Is Piroxicam compatible with breastfeeding? Do we have alternatives for Piroxicam?
Piroxicam
September 24, 2015 (Very Low Risk)
It is excreted in breast milk in clinically non-significant amount and no problems have been observed in infants whose mothers took this medication. Levels in plasma and urine of such infants were undetectable.
Having published less quantity of studies than with other drugs of the same group, safer alternatives may be preferable, especially in the neonatal period and in case of prematurity.
The American Academy of Pediatrics rates it as usually compatible with breastfeeding.
Alternatives
- Ibuprofen (Very Low Risk)
- Paracetamol (Very Low Risk)
- Flurbiprofen (Very Low Risk)
- Indomethacin (Very Low Risk)
Very Low Risk
Compatible. Not risky for breastfeeding or infant.
Low Risk
Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.
High Risk
Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.
Very High Risk
Not recommended. Cessation of breastfeeding or alternative.
Writings
- πιροξικάμη (Greek)
- بيروكسيكام (Arabic)
- Пироксикам (Cyrillic)
- 吡罗昔康 (Chinese)
- ピロキシカム (Japanese)
Drug trade names
- Artroxicam™
- Axtrim™
- Bapixied™
- Benisan™
- Bioximil™
- Bleduran™
- Brexicam™
- Brexidol™
- Brexin™
- Brexodin™
- Brucam™
- Campirex™
- Citoken T™
- Cycladol™
- Dixonal™
- Dolzycam™
- Erazon (Эразон)™
- Fabudol™
- Facicam™
- Felcam™
- Feldegel™
- Feldenedi™
- Feldene™
- Felden™
- Finalgel (Финалгель)™
- Flamalit™
- Flamexin™
- Flexar™
- Flogosine™
- Geldene™
- Glandicin™
- Homocalmefyba™
- Improntal™
- Maxipiro™
- Maxtol™
- Micar™
- Nac™
- Nalgesic™
- Novo-Pirocam™
- Nu-Pirox™
- Osteocalmine™
- Osteral™
- Pemar™
- Perfarin™
- Piroalgin™
- Pirocam™
- Pirofel™
- Piroflam™
- Piroxil™
- Piroxin™
- Pirox™
- Pricam™
- Proponol™
- Remisil™
- Reumoxican™
- Reutricam™
- Ripox™
- Roxifen™
- Salvacam™
- Sasulen™
- Serpicam™
- Sinartrol™
- Solocalm™
- Tirovel™
- Trixicam™
- Zerospasm™
- Zofora™
- БРЕКСІН®
- ПІРОКСИКАМ
- ПІРОКСИКАМ СОФАРМА
- ПІРОКСИКАМ-В
- ФЕДИН-20®
- ФІНАЛГЕЛЬ®
References
- Pfizer, S.L. Piroxicam. Ficha técnica. 2012 Full text (in our servers)
- FDA. Piroxicam. Drug Summary. 2012 Full text (in our servers)
- Østensen M, Motta M. Therapy insight: the use of antirheumatic drugs during nursing. Nat Clin Pract Rheumatol. 2007Abstract
- AAP - American Academy of Pediatrics Committee on Drugs. Transfer of drugs and other chemicals into human milk. Pediatrics. 2001Abstract Full text (link to original source) Full text (in our servers)
- Janssen NM, Genta MS. The effects of immunosuppressive and anti-inflammatory medications on fertility, pregnancy, and lactation. Arch Intern Med. 2000Abstract Full text (link to original source) Full text (in our servers)
- Goldsmith DP. Neonatal rheumatic disorders. View of the pediatrician. Rheum Dis Clin North Am. 1989Abstract
- Ostensen M, Matheson I, Laufen H. Piroxicam in breast milk after long-term treatment. Eur J Clin Pharmacol. 1988Abstract
- Ostensen M. Piroxicam in human breast milk. Eur J Clin Pharmacol. 1983Abstract