Combining Enoxaparin Sodium and Piroxicam is a major interaction and should generally be avoided without close medical supervision.
Combining piroxicam (an NSAID) with enoxaparin (a blood thinner) significantly increases your risk of serious bleeding, including stomach bleeding, which can be life-threatening.
Mechanism: Piroxicam inhibits prostaglandin synthesis, reducing platelet aggregation and damaging the gastrointestinal mucosa. Enoxaparin directly inhibits Factor Xa, preventing clot formation. The additive antiplatelet and anticoagulant effects, along with GI mucosal damage from piroxicam, synergistically increase bleeding risk.
Enoxaparin Sodium vs. Piroxicam
Compare Enoxaparin Sodium and Piroxicam: mechanism of action, indications, side effects, cost, and which may be right for you.
Drug A
Enoxaparin Sodium
Enoxaparin Sodium
Anticoagulants
RxDrug B
Piroxicam
Piroxicam
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
RxQuick Comparison
| Category | Enoxaparin Sodium | Piroxicam |
|---|---|---|
| Drug Class | Anticoagulants | NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) |
| Rx Status | Rx | Rx |
| Generic Available | No | No |
| Typical Cost | $150-$600/month | $10–$30/month |
Enoxaparin Sodium Overview
Enoxaparin Sodium is a type of medicine known as a blood thinner, specifically a low molecular weight heparin. It works by helping to prevent and treat dangerous blood clots, such as those that can form in the legs (deep vein thrombosis or DVT) or travel to the lungs (pulmonary embolism). This medication is also used to help manage certain heart conditions like unstable angina or heart attacks.
Full Enoxaparin Sodium guide →Piroxicam Overview
PIROXICAM (brand name: Piroxicam) is a NSAIDs. 1 INDICATIONS AND USAGE Piroxicam capsules are indicated: • For relief of the signs and symptoms of osteoarthritis. • For relief of the signs and symptoms of rheumatoid arthritis. Piroxicam capsules are a nonsteroidal anti-inflammatory drug indicated for •Relief of the signs and symptoms of…
Full Piroxicam guide →How Each Drug Works
Enoxaparin Sodium
Enoxaparin is a low molecular weight heparin which has antithrombotic properties.
Piroxicam
Piroxicam has analgesic, anti-inflammatory, and antipyretic properties. The mechanism of action of piroxicam capsules, like that of other NSAIDs, is not completely understood but involves inhibition of cyclooxygenase (COX-1 and COX-2). Piroxicam is a potent inhibitor of prostaglandin (PG) synthesis in vitro. Piroxicam concentrations reached during therapy have produced in vivo effects. Prostaglandins sensitize afferent nerves and potentiate the action of bradykinin in in…
Approved Uses (Indications)
Enoxaparin Sodium
Enoxaparin Sodium Injection is a low molecular weight heparin (LMWH) indicated for: Prophylaxis of deep vein thrombosis (DVT) in abdominal surgery, hip replacement surgery, knee replacement surgery, or medical patients with severely restricted mobility during acute illness Inpatient treatment of acute DVT with or without pulmonary embolism Outpatient treatment of acute DVT without pulmonary embolism Prophylaxis of ischemic complications of unstable angina and non-Q-wave myocardial infarction (MI) Treatment of acute ST-segment elevation my…
Piroxicam
Piroxicam capsules are indicated:
- For relief of the signs and symptoms of osteoarthritis.
- For relief of the signs and symptoms of rheumatoid arthritis. Piroxicam capsules are a nonsteroidal anti-inflammatory drug indicated for
- Relief of the signs and symptoms of osteoarthritis (OA)
- Relief of the signs and symptoms of rheumatoid arthritis (RA)
Side Effects
Enoxaparin Sodium
Piroxicam
Cost Comparison
Enoxaparin Sodium
$150-$600/month
As a generic, enoxaparin sodium is much more affordable than its brand-name counterpart. Using discount cards like GoodRx can further reduce the cost significantly.
Piroxicam
$10–$30/month
Piroxicam is available as an affordable generic. Patients can often find significant savings by using discount cards or coupons from services like GoodRx.
Compare prices for Enoxaparin Sodium and Piroxicam
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Medical Disclaimer
The information on RxGuide is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, pharmacist, or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.