)] Renal effects [see Warnings and Precautions (5.6)] Anaphylactoid reactions [see Warnings and Precautions (5.7)] Adverse skin reactions [see Warnings and Precautions (5.8)]
6.1Clinical Trials Experience Adults Osteoarthritis and Rheumatoid Arthritis The meloxicam Phase 2/3 clinical trial database includes 10,122 OA patients and 1012 RA patients treated with meloxicam 7.5 mg/day, 3505 OA patients and 1351 RA patients treated with meloxicam 15 mg/day. Meloxicam at these doses was administered to 661 patients for at least 6 months and to 312 patients for at least one year. Approximately 10,500 of these patients were treated in ten placebo- and/or active-controlled osteoarthritis trials and 2363 of these patients were treated in ten placebo- and/or active-controlled rheumatoid arthritis trials.
Gastrointestinal (GI) adverse events were the most frequently reported adverse events in all treatment groups across meloxicam trials. A 12-week multicenter, double-blind, randomized trial was conducted in patients with osteoarthritis of the knee or hip to compare the efficacy and safety of meloxicam with placebo and with an active control. Two 12-week multicenter, double-blind, randomized trials were conducted in patients with rheumatoid arthritis to compare the efficacy and safety of meloxicam with placebo.
Table 1a depicts adverse events that occurred in ≥2% of the meloxicam treatment groups in a 12-week placebo- and active-controlled osteoarthritis trial. Table 1b depicts adverse events that occurred in ≥2% of the meloxicam treatment groups in two 12-week placebo- controlled rheumatoid arthritis trials. Table 1a Adverse Events (%) Occurring in ≥ 2% of Meloxicam Patients in a 12-Week Osteoarthritis Placebo- and Active-Controlled Trial * WHO preferred terms edema, edema dependent, edema peripheral, and edema legs combined † WHO preferred terms rash, rash erythematous, and rash maculo-papular combined Placebo Meloxicam 7.5 mg daily Meloxicam 15 mg daily Diclofenac 100 mg daily No. of Patients 157 154 156 153 Gastrointestinal 17.2 20.1 17.3
28.1Abdominal pain 2.5 1.9 2.6
1.3Diarrhea 3.8 7.8 3.2
9.2Dyspepsia 4.5 4.5 4.5
6.5Flatulence 4.5 3.2 3.2
3.9Nausea 3.2 3.9 3.8
7.2Body as a Whole Accident household 1.9 4.5 3.2
2.6Edema* 2.5 1.9 4.5
3.3Fall 0.6 2.6 0.0
1.3Influenza-like symptoms 5.1 4.5 5.8
2.6Central and Peripheral Nervous System Dizziness 3.2 2.6 3.8
2.0Headache 10.2 7.8 8.3
5.9Respiratory Pharyngitis 1.3 0.6 3.2
1.3Upper respiratory tract infection 1.9 3.2 1.9
3.3Skin Rash† 2.5 2.6 0.6
2.0Table 1b Adverse Events (%) Occurring in ≥2% of Meloxicam Patients in two 12-Week Rheumatoid Arthritis Placebo- Controlled Trials * MedDRA preferred term: nausea, abdominal pain NOS, influenza-like illness, headaches NOS, and rash NOS † MedDRA high level term (preferred terms): dyspeptic signs and symptoms (dyspepsia, dyspepsia aggravated, eructation, gastrointestinal irritation), upper respiratory tract infections-pathogen unspecified (laryngitis NOS, pharyngitis NOS, sinusitis NOS), joint related signs and symptoms (arthralgia, arthralgia aggravated, joint crepitation, joint effusion, joint swelling) Placebo Meloxicam 7.5 mg daily Meloxicam 15 mg daily No. of Patients 469 481 477 Gastroi…
🔄 Drug Interactions ▾
7. DRUG INTERACTIONS See also Clinical Pharmacology (12.3).
7.1ACE-inhibitors NSAIDs may diminish the antihypertensive effect of ACE-inhibitors. This interaction should be given consideration in patients taking meloxicam concomitantly with ACE-inhibitors.
