Mobic Tablets meloxicam Consumer Medicine Information What is in this leaflet Although Mobic can relieve the bypass graft or major vascular symptoms of pain and inflammation, surgery This leaflet answers some common it will not cure your condition. Mobic • have a disease of the heart with questions about Mobic. belongs to a family of medicines shortness of breath, and swelling called Non-Steroidal Anti- of the feet or lips due to fluid It does not contain all the available Inflammatory Drugs (NSAIDs). information. build-up These medicines work by relieving • experience bleeding from the It does not take the place of talking to pain and inflammation. your doctor or pharmacist. stomach, gut or any other Ask your doctor if you have any bleeding All medicines have risks and questions about why this medicine • benefits. Your doctor has weighed has been prescribed for you. had a stroke resulting from a the risks of you taking Mobic against bleed in the brain or have a Your doctor may have prescribed it bleeding disorder the benefits they expect it will have for another reason. for you. • had a heart attack This medicine is available only with • If you have any concerns about a doctor's prescription. have galactose intolerance taking this medicine, ask your • are pregnant or intend to become doctor or pharmacist. pregnant This leaflet was last updated on the • have a peptic (stomach) ulcer date at the end of this leaflet. More Before you take Mobic • have or have had inflammation of recent information may be available. the lining of the stomach or The latest Consumer Medicine When you must not take it Information is available from your bowel (e.g. Crohn’s Disease or Ulcerative Colitis) pharmacist, doctor, or from Do not take Mobic if you have an http://www.medsafe.govt.nz/ allergy to: • have severe liver or kidney consumers/cmi/cmiform.asp and may • any medicine containing problems (without dialysis) contain important information about meloxicam (the active ingredient) Do not breastfeed if you are taking the medicine and its use of which • any of the ingredients listed at the this medicine. you should be aware. end of this leaflet NSAIDs are known to pass into Keep this leaflet with the medicine. • aspirin or any other NSAIDs. breast milk and there is a possibility You may need to read it again. that your baby may be affected. Some of the symptoms of an allergic reaction may include: Do not give this medicine to a child under the age of 12 years. • shortness of breath Safety and effectiveness in children • What Mobic is used wheezing or difficulty breathing younger than 12 years have not been for • swelling of the face, lips, tongue established. or other parts of the body Mobic is used to treat the symptoms Do not take this medicine after the • rash, itching or hives on the skin. of osteoarthritis and rheumatoid expiry date printed on the pack or arthritis. Do not take Mobic if you: if the packaging is torn or shows signs of tampering. Both diseases mainly affect the joints • are about to undergo heart causing pain and swelling. surgery, including coronary artery If it has expired or is damaged, return it to your pharmacist for disposal. MOBIC NZ CMI v01 1 If you are not sure whether you • medicines used to thin your blood amounts of your medicines, or you should start taking this medicine, (e.g. warfarin, heparin and may need different medicines. talk to your doctor. ticlopidine) Your doctor and pharmacist have • medicines used to treat high more information on medicines to be Before you start to take it blood pressure and other heart careful with or avoid while taking Tell your doctor if you have problems (e.g. ACE inhibitors, this medicine. allergies to any other medicines, angiotensin receptor antagonists food, preservatives or dyes. and diuretics, also called fluid or water tablets) Tell your doctor if you have or have had any of the following When taken together these medicines How to take Mobic medical conditions: can cause kidney problems. Follow all directions given to you • lithium, a medicine used to treat • high blood pressure or fluid by your doctor or pharmacist some types of depression retention carefully. • antidepressants called selective • diabetes They may differ from the serotonin reuptake inhibitors • high cholesterol information contained in this leaflet. (SSRIs) • heartburn, indigestion, ulcers or • methotrexate, a medicine used to other stomach problems How much to take treat rheumatoid arthritis (a • kidney or liver disease painful joint disease) and some Your doctor should prescribe as low a dose as possible. This will reduce • asthma or any other breathing types of cancer any side effects you may experience. problems. • cyclosporin, a