Dosing Guidlines for Adults

Drug Detail for Adult Drugs


Piroxicam

Miscellaneous Agents

Arthritis and Gout Agents: Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)


General Toxicity Notes
May decrease renal function. Decrease platelet aggregation. Nephrotic syndrome, interstitial nephritis, hyperkalemia, sodium retention.
Excreted Unchanged %
10
Half-Life (NormalESRD) hours
45-55/Unchanged
Plasma Protein Binding %
>99
Volume of Distribution L/kg
0.12-0.15
Dose for Normal Renal Function
20 mg q24h
Second Dose
Adjustment for Renal Failure Method
D
Adjustment for Renal Failure GFR, mL/min >50 [Recommended Level]
100% [A]
Adjustment for Renal Failure GFR, mL/min 10-50 [Recommended Level]
100% [A]
Adjustment for Renal Failure GFR, mL/min <10 [Recommended Level]
100% [A]
Supplement for Dialysis [Recommendation Level]: IHD
IHD: None, [A]
Supplement for Dialysis [Recommendation Level]: PD
PD: None, [B]
Supplement for Dialysis [Recommendation Level]: CRRT
CRRT: Not applicable
References
Brogden RN, Heel RC, Speight TM, Avery GS. Piroxicam. A reappraisal of its pharmacology and therapeutic efficacy. Drugs. 1984; 28: 292-323. [PMID: 6386426] / Olkkola KT, Brunetto AV, Mattila MJ. Pharmacokinetics of oxicam nonsteroidal anti-inflammatory agents. Clin Pharmacokinet. 1994; 26: 107-20. [PMID: 8162655]
Toxicity Notes