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Meloxicam tablets 7.5 mg and 15 mg (Meloksikam PharmaS) – for osteoarthritis and arthritis
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- Stock: Zabrana online prodaje
- Brand: PHARMA S supplements for digestion, urinary tract, sleep, cholesterol and immunity
- Model: BR-6889120564100
The meloxicam tablets authorised in Serbia under a name consisting of the substance name are Meloksikam PharmaS (PharmaS d.o.o. Belgrade), in strengths of 7.5 mg and 15 mg. Meloxicam is a non-steroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain in joints and muscles.
It is used for flares of osteoarthritis and for long-term treatment of rheumatoid arthritis and ankylosing spondylitis (Bechterew's disease). It is not suitable for relief of acute pain. Meloxicam is also found in other medicines under other brand names.
Important warning
- Dispensing status: the medicine is available on prescription only.
- The total daily dose must not exceed 15 mg; do not use the medicine for longer than prescribed (the risk of heart attack and stroke increases with dose and duration).
- It must not be taken with stomach/intestinal ulcer or bleeding, severe heart, liver or kidney failure, allergy to aspirin or other NSAIDs, in the last three months of pregnancy, or by children and adolescents under 16 years.
- Stop the medicine immediately if you notice black stools, abdominal pain or a blistering rash.
- This page is for information only and is not an offer to buy the medicine online.
What are meloxicam tablets used for and how are they taken correctly?
Basic information about the medicine
| Medicine name | Meloksikam PharmaS, 7.5 mg and 15 mg, tablets |
|---|---|
| Active substance | meloxicam |
| Strength | 7.5 mg; 15 mg |
| Pharmaceutical form | tablet (15 mg with score line – can be divided into equal doses) |
| Therapeutic group | anti-inflammatory and antirheumatic products, non-steroids – oxicams (ATC M01AC06) |
| Pack | 20 tablets (2 blisters of 10) |
| Marketing authorisation holder / manufacturer | PharmaS d.o.o. Belgrade; manufacturer PharmaS d.o.o., Bagljaš industrial zone, Zrenjanin |
| Dispensing status | R – prescription only |
What is Meloksikam PharmaS used for?
According to the patient leaflet, Meloksikam PharmaS is used for:
- short-term symptomatic treatment of flares of osteoarthritis;
- long-term symptomatic treatment of rheumatoid arthritis;
- long-term symptomatic treatment of ankylosing spondylitis (Bechterew's disease).
How is Meloksikam PharmaS used and dosed?
The dose is decided by the doctor. Usual dosing according to the leaflet:
| Condition | Dose |
|---|---|
| Osteoarthritis flare | 7.5 mg once daily; may be increased to 15 mg once daily |
| Rheumatoid arthritis | 15 mg once daily; may be reduced to 7.5 mg once daily |
| Ankylosing spondylitis | 15 mg once daily; may be reduced to 7.5 mg once daily |
| Elderly patients (long-term RA and AS treatment) | 7.5 mg daily |
| Increased risk of adverse reactions | start with 7.5 mg daily |
| Severe kidney failure on dialysis | no more than 7.5 mg daily |
- The total daily dose must not exceed 15 mg.
- Swallow the tablet with water or another drink, with a meal.
- If you feel no improvement after a few days, or the medicine seems too strong or too weak, talk to your doctor.
Special patient groups
- Children and adolescents under 16 years: the medicine must not be used.
- Elderly patients: the recommended dose for long-term treatment is 7.5 mg daily; the risk of gastrointestinal bleeding is higher.
- Kidney impairment: no dose reduction in mild to moderate impairment; on dialysis no more than 7.5 mg daily; contraindicated in severe failure without dialysis.
- Liver impairment: no dose reduction in mild to moderate impairment; contraindicated in severe impairment.
Contraindications – when the medicine must not be used
- allergy to meloxicam, the excipients, acetylsalicylic acid or other NSAIDs;
- asthma, nasal polyps, hives or angioedema after taking aspirin or other NSAIDs;
- stomach/intestinal bleeding or perforation with previous NSAID treatment; active ulcer or bleeding; history of recurrent ulcer or bleeding;
- severe liver impairment; severe kidney failure without dialysis; severe heart failure;
- previous bleeding in the brain or any bleeding disorder;
- last three months of pregnancy; children and adolescents under 16 years.
Precautions and warnings
- heart disease, previous stroke or risk factors (high blood pressure, diabetes, high cholesterol, smoking);
- previous inflammation of the oesophagus or stomach, Crohn's disease or ulcerative colitis;
- liver or kidney disease, reduced blood volume (major blood loss, burns, surgery, low fluid intake), raised potassium;
- severe skin reactions (Stevens-Johnson syndrome, TEN) – highest risk in the first weeks; stop the medicine immediately if a blistering rash appears;
- the medicine may mask signs of infection (e.g. fever);
- the medicine contains lactose.
Interactions with other medicines, food and drink
- other NSAIDs (including aspirin at analgesic doses), corticosteroids;
- anticoagulants, thrombolytics, SSRI antidepressants – higher risk of bleeding;
- diuretics, ACE inhibitors, angiotensin II receptor blockers, beta-blockers – weaker effect on blood pressure and risk to the kidneys;
- lithium, methotrexate, pemetrexed, ciclosporin, tacrolimus, deferasirox;
- potassium salts and trimethoprim (risk of raised potassium); colestyramine;
- oral antidiabetics (sulfonylureas, nateglinide) – risk of hypoglycaemia, blood sugar should be monitored.