7.2Aspirin When meloxicam is administered with aspirin (1000 mg three times daily) to healthy volunteers, an increase the AUC (10%) and Cmax (24%) of meloxicam was noted. The clinical significance of this interaction is not known; however, as with other NSAIDs concomitant administration of meloxicam and aspirin is not generally recommended because of the potential for increased adverse effects. Concomitant administration of low-dose aspirin with meloxicam may result in an increased rate of GI ulceration or other complications, compared to use of meloxicam alone.
Meloxicam is not a substitute for aspirin for cardiovascular prophylaxis.
7.3Diuretics Clinical studies, as well as post marketing observations, have shown that NSAIDs can reduce the natriuretic effect of furosemide and thiazides in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis. However, studies with furosemide agents and meloxicam have not demonstrated a reduction in natriuretic effect.
Furosemide single and multiple dose pharmacodynamics and pharmacokinetics are not affected by multiple doses of meloxicam. Nevertheless, during concomitant therapy with meloxicam, patients should be observed closely for signs of renal failure [see Warnings and Precautions (5.6)], as well as to ensure diuretic efficacy.
7.4Lithium In a study conducted in healthy subjects, mean pre-dose lithium concentration and AUC were increased by 21% in subjects receiving lithium doses ranging from 804 to 1072 mg twice daily with meloxicam 15 mg every day as compared to subjects receiving lithium alone. These effects have been attributed to inhibition of renal prostaglandin synthesis by meloxicam. Closely monitor patients on lithium treatment for signs of lithium toxicity when meloxicam is introduced, adjusted, or withdrawn.
7.5Methotrexate NSAIDs have been reported to competitively inhibit methotrexate accumulation in rabbit kidney slices. Therefore, NSAIDs may reduce the elimination of methotrexate , thereby enhancing the toxicity of methotrexate. Use caution when meloxicam is administered concomitantly with methotrexate [see Clinical Pharmacology (12.3)].
7.6Cyclosporine Meloxicam, like other NSAIDs, may affect renal prostaglandins, thereby altering the renal toxicity of certain drugs. Therefore, concomitant therapy with meloxicam may increase cyclosporine's nephrotoxicity. Use caution when meloxicam is administered concomitantly with cyclosporine.
7.7Warfarin The effects of warfarin and NSAIDs on GI bleeding are synergistic, such that users of both drugs together have a risk of serious GI bleeding higher than users of either drug alone. Monitor anticoagulant activity, particularly in the first few days after initiating or changing meloxicam therapy in patients receiving warfarin or similar agents, since these patients are at an increased risk of bleeding than with the use of either drug alone. Use caution when administering meloxicam with warfarin since patients on warfarin may experience changes in INR and an increased risk of bleeding complications when a new medication is introduced [see Clinical Pharmacology (12.3)].
👥 Use in Specific Populations ▾
8. USE IN SPECIFIC POPULATIONS
8.1Pregnancy Pregnancy Category C; Category D starting 30 weeks gestation There are no adequate and well-controlled studies in pregnant women. Meloxicam crosses the placental barrier. Prior to 30 weeks gestation, use meloxicam during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Starting at 30 weeks gestation, avoid meloxicam and other NSAIDs, in pregnant women as premature closure of the ductus arteriosus in the fetus may occur. If this drug is used during this time period in pregnancy, inform the patient of the potential hazard to a fetus [see Warnings and Precautions (5.9) and Patient Counseling Information (17.8)]. Teratogenic Effects Meloxicam was not teratogenic when administered to pregnant rats during fetal organogenesis at oral doses up to 4 mg/kg/day (2.6-fold greater than the maximum recommended human daily dose [MRHD] based on body surface area [BSA] comparison).
Administration of meloxicam to pregnant rabbits throughout embryogenesis produced an increased incidence of septal defects of the heart at an oral dose of 60 mg/kg/day. The no effect level was 20 mg/kg/day (26-fold greater than the MRHD based on BSA conversion). Nonteratogenic Effects In rats and rabbits, embryolethality occurred at oral meloxicam doses of 1 mg/kg/day and 5 mg/kg/day, respectively (0.65-and 6.5-fold greater, respectively, than the MRHD based on BSA comparison) when administered throughout organogenesis.
