Tobitil

Tobitil Uses, Dosage, Side Effects, Food Interaction and all others data.

Tobitil is a non-steroidal antiinflammatory drug (NSAID) with anti inflammatory, analgesic, antipyretic properties and it also inhibits platelet aggregation. Tobitil inhibits prostaglandin biosynthesis and used in the treatment of inflammatory and degenerative disorders of the musculoskeletal system.

Tobitil, an antiinflammatory agent with analgesic and antipyretic properties, is used to treat osteoarthritis and control acute pain.

Trade Name Tobitil
Generic Tenoxicam
Tenoxicam Other Names Tenoxicam, Ténoxicam, Tenoxicamum
Weight 20mg,
Type Tablet
Formula C13H11N3O4S2
Weight Average: 337.37
Monoisotopic: 337.019098194
Protein binding

99%

Groups Approved
Therapeutic Class Drugs for Osteoarthritis, Drugs used for Rheumatoid Arthritis, Non-steroidal Anti-inflammatory Drugs (NSAIDs)
Manufacturer Ranbaxy Laboratories (sun Pharma), Wilshire Laboratories (pvt) Ltd,
Available Country India, Pakistan,
Last Updated: September 19, 2023 at 7:00 am
Tobitil
Tobitil

Uses

Tobitil is used for the symptomatic treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gout, and extra-articular inflammations such as tendinitis, bursitis and periarthritis of the shoulders or hips. It is also used for musculoskeletal & postoperative pain and in primary dysmenorrhea.

Tobitil is also used to associated treatment for these conditions: Backache, Osteoarthritis (OA), Pain, Rheumatoid Arthritis

How Tobitil works

The antiinflammatory effects of tenoxicam may result from the inhibition of the enzyme cycooxygenase and the subsequent peripheral inhibition of prostaglandin synthesis. As prostaglandins sensitize pain receptors, their inhibition accounts for the peripheral analgesic effects of tenoxicam. Antipyresis may occur by central action on the hypothalamus, resulting in peripheral dilation, increased cutaneous blood flow, and subsequent heat loss.

Dosage

Tobitil dosage

For all indications (except primary dysmenorrhea, post-operative pain and acute gout) the usual recommended dose is 20 mg once daily. Tobitil should be taken at the same time of day; in case of rheumatoid arthritis Tobitil should be taken at night to relieve the morning stiffness. The recommended dose for primary dysmenorrhea is 20 to 40 mg once daily. For post-operative pain the recommended dose is 40 mg once daily up to five days and for acute attacks of gout the recommended dose is 40 mg once daily for two days followed by 20 mg once daily for a further five days.

Tobitil is not recommended for use in patients under 16 years of age.

Side Effects

Tobitil is well tolerated in the recommended doses. The usual side effects are mild and transient gastric, abdominal discomfort, dyspepsia, heartburn, nausea, dizziness, headache, itching, erythema, rash, urticaria, increase in BUN or creatinine, edema and palpitations. In isolated cases GI-perforation, asthma, angioedema and elevated blood pressure may occur.

Precaution

Caution should be exercised in patients have symptoms of gastrointestinal diseases. If peptic ulceration or gastrointestinal bleeding occurs, Tobitil should be immediately withdrawn. It is necessary to adequately monitor the patient with increased risk of developing renal failure, impaired renal function in diabetics, hepatic cirrhosis and congestive heart failure. Patients having coagulation disorders or receiving therapy that interferes with haemostasis should, however, be carefully observed when treated with Tobitil. In women who have difficulty conceiving or are undergoing investigation of infertility, withdrawal of Tobitil should be considered.

Interaction

Salicylates increase the clearance and volume of distribution of Tobitil by displacing it from protein binding sites. Concurrent treatment with salicylate or other NSAIDs is not recommended because of increased risk of undesirable reactions. Co-administration of Tobitil and methotrexate has been associated with reduced renal tubular secretion of methotrexate. As with NSAIDs in general, Tobitil should not be administered concurrently with potassium sparing diuretics. Tobitil might attenuate the antihypertensive effects of adrenergic blockers and ACE-inhibitors. It may also enhance the effect of antidiabetic drug (sulphonylurea group).

Food Interaction

  • Take with food. Food may minimize stomach upset caused by tenoxicam.

Elimination Route

Oral absorption of tenoxicam is rapid and complete (absolute bioavailability 100%).

Half Life

72 hours (range 59 to 74 hours)

Pregnancy & Breastfeeding use

The safety of Tobitil during pregancy has not been established therefore it should be used with caution during pregnancy and only if the benefit to the mother is greater than the risk of the fetus. There is no information available about the safety of Tobitil during breastfeeding therefore it should not be used during lactation.

Contraindication

Tobitil should not be administered to patients with active peptic ulcer or active inflammatory diseases of the gastrointestinal tract. Tobitil is contraindicated in patients who have shown hypersensitivity to the drug. It should not be used in patients in whom acute asthmatic attacks, urticaria, rhinitis or other allergic manifestations are precipitated by ASA or other nonsteroidal anti-inflammatory agents. Fatal anaphylactoid reactions have occurred in such individuals. Before anesthesia or surgery, Tobitil 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 hemostasis. Tobitil is relatively contraindicated in patients with liver dysfunction.

Acute Overdose

Although there is no experience of acute overdosage with Tobitil. Overdose should be countered by reducing absorption (eg. gastrolavage and charcoal) and speed up elimination (eg. cholestyramine).

Storage Condition

Store in cool and dry place, away from children.

Innovators Monograph

You find simplified version here Tobitil

FAQ

What is Tobitil used for?

Tobitil is used to reduce pain, swelling, joint stiffness, and other symptoms from rheumatoid arthritis, osteoarthritis, and other inflammatory conditions.

What are the common side effects of Tobitil?

The common side effects of Tobitil are include:

Upset stomach, nausea, heartburn, dizziness, drowsiness, diarrhea, and headache may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. This medication may raise your blood pressure.

How do I take Tobitil?

Take one tablet a day, preferably after a meal or snack.

Is Tobitil safe during pregnancy?

Tobitil can be taken in the first and second trimester when necessary, but it is a contraindication in the third trimester.

Is Tobitil safe during breastfeeding?

This medication passes into breast milk. If you are a breast-feeding mother and are taking Tobitil, it may affect your baby.

Can I drink alcohol with Tobitil?

This medicine may cause stomach bleeding. Daily use of alcohol may increase your risk for stomach bleeding.

Can I take Tobitil long time?

Take this medication at the lowest effective dose for the shortest possible time. Do not increase your Tobitil, take it more frequently, or take it for a longer time than prescribed.

How does Tobitil work??

Tobitil works by blocking the effect of chemicals in your body, called cyclo-oxygenase enzymes.

Will Tobitil affect my fertility?

Tobitil may affect egg release (ovulation). This may affect being able to get pregnant. This goes back to normal when this drug is stopped.

Can I drive after taking Tobitil?

Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you. Have your blood work checked if you are on this drug for a long time.

What is the effect of Tobitil on the Kidneys?

Consumption of Tobitil can harm for kidneys. So it is important to take medical advice beforehand.


What is the effect of Tobitil on the Liver?

There may be severe side effects of Tobitil on your liver. Do not take it unless a doctor says.

What is the effect of Tobitil on the Heart?

The heart can be affected by Tobitil. If you experience any unwanted effects of this drug, stop taking it and consult your doctor. You should restart the medicine only after medical advice.

Is Tobitil able to treat mental disorders?

No, Tobitil cannot treat any kind of mental disorder.

*** Taking medicines without doctor's advice can cause long-term problems.
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