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Piroxicam overdose

Feldene overdose

 

Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and swelling. Piroxicam overdose occurs when someone takes too much of this drug.

This is for information only and not for use in the treatment or management of an actual overdose. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Poisonous Ingredient

 

Piroxicam

 

Where Found

 

Piroxicam is also sold under the brand name Feldene.

 

Symptoms

 

Airways and lungs:

  • Rapid breathing
  • Slow, labored breathing
  • Wheezing

Eyes, ears, nose, and throat:

  • Ringing in the ears
  • Blurred vision

Nervous system:

  • Agitation
  • Coma
  • Confusion
  • Convulsions (seizures)
  • Drowsiness
  • Headache (severe)
  • Incoherence (not understandable)
  • Movement disorder
  • Unsteadiness

Skin:

  • Rash

Stomach and intestines:

  • Diarrhea
  • Heartburn
  • Nausea
  • Stomach pain (possible bleeding in the stomach and intestines)
  • Vomiting

 

Before Calling Emergency

 

The following information is helpful for emergency assistance:

  • The person's age, weight, and condition
  • Name of product (as well as the ingredients and strength if known)
  • The time it was swallowed
  • The amount swallowed
  • If the medicine was prescribed for the patient

However, DO NOT delay calling for help if this information is not immediately available.

 

Poison Control

 

Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. You can call 24 hours a day, 7 days a week.

Take the container with you to the hospital, if possible.

 

What to Expect at the Emergency Room

 

The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The person may receive:

  • Activated charcoal
  • Airway support, including oxygen, breathing tube through the mouth (intubation), and ventilator (breathing machine)
  • Blood and urine tests
  • Chest x-ray
  • EKG (electrocardiogram, or heart tracing)
  • Fluids through the vein (intravenous or IV)
  • Laxative
  • Medicines to treat symptoms

 

Outlook (Prognosis)

 

Recovery without serious complications is likely in most cases. Very large overdoses can be deadly.

 

 

References

Goldfrank LR, ed. Goldfrank's Toxicologic Emergencies. 9th ed. New York, NY: McGraw Hill; 2011.

Seger DL, Murray L. Aspirin and nonsteroidal agents. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 149.

 

        Self Care

         

          Tests for Piroxicam overdose

           

             

            Review Date: 1/17/2015

            Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

            The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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