Muvik

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Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Muvik

Quick Facts

Property Description
Active ingredient Meloxicam
Forms Tablets, Solution for Injection, Suppositories
Pharmacological class Nonsteroidal Anti-Inflammatory Drug (NSAID)
General purpose Relief of pain, stiffness, and inflammation
Origin Synthetic (Oxicam derivative)

What Type of Medicine is Muvik (Meloxicam)?

Muvik is a medicinal preparation whose active ingredient is Meloxicam, a fully synthetic compound classified as an Oxicam derivative and a member of the Nonsteroidal Anti-Inflammatory Drug (NSAID) class. Muvik, as a brand, provides a structured range of dosage forms utilizing Meloxicam, which is recognized globally for its anti-inflammatory properties.

The identity of this single-ingredient product is defined by its core structure, which positions it among the medicines used for anti-inflammatory, pain-relieving (analgesic), and fever-reducing (antipyretic) purposes. Meloxicam is defined as an enolic acid derivative and a preferential COX-2 inhibitor, distinguishing its mechanism within the NSAID group. Its role in the symptomatic management of chronic inflammatory conditions is clinically recognized for its targeted action against the inflammatory cascade.

Physical Forms and General Therapeutic Purpose

Muvik is available in several dosage forms, including the most common tablets for oral intake, a sterile solution for injection for parenteral use, and suppositories for rectal administration. This variety ensures flexibility for both acute and long-term care scenarios, which is a key differentiating factor in its market positioning.

This flexibility in pharmaceutical preparation ensures the medicine can be administered via the appropriate route of administration based on clinical need. The general therapeutic purpose of Muvik is to provide robust symptomatic relief by directly interfering with the body's inflammatory process. Meloxicam is effective in alleviating the symptoms of inflammation and joint stiffness associated with chronic conditions. This confirms that the medication is primarily utilized to improve comfort and mobility by reducing swelling and pain.

What side effects are possible with Muvik?

Possible Side Effects and Safety Information

The safety profile for Muvik (Meloxicam) is officially documented by government regulators based on the standard classification of adverse reactions. These effects are grouped by frequency and the body system affected, known as the System-Organ Class (SOC).

Frequency and System-Organ Classes

The most commonly listed adverse reactions include gastrointestinal effects such as dyspepsia, nausea, diarrhea, constipation, and abdominal pain, along with nervous system effects like headache. Uncommon reactions may involve vertigo, hypertension (elevated blood pressure), or fluid retention (oedema). Reactions classified as rare include blood disorders such as leukopenia and thrombocytopenia, as well as episodes of hepatitis, visual disturbances, and tinnitus.

Serious Adverse Reactions

As a Nonsteroidal Anti-Inflammatory Drug (NSAID), the medicine carries documented risks of serious adverse reactions. These include a potential increased risk of serious cardiovascular thrombotic events, such as myocardial infarction (heart attack) and stroke, which may increase with the duration of use. Additionally, risks of serious gastrointestinal events, including bleeding, ulceration, and perforation, are documented, which may occur at any time during therapy without warning.

Rare, potentially life-threatening skin reactions, such as Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN), are also listed in regulatory information.

Population-Specific Safety Notes

The official prescribing information identifies specific safety considerations for certain patient groups. Older adults are documented as being at an increased risk for serious gastrointestinal and renal adverse effects. Use is restricted or contraindicated during the third trimester of pregnancy. Furthermore, the medicine is contraindicated in patients with severe, non-dialyzed renal impairment or severe hepatic impairment, and those with active gastrointestinal ulceration or hemorrhage.

Overdose and Emergency Response

The official regulatory documentation for Muvik (Meloxicam) outlines the documented manifestations and mandatory actions for a suspected overdose.

Overdose of Meloxicam, consistent with the Nonsteroidal Anti-Inflammatory Drug (NSAID) class, is officially documented to present with signs such as lethargy, drowsiness, nausea, vomiting, and epigastric pain. Severe poisoning can lead to life-threatening complications, including acute gastrointestinal hemorrhage (e.g., bloody or tarry stools), acute renal failure, hepatic dysfunction, and systemic effects such as seizures and coma.

