Instacam 20 Tablet
Prescription Required
Product introduction
Instacam 20 Tablet is a pain-relieving medicine. It is used to treat moderate to severe pain in conditions such as osteoarthritis and rheumatoid arthritis. It helps relieve pain and swelling in the joints and muscles. It may also be used after a dental surgery.
It is a non-steroidal anti-inflammatory drug (NSAID).
It is a non-steroidal anti-inflammatory drug (NSAID).
Uses of Instacam Sublingual tablet
Benefits of Instacam Sublingual tablet
In Pain relief
Instacam 20 Tablet is used for short-term relief of pain, inflammation, and swelling in conditions that affect joints and muscles. It works by blocking chemical messengers in the brain that tell us we have pain. It can help relieve pain in conditions like rheumatoid arthritis and osteoarthritis or even after a dental (tooth-related) surgery.
Take it as it is prescribed to get the most benefit. Do not take more or for longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.
Take it as it is prescribed to get the most benefit. Do not take more or for longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.
Side effects of Instacam Sublingual tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Instacam
- Vomiting
- Stomach pain
- Nausea
- Headache
- Dizziness
How to use Instacam Sublingual tablet
Place the tablet under the tongue or between the cheek and gum, and let it dissolve. Do not chew, crush, or swallow the tablet. Instacam 20 Tablet is to be taken with food.
How Instacam Sublingual tablet works
Instacam 20 Tablet is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that are responsible for inflammation (pain and swelling).
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Instacam 20 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Instacam 20 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Instacam 20 Tablet is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
Driving
UNSAFE
Instacam 20 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Instacam 20 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Instacam 20 Tablet may be needed. Please consult your doctor.
No dose adjustment is recommended in patients with mild to moderate kidney disease. Regular monitoring of kidney function test is advised while you are taking this medicine.
No dose adjustment is recommended in patients with mild to moderate kidney disease. Regular monitoring of kidney function test is advised while you are taking this medicine.
Liver
CAUTION
Instacam 20 Tablet should be used with caution in patients with liver disease. Dose adjustment of Instacam 20 Tablet may be needed. Please consult your doctor.
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Quick tips
- Instacam 20 Tablet helps relieve pain and swelling of various joints and muscles.
- Take it with food to avoid stomach upset.
- Your doctor will prescribe you the lowest effective dose of this medicine for the shortest possible time necessary to relieve your symptoms.
- It may cause dizziness and fatigue. Do not drive or do anything requiring concentration until you know how it affects you.
- Avoid consuming alcohol when taking this medicine as it may cause excessive drowsiness.
- Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
Fact Box
Chemical Class
Enolic acid Derivatives
Habit Forming
No
Therapeutic Class
PAIN ANALGESICS
Action Class
NSAID's- Non-Selective COX 1&2 Inhibitors (enolic acids)
Patient concerns
FAQs
What is the difference between Instacam 20 Tablet and diclofenac?
Both Instacam 20 Tablet and diclofenac are pain killers. However, piroxicam is a non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain) inhibitor whereas diclofenac has a bit more selectivity to a COX-2 enzyme. This selectivity of diclofenac is supposed to decrease the side effects as compared to Instacam 20 Tablet.
What is the difference between Instacam 20 Tablet and naproxen?
Both Instacam 20 Tablet and naproxen are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, gastric side effects are lesser with naproxen as compared to Instacam 20 Tablet.
What is the difference between Instacam 20 Tablet and meloxicam?
Both Instacam 20 Tablet and meloxicam are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, acute gastric side effects are lesser with meloxicam as compared to Instacam 20 Tablet.
What is the difference between Instacam 20 Tablet and ketoprofen?
Both Instacam 20 Tablet and ketoprofen are pain killers. Both are non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain). Research studies have shown ketoprofen topical gel is better and effective as compared to Instacam 20 Tablet. Ketoprofen gel also showed excellent tolerability.
What is the difference between Instacam 20 Tablet and tramadol?
Instacam 20 Tablet is a COX (cyclooxygenase -an enzyme responsible for inflammation and pain) whereas Tramadol is a narcotic-like painkiller. Tramadol is a habit forming medicine.
What is the difference between Instacam 20 Tablet and nimesulide?
Both Instacam 20 Tablet and nimesulide are pain killers. However, Instacam 20 Tablet is a non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain) inhibitor whereas nimesulide is selective to the COX-2 enzyme. This selectivity of nimesulide is supposed to decrease the side effects as compared to piroxicam. It should not be used in children below 12 years of age.
