Drug interactions
Lornoxicam + Piroxicam
Severity: Major
Lornoxicam and Piroxicam: major interaction.
Last updated Sources: US FDA label
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Taking two NSAIDs together increases the risk of gastrointestinal ulceration, bleeding and renal injury without any additional therapeutic benefit.
What this interaction means in plain words
Lornoxicam and Piroxicam can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Lornoxicam belongs to Musculoskeletal; Piroxicam belongs to Musculoskeletal.
Why it happens
Additive COX-1 and COX-2 inhibition, causing greater gastric mucosal injury, platelet inhibition and renal prostaglandin suppression.
What to do
Avoid concurrent use of two systemic NSAIDs; use a single agent at the lowest effective dose.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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References
Other interactions of Piroxicam
- Ketorolac intranasal + Piroxicam Contraindicated
- Ketorolac + Piroxicam Contraindicated
- Aceclofenac + Piroxicam Major
- Acemetacin + Piroxicam Major
- Acetylsalicylic acid + Piroxicam Major
- Alteplase + Piroxicam Major
Other interactions of Lornoxicam
Frequently asked questions
Can I take Lornoxicam with Piroxicam?
MediHelp rates the interaction as major. Lornoxicam and Piroxicam can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Taking two NSAIDs together increases the risk of gastrointestinal ulceration, bleeding and renal injury without any additional therapeutic benefit.
How serious is the interaction between Lornoxicam and Piroxicam?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use of two systemic NSAIDs; use a single agent at the lowest effective dose.
What other medicines interact with Piroxicam?
MediHelp also lists interactions of Piroxicam with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Piroxicam page.
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