medicine used to For the treatment of osteoarthritis Tell your doctor if you are using an treat rheumatoid arthritis and IUD (intrauterine device) for birth certain problems with the The recommended dose is 7.5 mg, control. immune system taken as a single dose each day. NSAID medicines, like Mobic, may • terfenadine and astemizole, Your doctor may increase your dose decrease the effectiveness of IUDs. medicines used to prevent or to 15 mg a day if needed. Tell your doctor if you currently relieve the symptoms of allergy, For the treatment of rheumatoid such as hay fever or insect stings have an infection. arthritis • Mobic may hide some of the signs of medicines to treat diabetes such The recommended dose is 15 mg as sulfonylureas, nateglinide an infection. This may make you taken as a single dose each day. think, mistakenly, that you are better • cholestyramine, a medicine used Your doctor may reduce your dose to or that it is not serious. to treat high cholesterol levels in 7.5 mg a day if needed. the blood If you have not told your doctor or Do not exceed the recommended pharmacist about any of the above, • corticosteroids, medicines usually maximum dose of 15 mg a day. tell them before you start taking used to treat inflammatory If any of the medical conditions Mobic. conditions, such as skin rashes listed under Before you start to take and asthma it apply to you, your doctor may Taking other medicines • some medicines used to treat restrict your dose to 7.5 mg (one Tell your doctor or pharmacist if infections (e.g. erythromycin, tablet) once a day. sulfur antibiotics, ketoconazole, you are taking any other Ask your doctor for more itraconazole) medicines, including any that you information if you have been get without a prescription from • some medicines used to treat advised to take a different dose. your pharmacy, supermarket or irregular heartbeats (e.g. Mobic should not be given to health food shop. amiodarone and quinidine) children under the age of 12 years. Some medicines and Mobic may • pemetrexed, a medicine used in Your child’s doctor will determine interfere with each other. These the treatment of certain lung the right dose of Mobic based on include: cancers. your child’s body weight. • aspirin, salicylates or other These medicines may be affected by NSAIDs Mobic or may affect how well it How to take it works. You may need different Swallow the tablets whole with a full glass of water. MOBIC NZ CMI v01 2 When to take it • drowsiness and/or dizziness Things to be careful of Take your medicine at about the • blurred vision Be careful driving or operating same time each day. • fits or seizures machinery until you know how Mobic affects you. Taking it at the same time each day • low blood pressure will have the best effect. It will also This medicine may cause dizziness, • difficulty in breathing help you remember when to take it. drowsiness or blurred vision in some • impaired consciousness Take your medicine with or people. If you have any of these straight after food. • kidney failure. symptoms, do not drive, operate machinery or do anything else that This may help reduce the possibility could be dangerous. of stomach upset. How long to take it While you are using Mobic Continue taking your medicine for Side effects as long as your doctor tells you. Things you must do This medicine helps control your Tell your doctor or pharmacist as If you are about to be started on condition, but does not cure it. It is soon as possible if you do not feel any new medicine, remind your important to keep taking your well while you are taking Mobic. doctor and pharmacist that you medicine even if you feel well. This medicine helps most people but are taking Mobic. it may have unwanted side effects in If you forget to take it Tell any other doctors, dentists, a few people. All medicines can have and pharmacists who treat you side effects. Sometimes they are If it is almost time for your next that you are taking this medicine. serious, most of the time they are not. dose (e.g. within 2-3 hours), skip You may need medical attention if the dose you missed and take the If you are going to have surgery, you get some of the side effects. next dose when you are meant to. tell the surgeon or anaesthetist that you are taking Mobic. Do not be alarmed by the following Otherwise, take it as soon as you lists of side effects. You may not remember, then go back to taking Mobic can slow down blood clotting. experience any of them. it as you would normally. If you become pregnant while Not all of these side effects have Do not take a double dose to make taking this medicine, tell your been reported with Mobic but have up for the dose that you missed.