NEW ZEALAND CONSUMER MEDICINE INFORMATION TILCOTIL® Tenoxicam Film Coated Tablets 20 mg degenerative joint disease bleeding in your stomach, What is in this leaflet (arthrosis) or have had this in the past menstrual cramps (period a tendency to Please read this leaflet carefully pain) spontaneously bleed or before you start taking Tilcotil. following surgery bleed after minor accidents gout (a disease with painful, (haemorrhagic diathesis) This leaflet answers some common swollen joints) severe heart, liver or kidney questions about Tilcotil. failure Tilcotil contains the active ingredient are more than six months It does not contain all the available tenoxicam. It belongs to a group of pregnant (third trimester of information. It does not take the medicines called Non-Steroidal pregnancy). place of talking to your doctor or Anti-Inflammatory Drugs (NSAIDs). pharmacist. Do not take this medicine after Your doctor may have prescribed the expiry date printed on the All medicines have risks and this medicine for another reason. pack or if the packaging is torn or benefits. Your doctor has weighed shows signs of tampering. the risks of you taking Tilcotil Ask your doctor if you have any If it has expired or is damaged, against the benefits they expect it questions about why this return it to your pharmacist for will have for you. medicine has been prescribed for disposal. you. If you have any concerns about Safety and effectiveness of taking this medicine, ask your This medicine is available only with Tilcotil have not been established doctor or pharmacist. a doctor’s prescription. for children and adolescents. Keep this leaflet with the If you are not sure whether you medicine. You may need to read it Before you take should start taking this medicine, again. Tilcotil talk to your doctor. Before you start to take What Tilcotil is used When you must not take it it for Tell your doctor if you have Do not take Tilcotil if you have an allergies to any other medicines, Tilcotil relieves pain and reduces allergy to: foods, preservatives or dyes. inflammation (swelling, redness and any medicine containing soreness) that may occur in: Tell your doctor if you have or tenoxicam, aspirin or any have had any of the following other NSAID medicine different types of arthritis, medical conditions: including rheumatoid any of the ingredients listed at the end of this leaflet. arthritis, osteoarthritis liver or kidney disease and ankylosing spondylitis. diabetes Some of the symptoms of an As with other NSAID high cholesterol medicines, Tilcotil will not allergic reaction may include: shortness of breath; wheezing or heart failure, heart disease cure your arthritic condition, or uncontrolled blood but it may help to control difficulty breathing; swelling of the face, lips, tongue or other parts of pressure pain, swelling and stiffness. you have had a stroke muscle and bone injuries the body; rash, itching or hives on the skin. you smoke (increases your such as sprains, strains and risk of heart disease) tendonitis such as tennis you retain fluid elbow Do not take Tilcotil if you have: a tendency to bleed pain or swelling in or near a asthma visual disturbances joint (bursitis) had stomach or bowel an infection inflammation surrounding problems after you have a history of inflammatory the shoulders (shoulder- taken other NSAIDs hand syndrome) or hips bowel disease (ulcerative a peptic ulcer (ulcer in the colitis; Crohn's disease) stomach or duodenum) or Page 1 of 4 Tell your doctor if you have corticosteroids used for depending on your condition. The recently had or are about to have inflammatory conditions usual dose is one 20 mg Tilcotil surgery. such as betamethasone, tablet once a day, however elderly dexamethasone, patients or patients with kidney Tell your doctor if you are prednisone, disease may need a lower dose. pregnant or plan to become triamcinolone, cortisone, pregnant. methylprenisolone, However, for some conditions the Tilcotil may make it difficult to get prednisolone, dose may be different: pregnant and is not recommended hydrocortisone in women trying to become aspirin, salicylates or other Period pain: the usual dose is one pregnant. Tilcotil may affect you or NSAID medicines or two 20 mg Tilcotil tablets once a your developing baby if you take it methotrexate, a medicine day. during pregnancy. Tilcotil is not used to treat arthritis and recommended for use in the first some cancers Pain following surgery: the usual and second trimester of pregnancy lithium, a medicine used to dose is two 20 mg Tilcotil tablets unless the benefits of treatment treat some types of once a day for up to five days. outweigh the risk to the unborn depression baby. Tilcotil must not be used in anticoagulant medicines