Official regulatory statements mandate that in case of any suspected overdose, or if severe, life-threatening symptoms such as collapse, seizures, or trouble breathing occur, immediate emergency medical help must be sought. Individuals who are older adults or those with impaired renal or hepatic function are noted to be at an increased risk of severe outcomes.

Management is focused on symptomatic and supportive care, as the regulatory label confirms that no specific antidote is available. Procedures documented for overdose management include the use of activated charcoal to reduce absorption and Cholestyramine to accelerate the elimination of Meloxicam from the body, often requiring hospital monitoring of vital signs and organ function.

Therapeutic Uses of Muvik

Main Therapeutic Uses

Muvik is primarily indicated for the treatment of adult patients with moderately to severely active ulcerative colitis. It is typically prescribed for individuals who have had an inadequate response to, a loss of response to, or were intolerant to conventional therapies or advanced treatments.

Ulcerative Colitis

Ulcerative colitis is a chronic inflammatory bowel disease (IBD) characterized by inflammation and ulcers in the lining of the large intestine and rectum. Common symptoms include abdominal pain, urgent bowel movements, and bloody diarrhea. Muvik works by targeting specific pathways in the immune system to reduce the inflammation driving these symptoms.

Benefits and Clinical Goals

The therapeutic goal of treatment with Muvik is to manage the underlying inflammation and improve the patient's quality of life through several clinical milestones:

  • Clinical Remission: Achieving a state where the primary symptoms of the disease, such as rectal bleeding and stool frequency, are significantly reduced or absent.
  • Endoscopic Improvement: Reducing the visible inflammation and damage to the intestinal lining as observed during endoscopic procedures.
  • Mucosal Healing: Promoting the long-term repair of the intestinal mucosa, which is associated with better long-term outcomes and a reduced risk of disease flares.
  • Symptomatic Relief: Providing a reduction in the daily burden of symptoms, including urgency and abdominal discomfort.

Eligibility and Restrictions for Use

Official Eligibility Rules for Muvik (Meloxicam)

Regulatory authorities define strict population boundaries for the use of Muvik (Meloxicam), an NSAID, based on official labeling and contraindication categories.

Absolute Contraindications

Muvik is formally contraindicated and must not be used by patients with known hypersensitivity to meloxicam or those who have experienced allergic-type reactions (e.g., asthma, urticaria) after taking aspirin or other NSAIDs. It is also contraindicated for individuals undergoing treatment for peri-operative pain in the setting of Coronary Artery Bypass Graft (CABG) surgery). Other absolute prohibitions include patients with active peptic ulcerations or recurrent gastrointestinal bleeding, severe uncontrolled heart failure, and severe hepatic or non-dialyzed renal failure.

Restricted and Conditional Use

Population Group Eligibility Status Regulatory Constraint
Late Pregnancy Avoid Use Third trimester (from sim 30 weeks gestation).
Pediatric Patients Not Established Children under 2 years of age.
Geriatric Patients Use with Caution Increased risk of serious gastrointestinal events.
Severe Heart Failure Avoid Use Unless benefits clearly outweigh the risk of worsening heart failure.

Eligibility for pediatric patients is established only for Juvenile Idiopathic Arthritis in children 2 years of age and older. Use is not recommended for women who are actively trying to conceive.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Official regulatory documents define Muvik's (meloxicam) interaction profile based on additive adverse effect risks and pharmacokinetic alterations to plasma concentration.

Interaction Type Interacting Substances/Classes
Contraindicated Combination The oral suspension formulation must not be co-administered with Sodium Polystyrene Sulfonate (Kayexalate).
Pharmacodynamic Risk Co-administration with other NSAIDs (including analgesic doses of Aspirin) and Corticosteroids increases the documented risk of serious gastrointestinal adverse events.
Hemorrhage Risk Co-administration with Anticoagulants (e.g., Warfarin), Platelet Aggregation Inhibitors, and SSRIs/SNRIs formally increases the risk of bleeding or hemorrhage.
Antihypertensive Interference The effectiveness of ACE Inhibitors, ARBs, and Diuretics may be diminished when co-administered with Meloxicam.
Exposure Alteration Meloxicam may increase the plasma concentration of Lithium and Methotrexate, raising the risk of toxicity for those co-administered drugs. Cholestyramine is documented to accelerate the clearance of Meloxicam, reducing its plasma exposure.