Can Instacam 20 Tablet be used in the treatment of chikungunya?
Usually, the platelet count does not dip in cases of chikungunya and painkillers like piroxicam can lead to the risk of increased bleeding tendency. So refrain from taking Instacam 20 Tablet or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Instacam 20 Tablet.
Are Instacam 20 Tablet and aspirin same?
No. Instacam 20 Tablet and aspirin are not same. They belong to the same class of drugs known as COX (cyclooxygenase) inhibitors. They both are anti-inflammatory and analgesic.
Can Instacam 20 Tablet be used along with dexamethasone?
No. Instacam 20 Tablet should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.
Can Instacam 20 Tablet be used with methocarbamol?
Yes. Methocarbamol can be used with Instacam 20 Tablet as no serious side effects are known. Inform your doctor before starting any of the medication.
Can Instacam 20 Tablet be used along with paracetamol?
Yes. Paracetamol can be used with Instacam 20 Tablet as no serious side effects are known. Inform your doctor before starting any of the medication.
Is Instacam 20 Tablet a NSAID?
Yes. Instacam 20 Tablet is a non-steroidal anti-inflammatory drug (NSAID).
Is Instacam 20 Tablet a sulfa drug?
Instacam 20 Tablet is a sulphur containing compound. Instacam 20 Tablet can cause serious adverse events in sensitive individuals. It can cause severe skin reactions like Steven Johnson Syndrome. Do inform your doctor if you have any kind of allergies.
Is Instacam 20 Tablet a blood thinner?
No. Instacam 20 Tablet is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.
Is Instacam 20 Tablet a muscle relaxant?
No. Instacam 20 Tablet is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.
Is Instacam 20 Tablet a narcotic?
No. Instacam 20 Tablet is not a narcotic. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme to decrease the pain and inflammation.
Can Instacam 20 Tablet be used in hypertension?
No. Instacam 20 Tablet is not a medication to control hypertension. It is important to note that Instacam 20 Tablet decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Instacam 20 Tablet.
Can Instacam 20 Tablet be used along with Losartan?
No. Instacam 20 Tablet should not be combined with Losartan. It is important to note that Instacam 20 Tablet decreases the effectiveness of the antihypertensive medication like losartan when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Instacam 20 Tablet.
Can Instacam 20 Tablet be used with Lisinopril?
No. Instacam 20 Tablet should be avoided with lisinopril. It is important to note that piroxicam decreases the effectiveness of the antihypertensive medication like lisinopril when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Instacam 20 Tablet.
Can Instacam 20 Tablet be used with calcium channel blocker?
Yes. Instacam 20 Tablet can be taken with calcium channel blocker. NSAIDs have been observed to reduce the effectiveness of all antihypertensive drugs except calcium channel blockers (ref: White 2007)
Can Instacam 20 Tablet be used with Tizanidine?
Yes, Instacam 20 Tablet can be combined with tizanidine. Piroxicam is a pain killer and tizanidine is a skeletal muscle relaxant. It is used in the condition like a backache.
Why is beta cyclodextrin added to Instacam 20 Tablet?
Yes. Instacam 20 Tablet can be combined with beta-cyclodextrin. Research has shown that combining Instacam 20 Tablet with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.
Are there any alternatives of Instacam 20 Tablet?
Yes. There are alternatives to Instacam 20 Tablet. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.
What are the contraindications for Instacam 20 Tablet?
Contraindications to piroxicam are an allergy, bleeding tendency, duodenal/gastric/peptic ulcer, stomatitis, Systemic Lupus Erythematosus (SLE), ulcerative colitis, upper GI disease, late pregnancy, cardiac disease, hepatic impairment, renal impairment.
Can Instacam 20 Tablet be used in the treatment of allergy?
No. Instacam 20 Tablet is not a drug to treat allergy. It is a pain killer.
How long does Instacam 20 Tablet work?
Instacam 20 Tablet is a long acting drug. Once the daily dose is enough for the relief of pain but it depends from person to person as the effectiveness of piroxicam increases when given for few weeks.
Can you get high by using Instacam 20 Tablet?
No. Instacam 20 Tablet is not known to cause high. It is a non-narcotic painkiller.
Can Instacam 20 Tablet be used to treat menstrual cramp?
Instacam 20 Tablet is not approved for the treatment of menstrual cramps. Research studies have shown that piroxicam is quite effective in significantly decreasing the menstrual cramps.
Can I use Instacam 20 Tablet for a migraine?