8.2Labor and Delivery The effects of meloxicam on labor and delivery of pregnant women are unknown. Oral administration of meloxicam to pregnant rats during late gestation through lactation increased the incidence of dystocia, delayed parturition, and decreased offspring survival at meloxicam doses of 0.125 mg/kg/day or greater (at least 12.5 times lower than the maximum recommended human daily dose based on body surface area comparison).
8.3Nursing Mothers It is not known whether this drug is excreted in human milk; however, meloxicam was excreted in the milk of lactating rats at concentrations higher than those in plasma. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from meloxicam a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
8.4Pediatric Use Use of this drug for a pediatric indication is protected by marketing exclusivity.
8.5Geriatric Use As with any NSAID, caution should be exercised in treating the elderly (65 years and older). Of the total number of subjects in clinical studies, 5157 were age 65 and over (4044 in OA studies and 1113 in RA studies). No overall differences in safety or effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out.
8.6Hepatic Impairment No dose adjustment is necessary in patients with mild to moderate hepatic impairment. Patients with severe hepatic impairment have not been adequately studied. Since meloxicam is significantly metabolized in the liver, the use of meloxicam in these patients should be done with caution [see Warnings and Precautions (5.3) and Clinical Pharmacology (12.3)]
8.7Renal Impairment No dose adjustment is necessary in patients with mild to moderate renal impairment. Patients with severe renal impairment have not been studied. The use of meloxicam in subjects with severe renal impairment is not recommended.
Following a single dose of meloxicam, the free Cmax plasma concentrations were higher in patients with renal failure on chronic hemodialysis (1% free fraction) in comparison to healthy volunteers (0.3% free fraction). Therefore it is recommended that meloxicam dosage in this population not exceed 7.5 mg per day Hemodialysis did…
🆘 Overdosage ▾
10. OVERDOSAGE There is limited experience with meloxicam overdose. Four cases have taken 6 to 11 times the highest recommended dose; all recovered.
Cholestyramine is known to accelerate the clearance of meloxicam.Symptoms following acute NSAID overdose include lethargy, drowsiness, nausea, vomiting, and epigastric pain, which are generally reversible with supportive care. Gastrointestinal bleeding can occur. Severe poisoning may result in hypertension, acute renal failure, hepatic dysfunction, respiratory depression, coma, convulsions, cardiovascular collapse, and cardiac arrest.
Anaphylactoid reactions have been reported with therapeutic ingestion of NSAIDs, and may occur following an overdose. Patients should be managed with symptomatic and supportive care following an NSAID overdose. Administration of activated charcoal is recommended for patients who present 1-2 hours after overdose.
For substantial overdose or severely symptomatic patients, activated charcoal may be administered repeatedly. Accelerated removal of meloxicam by 4 gm oral doses of cholestyramine given three times a day was demonstrated in a clinical trial. Administration of cholestyramine may be useful following an overdose.
Forced diuresis, alkalinization of urine, hemodialysis, or hemoperfusion may not be useful due to high protein binding. For additional information about overdose treatment, call a poison control center (1-800-222-1222).
🧬 Clinical Pharmacology ▾
12. CLINICAL PHARMACOLOGY
12.1Mechanism of Action The mechanism of action of meloxicam, like that of other NSAIDs, may be related to prostaglandin synthetase (cyclo-oxygenase) inhibition which is involved in the initial steps of the arachidonic acid cascade, resulting in the reduced formation of prostaglandins, thromboxanes and prostacylin. It is not completely understood how reduced synthesis of these compounds results in therapeutic efficacy.
12.2Pharmacodynamics Meloxicam exhibits anti-inflammatory, analgesic, and antipyretic activities.
12.3Pharmacokinetics Absorption The absolute bioavailability of meloxicam capsules was 89% following a single oral dose of 30 mg compared with 30 mg IV bolus injection. Following single intravenous doses, dose-proportional pharmacokinetics were shown in the range of 5 mg to 60 mg. After multiple oral doses the pharmacokinetics of meloxicam capsules were dose-proportional over the range of 7.5 mg to 15 mg.
