From the Guidelines
Meloxicam (Mobic) is effective for reducing pain and inflammation.
Key Points
- Meloxicam, a nonsteroidal anti-inflammatory drug (NSAID), has been shown to be effective in reducing pain and inflammation in various clinical settings, including postoperative pain management and osteoarthritis treatment 1.
- Studies have demonstrated that meloxicam is as effective as other NSAIDs, such as ibuprofen and naproxen, in reducing pain and inflammation, with a similar safety profile 1.
- Meloxicam has been specifically recommended for use as a preemptive medication for postoperative pain management, particularly for abdominal hysterectomy patients, due to its effectiveness in reducing pain and total narcotic consumption 1.
- The evidence suggests that meloxicam is a viable option for patients who require pain management, particularly those with osteoarthritis or postoperative pain, with a favorable risk-benefit profile compared to other NSAIDs and COX-2 inhibitors 1.
Dosage and Administration
- The recommended dosage of meloxicam varies depending on the specific clinical setting and patient population, but typical dosages range from 7.5 to 15 mg per day 1.
- Meloxicam can be administered orally or intravenously, with oral administration being the most common route of administration 1.
From the Research
Efficacy of Meloxicam
- Meloxicam has been shown to be effective in the treatment of osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and acute 'rheumatic' pain 2, 3, 4, 5, 6
- Clinical trials have demonstrated that meloxicam is as effective as other NSAIDs, such as piroxicam, diclofenac, and naproxen, in reducing pain and inflammation 2, 4, 5, 6
- Meloxicam has been found to have a favorable therapeutic ratio, with anti-inflammatory effects similar to or better than those of other NSAIDs, and a lower risk of gastrointestinal adverse effects 3, 4, 6
Gastrointestinal Tolerability
- Meloxicam has been shown to have improved gastrointestinal tolerability compared to non-selective NSAIDs, with less clinical gastrointestinal symptoms and less perforations, obstructions, and bleeds 2, 4, 5
- Studies have demonstrated that meloxicam causes less endoscopically detected gastrointestinal damage and fewer peptic ulcers and GI bleeds than other NSAIDs, such as piroxicam, diclofenac, and naproxen 4, 6
- The COX-2 preferential activity of meloxicam is thought to contribute to its lower gastrointestinal toxicity compared to non-selective NSAIDs 2, 3, 5
Safety Profile
- Meloxicam has been found to have a similar rate of adverse events, including peripheral oedema and hypertension, compared to traditional NSAIDs 2
- The renal safety profile and incidence of liver function abnormalities with meloxicam are equivalent to other NSAIDs available for clinical use 4
- Meloxicam has been shown to be well tolerated in clinical trials, with a favorable safety profile compared to other NSAIDs 3, 5, 6