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Tell your doctor before starting piroxicam if you take any of the following medicines anticoagulants blood thinners such as warfarin coumadin, jantoven aspirin other nsaids such as ibuprofen advil, motrin and naproxen aleve, naprosyn oral steroids such as dexamethasone decadron, dexone , methylprednisolone medrol , and prednisone deltasone .

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This medication may rarely make your blood sugar risewhich can cause or worsen diabetesTell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urinationIf you already have diabetescheck your blood sugar regularly as directed and share the results with your doctorYour doctor may need to adjust your diabetes medicationexercise programor diet.

During pregnancythis medication should be used only when clearly neededIt may rarely harm an unborn babyDiscuss the risks and benefits with your doctorInfants born to mothers who have been using this medication for an extended period of time may have hormone problemsTell your doctor right away if you notice symptoms such as persistent nausea/vomitingsevere diarrheaor weakness in your newborn.

This medicine may cause stomach bleedingDaily use of alcohol while using this medicine may increase your risk for stomach bleedingLimit alcoholic beveragesConsult your doctor or pharmacist for more information.

Take prednisone exactly as prescribedThis medication comes in tablet and oral solution forms and is usually taken one to four times a day or every other daywith food or milkIf prednisone upsets your stomachyou should take the medication along with food or milkIf you miss a doseconsult your doctor or pharmacist to determine the appropriate course of treatmentDo not take two doses of prednisone at the same time.

Before using this medicationtell your doctor or pharmacist your medical historyespecially ofcurrent/past infectionssuch as fungal infectionstuberculosisherpesheart problemssuch as heart failurerecent heart attackhigh blood pressurethyroid problemskidney diseaseliver diseasestomach/intestinal problemssuch as ulcerdiverticulitisbone lossosteoporosismental/mood disorderssuch as psychosisanxietydepressioneye diseasessuch as cataractsglaucomadiabetesmineral imbalancesuch as low level of potassium/calcium in the bloodseizuresblood clotsbleeding problems.

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Average and large doses of corticosteroids can cause elevation of blood pressuresodium and water retentionand increased excretion of potassiumthese effects are less likely to occur with synthetic derivatives except when used in large dosesdietary salt restriction and potassium supplementation may be necessaryall corticosteroids increase calcium excretion.

IT SHOULD BE EMPHASIZED THAT DOSAGE REQUIREMENTS ARE VARIABLE AND MUST BE INDIVIDUALIZED ON THE BASIS OF THE DISEASE UNDER TREATMENT AND THE RESPONSE OF THE PATIENT.

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