Mean Cmax was achieved within four to five hours after a 7.5 mg meloxicam tablet was taken under fasted conditions, indicating a prolonged drug absorption. With multiple dosing, steady-state concentrations were reached by Day 5. A second meloxicam concentration peak occurs around 12 to 14 hours post-dose suggesting biliary recycling.
Meloxicam capsules have been shown to be bioequivalent to meloxicam tablets. Table 3 Single Dose and Steady-State Pharmacokinetic Parameters for Oral 7.5 mg and 15 mg Meloxicam (Mean and % CV)* * The parameter values in the table are from various studies † not under high fat conditions ‡ Meloxicam tablets § V z/f=Dose/(AUC•K e l) Steady State Single Dose Pharmacokinetic Parameters (%CV) Healthy male adults (Fed)† Elderly males (Fed)† Elderly females (Fed)† Renal failure (Fasted) Hepatic insufficiency (Fasted) 7.5 mg‡ tablets 15 mg capsules 15 mg capsules 15 mg capsules 15 mg capsules N 18 5 8 12 12 Cmax [μg/mL] 1.05 (20) 2.3 (59) 3.2 (24) 0.59 (36) 0.84 (29) tmax [h] 4.9 (8) 5 (12) 6 (27) 4 (65) 10 (87) t1/2 [h] 20.1 (29) 21 (34) 24 (34) 18 (46) 16 (29) CL/f [mL/min] 8.8 (29) 9.9 (76) 5.1 (22) 19 (43) 11 (44) Vz/f§ [L] 14.7 (32) 15 (42) 10 (30) 26 (44) 14 (29) Food and Antacid Effects Administration of meloxicam capsules following a high fat breakfast (75 g of fat) resulted in mean peak drug levels (i.e., Cmax) being increased by approximately 22% while the extent of absorption (AUC) was unchanged.
The time to maximum concentration (Tmax) was achieved between 5 and 6 hours. No pharmacokinetic interaction was detected with concomitant administration of antacids. Based on these results, meloxicam can be administered without regard to timing of meals or concomitant administration of antacids.
Distribution The mean volume of distribution (Vss) of meloxicam is approximately 10 L. Meloxicam is ~99.4% bound to human plasma proteins (primarily albumin) within the therapeutic dose range. The fraction of protein binding is independent of drug concentration, over the clinically relevant concentration range, but decreases to ~99% in patients with renal disease.
Meloxicam penetration into human red blood cells, after oral dosing, is less than 10%. Following a radiolabeled dose, over 90% of the radioactivity detected in the plasma was present as unchanged meloxicam. Meloxicam concentrations in synovial fluid, after a single oral dose, range from 40% to 50% of those in plasma.
The free fraction in synovial fluid is 2.5 times higher than in plasma, due to the lower albumin content in synovial fluid as compared to plasma. The significance of this penetration is unknown. Metabolism Meloxicam is extensively metabolized in the liver.
Meloxicam metabolites include 5'-carboxy meloxicam (60% of dose), from P-450 mediated metabolism formed by oxidation of an intermediate metabolite 5'-hydroxymethyl meloxicam which is also excreted to a lesser extent (9% of dose). In vitro studies indicate that CYP2C9 (cytochrome P450 metabolizing enzyme) plays an important role in this metabolic p…
📦 How Supplied / Storage and Handling ▾
Meloxicam Tablets USP are available as light yellow, round, flat, uncoated tablets containing meloxicam 7.5 mg or as light yellow, oblong, biconvex, uncoated tablets containing meloxicam 15 mg. The 7.5 mg tablet is impressed with letter U and L on one side and tablet code 7.5 on the other side. The 15 mg tablet is impressed with letter U and L on one side and tablet code 15 on the other side.Meloxicam Tablets USP 7.5 mg are available as follows: NDC 61919-075-20; Bottles of 20 NDC 61919-075-30; Bottles of 30 NDC 61919-075-60; Bottles of 60 NDC 61919-075-90; Bottles of 90 Meloxicam Tablets USP 15 mg are available as follows: NDC 61919-469-30; Bottles of 30 NDC 61919-469-60; Bottles of 60 NDC 61919-469-90; Bottles of 90
📦 Storage and Handling ▾
Storage Store at Controlled Room Temperature 200-250C (680-770F) [See USP]. Keep Meloxicam Tablets USP in a dry place Dispense tablets in a tight container. Keep this and all medications out of the reach of children.