Attacks of gout: the usual dose is the third trimester of pregnancy used to prevent and treat two 20 mg Tilcotil tablets once a blood clots such as day for two days, then one 20 mg Do not take Tilcotil if you are in warfarin, heparin, Tilcotil tablet once a day for a labour as it may harm you and/or dabigatran further five days. affect the baby. selective serotonin reuptake inhibitors (SSRIs), a class If you require long-term treatment, Tell your doctor if you are of medicines used to treat the daily dose may be reduced to breastfeeding or intend to some types of depression half a 20 mg Tilcotil tablet (10 mg) breastfeed. colestyramine, a medicine once a day. Tilcotil is not recommended while used to reduce cholesterol you are breastfeeding. If there is a dextromethorphan, a How to take it need to consider taking Tilcotil while medicine used to help you are breastfeeding your doctor soothe dry coughs and sore Swallow the tablets whole with a will discuss the risks and benefits of throats full glass of water. using it. ciclosporin, a medicine used for transplant rejection When to take it If you have not told your doctor episodes. about any of the above, tell them Take your medicine at about the same time each day. before you start taking Tilcotil. These medicines may be affected Taking it at the same time each day by Tilcotil or may affect how well it will have the best effect. It will also Taking other medicines works. You may need different help you remember when to take it. amounts of your medicines, or you Tell your doctor or pharmacist if may need to take different you are taking any other Take Tilcotil tablets during or medicines. medicines, including medicines immediately after a meal. that you buy without a If you take Tilcotil tablets on an Your doctor and pharmacist have prescription from your pharmacy, empty stomach, they may cause more information on medicines to supermarket or health food shop. stomach upset. be careful with or avoid while taking this medicine. You should also tell any health How long to take it professional who is prescribing a new medication for you that you are Continue taking your medicine taking Tilcotil. How to take Tilcotil for as long as your doctor tells you. Some medicines may interfere with Follow all directions given to you Tilcotil. These include: by your doctor or pharmacist If you forget to take it carefully. diuretics, also called fluid or They may differ from the information If it is almost time for your next water tablets contained in this leaflet. dose, skip the dose you missed and take your next dose when oral medicines used to treat diabetes If you do not understand the you are meant to. probenecid, a medicine instructions on the box, ask your Otherwise, take it as soon as you used to treat gout doctor or pharmacist for help. remember, and then go back to antihypertensives, taking your medicine as you medicines used to treat How much to take would normally. high blood pressure Your doctor will tell you how many Tilcotil tablets to take each day Page 2 of 4 Do not take a double dose to Do not give your medicine to Tell your doctor or pharmacist if make up for the dose that you anyone else, even if they have you notice any of the following missed. the same condition as you. and they worry you: stomach upset including If you are not sure what to do, Do not stop taking your medicine nausea (feeling sick) ask your doctor or pharmacist. or lower the dosage without checking with your doctor. heartburn, indigestion If you have trouble remembering to dizziness, light-headedness take your medicine, ask your Things to be careful of headache pharmacist for some hints. decreased appetite Be careful driving or operating changes in sleep machinery until you know how constipation While you are taking Tilcotil affects you. diarrhoea This medicine may cause dizziness, flatulence Tilcotil light-headedness or vision problems vomiting in some people. If you have any of dry mouth Things you must do these symptoms, do not drive, mouth ulcers operate machinery or do anything rash If you are about to be started on else that could be dangerous. tingling in the limbs any new medicine, tell your confusion doctor and pharmacist that you are taking Tilcotil. In case of overdose fatigue If any of the following happen, Tell any other doctors, dentists, tell your doctor immediately or and pharmacists who treat you If you take too much go to Accident and Emergency at that you are taking this medicine. (overdose) your nearest hospital: Immediately telephone your If you are going to have surgery, doctor or the National Poisons vomiting blood or material tell the surgeon or anaesthetist Centre (telephone 0800 POISON that looks like ground coffee that you are taking this medicine.