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MOBIC
Arthritis/rheumatic disorders
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Drug Name:

MOBIC Rx

Generic Name and Formulations:
Meloxicam 7.5mg, 15mg; tabs.

Company:
Boehringer Ingelheim Pharmaceuticals

Therapeutic Use:

Indications for MOBIC:

Osteoarthritis. Rheumatoid arthritis. Juvenile rheumatoid arthritis pauciarticular and polyarticular course.

Adult:

Use lowest effective dose for shortest duration. ≥18yrs: 7.5mg once daily; max 15mg once daily. Hemodialysis: max 7.5mg/day. Not interchangeable with other forms of oral meloxicam.

Children:

Use lowest effective dose for shortest duration. <2yrs or <60kg: not recommended. JRA: ≥2yrs or ≥60kg: 7.5mg once daily. Not interchangeable with other forms of oral meloxicam.

Contraindications:

Aspirin allergy. Coronary artery bypass graft surgery.

Warnings/Precautions:

Increased risk of serious cardiovascular events (including MI, stroke). Avoid in recent MI, severe heart failure; if necessary, monitor. Increased risk of serious GI adverse events (including inflammation, bleeding, ulceration, perforation). History of ulcer disease and/or GI bleeding. Hypertension; monitor BP closely. Hepatic or renal impairment. Discontinue if signs/symptoms of liver disease develop, or if abnormal LFTs persist or worsen. Dehydration. Hypovolemia. Advanced renal disease: not recommended. Hyperkalemia. Coagulation disorders. Monitor CBCs, blood chemistry, hepatic, and renal function in long-term therapy. Pre-existing asthma. May mask signs of infection or fever. Discontinue at 1st sign of rash or any other hypersensitivity. Women with difficulties conceiving or undergoing investigation of infertility: not recommended. Elderly. Debilitated. Labor & delivery. Pregnancy (≥30 weeks gestation; avoid). Nursing mothers.

Interactions:

Avoid concomitant aspirin, salicylates (eg, diflunisal, salsalate) or other NSAIDs. Increased risk of GI bleed with anticoagulants, antiplatelets, oral corticosteroids, SSRIs, SNRIs, smoking, alcohol, or prolonged NSAID therapy; monitor. May antagonize, or increase risk of renal failure with diuretics (eg, loop or thiazides), ACE inhibitors, ARBs, or β-blockers; monitor closely. May potentiate lithium, methotrexate, cyclosporine; monitor for toxicity. Concomitant with pemetrexed may increase risk of pemetrexed-associated myelosuppression, renal, and GI toxicity.

Pharmacological Class:

NSAID (oxicam).

Adverse Reactions:

Diarrhea, upper RTI, dyspepsia, influenza-like symptoms; cardiovascular thrombotic events, GI ulcer/bleed, hepatotoxicity, renal toxicity, edema, hypersensitivity reactions, anemia.

How Supplied:

Tabs—100

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