📋 Description ▾
11. DESCRIPTIONS Meloxicam Tablets USP are a nonsteroidal anti-inflammatory drug (NSAID). Each tablet contains 7.5 mg or 15 mg meloxicam for oral administration.
Meloxicam is chemically designated as 4-hydroxy-2-methyl-N-(5-methyl-2-thiazolyl)-2H-1,2-benzothiazine-3-carboxamide-1,1-dioxide. The molecular weight is 351.4. Its empirical formula is C14H13N3O4S2 and it has the following structural formula: [Chemical Structure] Chemical Structure Meloxicam is a pastel yellow solid, practically insoluble in water, with higher solubility observed in strong acids and bases.
It is very slightly soluble in methanol. Meloxicam has an apparent partition coefficient (log P)app = 0.1 in n-octanol/buffer pH 7.4. Meloxicam has pKa values of 1.1 and 4.2.
Meloxicam is available as a tablet for oral administration containing 7.5 mg or 15 mg meloxicam. The inactive ingredients in Meloxicam tablets USP include colloidal silicon dioxide, crospovidone, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone and sodium citrate dihydrate.
💬 Patient Medication Information ▾
17. PATIENT COUNSELING INFORMATION See FDA-approved Medication Guide Patients should be informed of the following information before initiating therapy with an NSAID and periodically during the course of ongoing therapy.
17.1Medication Guide Inform patients of the availability of a Medication Guide for NSAIDs that accompanies each prescription dispensed, and instruct them to read the Medication Guide prior to using meloxicam tablets.
17.2Cardiovascular Effects NSAIDs including meloxicam tablets, may cause serious CV side effects, such as MI or stroke, which may result in hospitalization and even death. Although serious CV events can occur without warning symptoms, patients should be alert for the signs and symptoms of chest pain, shortness of breath, weakness, slurring of speech, and should ask for medical advice when observing any indicative sign or symptoms. Patients should be apprised of the importance of this follow-up [see Warnings and Precautions (5.1)].
17.3Gastrointestinal Effects NSAIDs including meloxicam tablets, can cause GI discomfort and, rarely, serious GI side effects, such as ulcers and bleeding, which may result in hospitalization and even death. Although serious GI tract ulcerations and bleeding can occur without warning symptoms, patients should be alert for the signs and symptoms of ulcerations and bleeding, and should ask for medical advice when observing any indicative sign or symptoms including epigastric pain, dyspepsia, melena, and hematemesis. Patients should be apprised of the importance of this follow-up [see Warnings and Precautions (5.2)].
17.4Hepatotoxicity Inform patients of the warning signs and symptoms of hepatotoxicity (e.g., nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant tenderness, and "flu-like" symptoms). If these occur, instruct patients to stop therapy and seek immediate medical therapy [see Warnings and Precautions (5.3)].
17.5Adverse Skin Reactions NSAIDs, including meloxicam tablets, can cause serious skin side effects such as exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which may result in hospitalization and even death. Although serious skin reactions may occur without warning, patients should be alert for the signs and symptoms of skin rash and blisters, fever, or other signs of hypersensitivity such as itching, and should ask for medical advice when observing any indicative signs or symptoms.
Advise patients to stop the drug immediately if they develop any type of rash and contact their physicians as soon as possible [see Warnings and Precautions (5.8)].
17.6Weight Gain and Edema Advise patients to promptly report signs or symptoms of unexplained weight gain or edema to their physicians [see Warnings and Precautions (5.5)].
17.7Anaphylactoid Reactions Inform patients of the signs of an anaphylactoid reaction (e.g., difficulty breathing, swelling of the face or throat). Instruct patients to seek immediate emergency help [see Warnings and Precautions (5.7)].
17.8Effects During Pregnancy Starting at 30 weeks gestation, meloxicam should be avoided as premature closure of the ductus arteriosus in the fetus may occur [see Warnings and Precautions (5.9) and Use in Specific Populations (8.1)].
