Composition


Each dosage unit contains: Vial Suppository Tablet
Tenoxicam 20 mg 20 mg 20 mg


Therapeutic Indications

EPICOTIL is indicated for the symptomatic treatment of musculoskeletal and joint disorders, including:
Osteoarthritis.

Ankylosing spondylitis.

Rheumatoid arthritis.

Acute musculoskeletal disorders including sciatica.
Soft tissue injuries.

Extra-articular inflammations such as tendinitis, bursitis, periarthritis of shoulders or hips, strains and sprains.

Acute gout.

Post-traumatic pain.

Post-operative pain.

In gynaecology and primary dysmenorrhoea.


Dosage and Administration

Usual dose: 20 mg once daily.

EPICOTIL vials may be given IM or IV for initial treatment for 1-2 days.

EPICOTIL vial should be dissolved in 2 ml sterile water for injection, then administered by IM or IV injection.
The reconstituted solution should be used immediately.

In acute musculoskeletal disorders, treatment for up to 7 days is usually sufficient, but in severe cases it may be given for up to a maximum of 14 days.

For acute attacks of gouty arthritis, the dose is 40 mg once daily for 2 days followed by 20 mg once daily for 5 days.

EPICOTIL can be given at normal recommended doses to elderly patients or those with mild to moderate renal impairment who are not at high risk of renal failure or receiving potentially nephrotoxic therapy.


Contraindications

Previous known hypersensitivity to the product, or to other oxicams.

Patients who have experienced acute asthmatic attacks, urticaria, angioedema or rhinitis after taking other Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) or aspirin.

Patients with active peptic ulceration or active inflammatory diseases of the gastrointestinal tract.

Before anaesthesia or surgery, EPICOTIL should not be given to elderly patients, to patients at risk of renal failure, or to patients with increased risk of bleeding, because of an increased risk of acute renal failure and possibility of impaired homeostasis.