Basic Feldene Information

International Nonproprietary Name (INN): **Piroxicam** Brand Names Available in Canada:

Brand Name	Dosage Forms & Packaging
Feldene	Capsules: 10 mg, 20 mg (blister packs, bottles)
Feldene Dispersible	Dispersible tablets: 20 mg

ATC Code: M01AC01 Forms & Dosages: Capsules (10 mg, 20 mg), Dispersible tablets (20 mg) Manufacturers in Canada: Pfizer, Sandoz, Teva Registration status in Canada: Prescription-only (Rx)

Major National Pharmacy Chains

Feldene (Piroxicam) is commonly stocked at major pharmacies in Canada, such as Shoppers Drug Mart, Rexall, and London Drugs. Depending on the region, patients may find different forms, including capsules and even topical solutions in some locations. It's important to note that the availability of Feldene can fluctuate based on regional demand and governmental drug programs. For example, patients in Ontario can benefit from programs like the Ontario Drug Benefit, while those in British Columbia might access it through BC PharmaCare, which can significantly impact cost and access.

Online Pharmacy Trends in Canada

The increasing presence of online pharmacies has changed how Canadians purchase medications, including Feldene. Many patients appreciate the convenience of buying from reputable online sellers. However, there are provincial rules restricting prescription medication sales through online platforms, affecting accessibility. To ensure safety, it's crucial for patients to verify that these online pharmacies are licensed and fully compliant with Health Canada regulations.

Price Ranges by Package Size

Pricing for Feldene can differ widely from province to province and by package size. For instance, a pack of 20 mg capsules can cost anywhere between CAD 20 to CAD 50. This variation is influenced primarily by the pharmacy type—whether it's an independent or a chain pharmacy—and the discounts provided by provincial health plans. To get the best price for Feldene, shopping around can make a major difference. Patients should consider potential coverage options that may lower overall costs. Patients may also find **Feldene Gel** in some pharmacy listings, which can be beneficial for targeted pain relief. Understanding these options and their pricing structures can empower patients to make informed decisions when it comes to their pain management strategies.

• Search for Feldene at various pharmacies to ensure competitive pricing.
• Check for any ongoing promotions or discounts that might apply.
• Consult with healthcare providers regarding any available patient assistance programs.

Ensuring access to Feldene and understanding its price landscape helps make managing conditions like osteoarthritis and rheumatoid arthritis more manageable.

How It Works in the Body

The body’s natural response to injury or illness often involves inflammation, which can lead to pain and discomfort. Feldene, known by its generic name piroxicam, works by inhibiting specific chemicals called prostaglandins that contribute to this inflammatory response. By blocking these chemicals, Feldene effectively reduces both swelling and pain, which is particularly beneficial for individuals suffering from conditions like arthritis. This makes it an essential tool for managing chronic pain and improving quality of life.

Clinical detail from Health Canada resources

Feldene is classified as a non-steroidal anti-inflammatory drug (NSAID) and falls under the category of oxicam derivatives. Its mechanism of action involves the selective inhibition of cyclooxygenase enzymes (COX-1 and COX-2), which play a vital role in the production of prostaglandins. This inhibition effectively reduces inflammation, alleviates pain, and is crucial for treating various musculoskeletal disorders. Health Canada underscores the importance of assessing individual patient needs when considering the use of piroxicam.

Dosage & Administration

Standard regimens per Canadian guidelines

The recommended dosage of Feldene for adults typically falls between 10 mg to 20 mg, taken once daily. This guideline supports the management of conditions such as osteoarthritis or rheumatoid arthritis. Health professionals are encouraged to tailor doses based on patient responses and symptom severity, with regular follow-ups to evaluate the treatment's effectiveness and any side effects.

Adjustments by patient type

For elderly patients, starting with the lowest effective dose of 10 mg is advised, with regular monitoring for adverse effects. In patients who have renal or hepatic impairment, careful consideration must be given, often requiring dosage adjustments to mitigate the risk of toxicity. Usage in pediatric patients is generally not recommended due to insufficient data regarding safety and efficacy.

