Khalil Nasr Y, Aldosari Khalid F
Department of Pharmaceutical Chemistry, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
Profiles Drug Subst Excip Relat Methodol. 2020;45:159-197. doi: 10.1016/bs.podrm.2019.10.006. Epub 2019 Dec 12.
Meloxicam, an oxicam derivative: 4-Hydroxy-2-methyl-N-(5-methyl-2-thiazolyl)-2H-1,2- benzothiazine-3-carboxamide 1,1-dioxide, is a nonsteroidal anti-inflammatory drug (NSAID). It is a selective inhibitor of cyclooxygenase-2 (COX-2). It is used in the management of rheumatoid arthritis, acute exacerbations of osteoarthritis, ankylosing spondylitis and juvenile idiopathic arthritis. It is given in a single oral dose of 7.5mg, increased if necessary to a maximum of 15mg daily (7.5mg in the elderly). It may also be given by rectal suppository in doses similar to those used orally. The reported side effects of meloxicam are similar to those of nonsteroidal anti-inflammatory drugs (NSAIDs), such as abdominal pain, anemia, and edema. There is also an increased risk of serious gastrointestinal (GI) adverse events, including ulceration and bleeding. This profile is prepared to discuss and explain physical characteristics, Proprietary and nonproprietary names of meloxicam. It also includes methods of preparation, thermal and spectral behavior, methods of analysis, pharmacokinetics, metabolism, excretion and pharmacology.
美洛昔康,一种昔康衍生物:4-羟基-2-甲基-N-(5-甲基-2-噻唑基)-2H-1,2-苯并噻嗪-3-甲酰胺 1,1-二氧化物,是一种非甾体抗炎药(NSAID)。它是环氧化酶-2(COX-2)的选择性抑制剂。它用于治疗类风湿性关节炎、骨关节炎急性加重、强直性脊柱炎和青少年特发性关节炎。给药方式为口服单剂量7.5mg,必要时可增至每日最大剂量15mg(老年人为7.5mg)。也可通过直肠栓剂给药,剂量与口服剂量相似。美洛昔康报告的副作用与非甾体抗炎药(NSAIDs)相似,如腹痛、贫血和水肿。严重胃肠道(GI)不良事件的风险也会增加,包括溃疡和出血。本简介旨在讨论和解释美洛昔康的物理特性、商品名和通用名。它还包括制备方法、热行为和光谱行为、分析方法、药代动力学、代谢、排泄和药理学。