Pregnancy and breastfeeding
- In the first and second trimester the medicine is used only if the doctor considers it essential, at the lowest dose and for the shortest possible time.
- In the last three months of pregnancy the medicine must not be used – it may damage the baby's heart, lungs and kidneys, even after a single dose.
- Breastfeeding is not recommended during treatment. The medicine may reduce fertility.
Driving and using machines
- Visual disturbances, blurred vision, drowsiness, dizziness or fainting may occur. If affected, do not drive or use machines.
Possible side effects
- Very common (more than 1 in 10): indigestion, nausea and vomiting, abdominal pain, constipation, flatulence, diarrhoea.
- Common (up to 1 in 10): headache.
- Uncommon (up to 1 in 100): dizziness, drowsiness, anaemia, high blood pressure, flushing, water retention and swelling, raised potassium, belching, gastritis, gastrointestinal bleeding, stomatitis, allergic reactions, rash, angioedema, changes in liver and kidney tests.
- Rare (up to 1 in 1,000): mood changes, nightmares, blood count disorders, ringing in the ears, palpitations, stomach or duodenal ulcer, oesophagitis, SJS/TEN, hives, blurred vision, conjunctivitis, colitis, heart failure.
- Very rare: bullous reactions and erythema multiforme, hepatitis.
Overdose, missed dose and stopping treatment
- Overdose: contact a doctor or healthcare facility immediately; lethargy, drowsiness, nausea, vomiting, stomach pain and gastrointestinal bleeding may occur, and in severe poisoning more serious reactions (hypertension, kidney failure, seizures, collapse).
- Missed dose: do not take a double dose – take the next dose at the usual time.
- Stopping treatment: the duration of treatment is decided by the doctor.
When to seek medical help immediately?
- black (tarry) stools, vomiting blood or severe abdominal pain;
- blistering rash, peeling skin, sores in the mouth, throat or genitals, red and swollen eyes;
- swelling of the face, lips, mouth or throat, difficulty breathing or an asthma attack;
- yellowing of the skin and whites of the eyes, abdominal pain and loss of appetite (possible hepatitis);
- chest pain, sudden weakness of one side of the body or speech disturbance.
Pharmacist's advice
Always take meloxicam with a meal and a glass of water, and do not combine it with other NSAID painkillers (ibuprofen, diclofenac, naproxen, aspirin at analgesic doses) – this increases the risk of stomach bleeding without additional benefit.
If you take blood pressure medicines or diuretics, check your blood pressure from time to time and drink enough fluids. For a painful joint, cold or warm packs and offloading the joint can also help, on your doctor's advice.
Availability and price
Meloksikam PharmaS is a prescription-only medicine. ApotekaOnline.rs does not sell prescription medicines online, and this page is for information only.
Please check availability and price at a pharmacy with a valid prescription.
Related information
For additional care and support with joint pain and stiffness, see also the category Bones, joints and muscles – products in this category do not replace the medicine prescribed to you.
Composition, pack and manufacturer
- Active substance: meloxicam 7.5 mg or 15 mg per tablet.
- Excipients: anhydrous sodium citrate; lactose monohydrate; microcrystalline cellulose; crospovidone (type A); colloidal anhydrous silica; magnesium stearate.
- Appearance: 7.5 mg – round light yellow tablets marked "B 18"; 15 mg – round light yellow tablets with a score line between "B" and "19".
- Pack: carton with 2 PVC/PVdC-aluminium blisters of 10 tablets (20 tablets).
- Marketing authorisation holder: PharmaS d.o.o. Belgrade, Viline vode bb, Belgrade-Palilula; manufacturer: PharmaS d.o.o. Belgrade, Bagljaš industrial zone bb, Zrenjanin.
- Marketing authorisation numbers: 7.5 mg – 515-01-04632-21-001; 15 mg – 515-01-04633-21-001, both of 3 November 2022 (renewal).
Storage
- The medicine does not require any special storage conditions.
- Keep out of the sight and reach of children.
- Return unused medicines to a pharmacy that collects them.
Frequently asked questions
What is the maximum daily dose of meloxicam?
According to the leaflet, the total daily dose must not exceed 15 mg. In elderly people, patients at increased risk and patients on dialysis the usual dose is 7.5 mg daily.
Does meloxicam help with acute pain, e.g. toothache?
No – according to the leaflet, the medicine is not suitable for relieving acute pain. It is intended for osteoarthritis flares, rheumatoid arthritis and ankylosing spondylitis.
Can I take ibuprofen or aspirin with meloxicam?
Not without your doctor's advice. Using other NSAIDs at the same time increases the risk of ulcers and gastrointestinal bleeding.
How is meloxicam taken – before or after food?
The tablet is swallowed with water or another drink, with a meal, once a day.
Sources
- ALIMS – Patient information leaflet Meloksikam PharmaS 7,5 mg i 15 mg tablete (PIL)
- ALIMS – Summary of product characteristics Meloksikam PharmaS (SmPC)
Sources checked on: 25 October 2026.
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