17.9Effects On Female Fertility Advise females of reproductive potential who desire pregnancy that NSAIDs, including meloxicam tablets, may be associated with a reversible delay in ovulation. For women who have difficulties conceiving, or who are undergoing investigation of infertility, use of meloxicam is not recommended [See Use in Specific Population (8.8)]. Please address medical inquiries to 1-866-562-4616 Manufactured by: UNICHEM LABORATORIES LTD.
Pilerne Ind. Estate, Pilerne, Bardez, Goa 403511, India Marketed by: Unichem Pharmaceuitcals Inc Rochelle Park, NJ 07662 05-R-11/2013 13006054
💬 Medication Guide ▾
INSTRUCTIONS FOR USE Cyclobenzaprine Hydrochloride Extended-Release Capsules Read this Instructions for Use before you prepare your first dose of cyclobenzaprine hydrochloride extended-release capsules mixed with applesauce using the capsule sprinkle method, each time you get a refill, and as needed. There may be new information. Ask your healthcare provider or pharmacist if you have any questions about how to mix or give a dose of cyclobenzaprine hydrochloride extended-release capsules using the capsule sprinkle method.
Important Information: Do not chew cyclobenzaprine hydrochloride extended-release capsules or the granules that are in the capsules. The capsule sprinkle method for mixing the contents of cyclobenzaprine hydrochloride extended-release capsules with applesauce may be used for adults who cannot swallow capsules. Do not use any other food in the place of applesauce.
Preparing a dose of cyclobenzaprine hydrochloride extended-release capsules using the capsule sprinkle method. Before you prepare a dose of cyclobenzaprine hydrochloride extended-release capsules mixed with applesauce using the capsule sprinkle method, gather the following supplies: paper towels tablespoon applesauce cup of water Step 1: Choose a clean, flat work surface. Place a clean paper towel on the work surface.
Then place the other supplies on the paper towel. Step 2: Wash and dry your hands well. Step 3: Check the dose that was prescribed by your healthcare provider.
Take out the number of cyclobenzaprine hydrochloride extended-release capsules needed to prepare your dose. Place them on the paper towel. Step 4: Place enough applesauce to fill your tablespoon.
Set the tablespoon down on the paper towel. [image] Step 5: Hold the cyclobenzaprine hydrochloride extended-release capsule in an upright position (vertical) directly over the tablespoon. Hold each end of the cyclobenzaprine hydrochloride extended-release capsule between your thumbs and index (pointer) fingers. [image] Step 6: Carefully twist both ends of the cyclobenzaprine hydrochloride extended-release capsule in opposite directions to open it. Be careful not to spill the capsule contents. [image] Step 7: Sprinkle the contents of the cyclobenzaprine hydrochloride extended-release capsule onto the applesauce.
Check the capsule shells to make sure they are empty. Throw away the empty capsule shells. If the total prescribed dose is more than 1 capsule, repeat Steps 5 through 7 for each capsule.
Do not add more applesauce. Then follow the rest of the steps below. [image] Step 8: Pick up the tablespoon and swallow the cyclobenzaprine hydrochloride extended-release capsule contents and applesauce mixture right away. Do not chew the cyclobenzaprine hydrochloride extended-release capsule contents and applesauce mixture. [image] Step 9: Rinse your mouth with a sip of water and swallow to make sure that all of the cyclobenzaprine hydrochloride extended-release capsule granules have been swallowed. [image] Step 10: Throw away any unused cyclobenzaprine hydrochloride extended-release capsule content and applesauce mixture.
Do not keep any cyclobenzaprine hydrochloride extended-release capsule content and applesauce mixture for future use. How should I store cyclobenzaprine hydrochloride extended-release capsules? Store cyclobenzaprine hydrochloride extended-release capsules at room temperature between 68°F to 77°F (20°C to 25°C).
Keep cyclobenzaprine hydrochloride extended-release capsules and all medicines out of the reach of children. This Instructions for Use has been approved by the U.S. Food and Drug Administration.
CHERCIFU-001 Issued: May 2019