Contraindications & Side Effects

Common (Health Canada-approved list)

Feldene has several absolute contraindications. Individuals with known hypersensitivity to piroxicam or any NSAIDs, those with active peptic ulcers, or patients with a history of gastrointestinal bleeding should avoid this medication. Caution is also advised for patients with severe renal or hepatic impairment. As noted by Health Canada, a thorough assessment of patient history is essential before prescribing Feldene.

Rare but serious

While many patients tolerate Feldene well, serious side effects can arise. Notable concerns include gastrointestinal bleeding, elevated liver enzymes, or renal dysfunction. According to Canadian pharmacovigilance data, these adverse effects, though infrequent, necessitate regular monitoring by healthcare practitioners. Any symptoms suggestive of potential complications warrant immediate evaluation and intervention.

Comparable Medicines in Canada

Alternatives table

Drug	INN	Brand Examples	Notes
Ibuprofen	Ibuprofen	Nurofen, Advil	Available OTC in lower doses; effective for mild to moderate pain.
Diclofenac	Diclofenac	Voltaren, Cataflam	Prescription-only; higher risk of GI events compared to some alternatives.
Meloxicam	Meloxicam	Mobic, Melox	Once-daily dosing; presents a lower GI risk profile than traditional NSAIDs.
Naproxen	Naproxen	Aleve, Naprosyn	Twice-daily dosing; effective for inflammation and pain, with prolonged action.

Pros and cons list

Feldene offers some remarkable advantages:

• Extended half-life allows for once-daily dosing, making it convenient for chronic pain management.

However, there are disadvantages:

• Potentially serious side effects, including gastrointestinal bleeding, elevate concerns for many patients.

Other NSAIDs like ibuprofen are available without a prescription and may have lower gastrointestinal risks, making them a popular choice for many individuals seeking relief from mild to moderate pain. However, varying efficacy and possible side effects differ among these alternatives.

Current Research & Trends

In recent years, piroxicam and its brand Feldene have been central to numerous studies. Research conducted between 2022 and 2025 highlights significant findings concerning long-term pain management, particularly regarding the elderly. These studies are focusing on the efficacy and safety of Feldene, often scrutinizing its gastrointestinal side effects.

Canadian researchers are leading the charge by exploring how combining Feldene with gastroprotective medications may lessen gastrointestinal risks. Many elderly patients encounter challenges with traditional NSAIDs—Feldene included—due to potential side effects. The emphasis here is on finding effective dosing adjustments based on patient demographics, ensuring that vulnerable populations are not overlooked.

Globally, emerging prescribing guidelines reflect a trend towards more tailored approaches. A noticeable shift is evident in alterations to dosage regimens based on new evidence from ongoing studies. Additionally, advancements in alternative delivery methods, such as topical forms of piroxicam, are making waves. These options aim to improve patient compliance, ensuring individuals stay on track with their pain management plans.

Emerging Treatments and Considerations

With inconsistent adherence among patients when using NSAIDs, including Feldene, there is a growing call for better education about these medications. Patients often struggle to balance the benefits against potential risks associated with long-term use. Engaging patients in their treatment decisions is becoming increasingly vital.

Healthcare providers need to stay updated on the latest research findings to enhance best practices in pain management. With the advent of newer formulations and combination therapies, open communication can bridge knowledge gaps. Observing how these emerging insights affect prescribing habits may be crucial in improving patient care.

Overall, here are key points to consider:

• Education on NSAIDs, like Feldene, is critical for patient engagement.
• Healthcare providers should monitor new research to improve prescribing practices.
• Emerging treatments can include combinations of medications to reduce risks.
• Patient involvement in pain management decisions leads to better outcomes.

With ongoing trends in NSAID use, including Feldene, maintaining a collaborative approach can foster a more effective and aware treatment landscape.

Delivery Information for Feldene

City	Region	Delivery Time
Toronto	Ontario	5–7 days
Vancouver	British Columbia	5–7 days
Montreal	Quebec	5–7 days
Calgary	Alberta	5–7 days
Edmonton	Alberta	5–7 days
Ottawa	Ontario	5–7 days
Quebec City	Quebec	5–9 days
Victoria	British Columbia	5–9 days
Winnipeg	Manitoba	5–9 days
Halifax	Nova Scotia	5–9 days
St. John's	Newfoundland and Labrador	5–9 days
Regina	Saskatchewan	5–9 days