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Sounds like 'ten-ox-ih-kam'

Key points about tenoxicam

Tenoxicam is an anti-inflammatory used to treat pain and inflammation.
Tenoxicam is also called Tilcotil®.
Find out how to take it safely and possible side effects.

Tenoxicam is one of a group of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs). Tenoxicam is used to treat different types of pain such as pain from gout, osteoarthritis, rheumatoid arthritis, painful periods and pain after surgery.

Read more about pain.

In Aotearoa New Zealand, tenoxicam comes as tablets (20 mg) and as an injection.

The usual dose of tenoxicam is 1 or 2 tablets once a day.
If you are using tenoxicam for painful menstrual periods, take your first dose as soon as your period starts or pain begins until the pain eases.
Always take your tenoxicam exactly as your healthcare provider has told you. The pharmacy label on your medicine will tell you how much to take, how often to take it and any special instructions.

Take tenoxicam with food or immediately after food, to prevent stomach upset.
Swallow the tablets whole, don't crush or chew them.
Take it with a full glass of water.
Missed dose: If you forget to take a dose, take it when you next need pain relief and then continue as before. Don't take 2 doses together to make up for a forgotten dose.

Taking tenoxicam with other pain medicines

Don't take other anti-inflammatory medicines such as diclofenac, ibuprofen or naproxen while taking tenoxicam. This can increase your risk of side effects.

It's safe to take tenoxicam with paracetamol because they work differently.

Taking tenoxicam with blood pressure medicines

Tenoxicam interacts with some medicines, especially those used for high blood pressure, so check with your healthcare provider or pharmacist before you start taking tenoxicam.

Image credit: Healthify He Puna Waiora

Taking NSAIDs together with blood pressure medicines can be harmful to your kidneys. This is called the ‘triple whammy’. If you're taking blood pressure medicines (ACE inhibitors or ARBs) and diuretics tell your healthcare provider or pharmacist before starting tenoxicam. Talk to them about safe pain-relief options for you.

Examples of ACE inhibitors are captopril, cilazapril, enalapril, lisinopril, perindopril and quinapril.
Examples of ARBs are candesartan, irbesartan and losartan.
Examples of diuretics are furosemide, bumetanide, bendroflumethiazide, chlortalidone, hydrochlorothiazide, indapamide, spironolactone, eplerenone and metolazone.

Read more about the triple whammy.(external link)

Here are some other things to know when you're taking tenoxicam.

If you’re not well: It can be harmful to take tenoxicam when you’re dehydrated or have been sick with diarrhoea (runny poo) or vomiting (being sick). Read more about the risks of NSAIDs(external link).
Alcohol: tenoxicam doesn't directly interact with alcohol. This means that most people could have the occasional drink while taking it without any serious problems. However, if celecoxib makes you feel dizzy or gives you a sore stomach, don't drink alcohol as it will make you feel worse.
Driving: tenoxicam can make you feel dizzy. Be careful when driving or using tools until you know how this medicine affects you.
Pregnancy or breastfeeding: Talk to your healthcare provider if you're pregnant, planning a pregnancy or want to breastfeed.

Side effects	What should I do?
Heartburn Indigestion Stomach discomfort Runny poo (diarrhoea)	These are common and should settle within a few days. Take tenoxicam with food. Talk to your healthcare provider if they're ongoing.
Serious stomach problems such as really bad stomach pain, blood in the stool or black stools, cough or vomit up blood or dark coloured vomit.	Stop taking tenoxicam. Tell your healthcare provider immediately or ring Healthline on 0800 611 116.
Chest pain Shortness of breath or trouble breathing Weakness in one part or side of the body Slurred speech	Stop taking tenoxicam. Tell your healthcare provider immediately or ring Healthline on 0800 611 116.
Swollen ankles, blood in your pee or not peeing at all – these can be signs of a kidney problem.	Stop taking tenoxicam. Tell your healthcare provider immediately or ring Healthline on 0800 611 116.
Signs of an allergic reaction such as skin rash, itching, swelling of your lips, face and mouth or difficulty breathing	Stop taking tenoxicam. Tell your healthcare provider immediately or ring Healthline on 0800 611 116.