Instacam 20 Tablet is not approved for the treatment of migraine. Research studies have shown that Instacam 20 Tablet is effective in significantly decreasing the pain associated with migraine without aura.
Is Instacam 20 Tablet effective in back pain management?
Yes. It can be given for decreasing the back pain. However, you should consult your doctor for the exact cause of your back pain and then start the treatment. Do not self-medicate yourself with Instacam 20 Tablet as the cause of back pain can be different for different person.
Is Instacam 20 Tablet affective in gout management?
Yes. Instacam 20 Tablet can be given for the treatment of acute gout. Research studies have shown Instacam 20 Tablet to be highly effective in the treatment of acute gout.
Can you donate blood when on the medication with Instacam 20 Tablet?
Yes. You can donate blood when on Instacam 20 Tablet. Do inform your doctor before donating blood.
Can I use Instacam 20 Tablet if I am a diabetic?
Instacam 20 Tablet in a diabetic patient can only be taken only by consulting a doctor because these medicines have the propensity to cause renal failure when taken for a long period. Diabetes itself causes renal Instacam 20 Tablet so taking piroxicam can lead to increased risk of renal failure by many folds.
Can I use Instacam 20 Tablet if I have a deranged renal function?
No. Instacam 20 Tablet should not be taken if you have a abnormal renal function because long-term administration of NSAIDs has resulted in renal papillary necrosis and another renal injury.
Can Instacam 20 Tablet lead to skin reactions?
Yes. Instacam 20 Tablet is known to cause skin reactions which can be very severe such as exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. These serious events may occur without warning. You should inform your doctor if you feel you have a mild rash and immediately discontinue the drug.
Can I use Instacam 20 Tablet if I am pregnant?
No. Instacam 20 Tablet should not be taken in pregnancy. It causes premature closure of the ductus arteriosus which can lead to fetal heart failure and death of the baby.
Can I use Instacam 20 Tablet if I have peptic ulcer disease?
No. Instacam 20 Tablet is contraindicated in cases of active peptic ulcer disease. Instacam 20 Tablet is known to cause gastric ulceration and bleeding.
Can I use Instacam 20 Tablet if I have asthma?
Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory (NSAID) drugs like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.
Can Instacam 20 Tablet lead to difficulty in conception?
Yes. Instacam 20 Tablet can sometimes cause reversible infertility. Piroxicam by its mechanism of action may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.
Can Instacam 20 Tablet be used with diuretics?
No. Instacam 20 Tablet should not be used with diuretics. Instacam 20 Tablet reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
Can Instacam 20 Tablet be used with lithium?
No. Instacam 20 Tablet should not be used with lithium. Instacam 20 Tablet leads to an elevation of plasma lithium levels and a reduction in renal lithium clearance. This is because of inhibition of renal prostaglandin synthesis by the NSAID. Consult and inform your doctor before starting this medication.
Can Instacam 20 Tablet be used with warfarin?
No. Instacam 20 Tablet should be avoided with warfarin as they both lead to increase in bleeding tendencies. Inform your doctor if you are taking any of the medications. If given together then the therapy should be monitored closely.
What increases the chances of getting a gastric ulcer when I am already taking Instacam 20 Tablet?
The chances of gastric ulceration increases if you take medicines like corticosteroids and anticoagulants. Long term use, alcohol, smoking and old age are few other factors which can increase the chances of ulceration.
Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ Instacam 20 Tablet?
Patients who had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine or for pain right before or after heart bypass surgery.
What are the serious side effects of Instacam 20 Tablet?
GI discomfort and, rarely, serious GI side effects, such as ulcers and bleeding, serious skin side effects such as exfoliative, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis, liver failure, renal damage.
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Disclaimer:
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.References
- Furst DE, Ulrich RW, Varkey-Altamirano C. Nonsteroidal Anti-Inflammatory Drugs, Disease Modifying Antirheumatic Drugs, Nonopioids Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 628.
- Grosser T, Smyth E, FitzGerald GA. Anti-Inflammatory, Antipyretic, and Analgesic Agents; Pharmacotherapy of Gout. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 989-90.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1127-28.
- PubChem. Piroxicam. [Accessed 02 Apr. 2019] (online) Available from:
- ScienceDirect. Piroxicam. [Accessed 02 Apr. 2019] (online) Available from:
- Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 02 Apr. 2019] (online) Available from:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:
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Address: Building No. 83, Fist Floor,Near SBI Bank, Baltana Road, Raipur Kalan, 160102, Chandigarh, India
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The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.
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