PIROXCOT INJ

Piroxcot Injection

What the package shows

• Brand: Piroxcot Injection
• Active ingredient: Piroxicam IP
• Strength: 40 mg/2 mL
• Equivalent concentration: 20 mg/mL
• Pack: 5 × 2 mL ampoules
• Route: FOR I.M. USE ONLY — intramuscular injection
• Prescription medicine (Rx)
• The box states that each ampoule contains 40 mg piroxicam.

The back of the box also says to store it below 30°C and protect it from direct sunlight.

What piroxicam does

Piroxicam is a non-steroidal anti-inflammatory drug (NSAID). It reduces the production of prostaglandins involved in pain and inflammation.

It can therefore reduce:

• Pain
• Swelling
• Inflammation
• Joint/muscle pain
• Musculoskeletal pain

Piroxicam is used for inflammatory conditions such as osteoarthritis and rheumatoid arthritis. DailyMed

The important point about this particular injection

One ampoule = 40 mg piroxicam.

That's a relatively substantial amount, and piroxicam has a long duration of action. It should be used exactly as prescribed rather than repeatedly administered simply because pain returns.

The package specifically says IM only, so this product should not be injected intravenously.

⚠️ Piroxicam has significant NSAID risks

Like other NSAIDs, piroxicam can cause stomach/intestinal ulcers and bleeding, sometimes without warning. It can also increase cardiovascular risks such as heart attack and stroke, with risk affected by the patient's underlying health and duration of treatment. DailyMed

It can also affect the kidneys, particularly in people with kidney disease, dehydration, heart failure, or other risk factors. DailyMed

Other possible problems include:

• Nausea/indigestion
• Stomach pain
• Fluid retention/swelling
• Increased blood pressure
• Kidney-function deterioration
• Allergic reactions
• Serious skin reactions, rarely

A history of asthma, hives, or allergic reactions after aspirin or other NSAIDs is particularly important because piroxicam can cause serious hypersensitivity reactions in susceptible people. DailyMed

🚨 Important because of the previous injection you showed

You previously showed Redflam Injection (diclofenac 75 mg/mL).

Diclofenac and piroxicam are both NSAIDs.

Therefore, they generally should not be treated as two independent pain injections to take together unless a doctor has specifically instructed this. Combining NSAIDs can increase the risk of gastrointestinal bleeding, kidney problems and other adverse effects without necessarily providing a proportional benefit.

So, if your prescription contains both Redflam and Piroxcot, don't assume that both injections should be administered. The prescriber/pharmacist should confirm the intended regimen.

Your injections so far

Injection	Active ingredient	Main purpose	Drug class
Trancot	Tranexamic acid 500 mg/5 mL	Helps control certain bleeding	Antifibrinolytic
Redflam	Diclofenac 75 mg/mL	Pain + inflammation	NSAID
Piroxcot	Piroxicam 40 mg/2 mL	Pain + inflammation	NSAID

Redflam and Piroxcot are particularly important to distinguish because both are NSAIDs.

Also, Trancot isn't a painkiller; it has a completely different purpose.

If these three injections were prescribed together for the same patient/episode, send me the prescription or the remaining medicines. I can map out what each medicine is intended to do, which ones overlap, and which combinations deserve particular caution.