Food and Substance Interactions: The official labeling documents a food effect, where co-administration with a high-fat breakfast increases the maximum plasma concentration ( C max) of Meloxicam. Consumption of alcohol is noted to increase the risk of gastrointestinal bleeding. Cyclosporine co-administration is associated with an increased risk of nephrotoxicity.

Population Note: A heightened risk of renal function deterioration is noted when Meloxicam is co-administered with ACE Inhibitors, ARBs, or Diuretics in patients who are elderly, volume-depleted, or have underlying renal impairment, as explicitly stated in the prescribing information.

Mechanism of Action

How Muvik Works

Muvik's mechanism is anchored in the selective modulation of the Arachidonic Acid Cascade, a core pathway for inflammatory signaling.


Targeted Enzyme Inhibition of COX-2

The drug acts as a preferential inhibitor by binding to the Cyclooxygenase-2 ( COX-2) enzyme, which is primarily responsible for generating inflammatory signaling molecules. This targeted interaction halts the initial molecular step in the conversion of arachidonic acid, leading to a crucial reduction in the synthesis of pro-inflammatory mediators. This enzymatic block initiates a cascade that modulates both inflammatory and nociceptive signaling pathways.


Dampening Prostaglandin-Driven Signaling

The molecular inhibition of COX-2 results in lower concentrations of Prostaglandin E2 ( PGE2) both at the site of inflammation and in the central nervous system. This reduced mediator activity dampens the sensitization of peripheral nociceptors and resets the elevated temperature set point in the hypothalamus. The resulting physiological changes are a concurrent decrease in localized edema formation and modulation of the central thermoregulatory mechanism.

Dosage and Administration Information

How to Use Muvik (Meloxicam) – Official Administration Guidelines

Administration of Muvik is governed by distinct guidelines based on the dosage form and patient population. The medicine is primarily taken via the oral route as tablets or suspension, but a sterile solution for injection is authorized for intravenous (IV) administration in specific scenarios.

Official Dosing and Frequency

For chronic inflammatory conditions, the recommended standard regimen is once daily. The usual starting dose for adults is 7.5 mg, which may be increased to a maximum daily dose of 15 mg. For acute pain, a specific IV formulation may be administered at 30 mg once daily via intravenous bolus injection over 15 seconds, and this parenteral use is typically limited to a short course, requiring prompt transition to the oral form.

Administration Context and Adjustments

Contextual Guideline Specific Instruction
Timing in Relation to Meals Oral tablets can be taken with or without food or, in certain regions, are recommended to be taken with a meal to guide tolerability.
Age/Renal Adjustment The maximum daily dose for patients undergoing hemodialysis must not exceed 7.5 mg. For children with Juvenile Idiopathic Arthritis (JIA), dosing is weight-based (0.125 mg/kg), up to a 7.5 mg maximum once daily.
Duration Principle Muvik should be used for the shortest duration consistent with the patient's individual treatment goals, aligning with general NSAID protocol.
Missed Dose Protocol If a dose is missed, the standard protocol is to skip the missed dose and resume the normal once-daily schedule. Two doses should not be taken at the same time.

These official instructions define the standardized, non-individualized approach to systemic exposure, ensuring the medicine is used within the established limits.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Muvik (Meloxicam)

This section provides a descriptive overview of the types of research and clinical trials that have examined Muvik. It describes the scope of the evidence available, what has been reported in those studies, and what remains uncertain, without offering any medical advice, clinical interpretations, or claims of effectiveness.

Evidence for Use in Conditions Characterized by Joint Pain (Osteoarthritis and Rheumatoid Arthritis)

The majority of the evidence for Muvik's oral forms comes from short-term Randomized Controlled Trials (RCTs) and supporting reviews. These studies were studied for adult patients with chronic joint conditions, such as Osteoarthritis (OA) and Rheumatoid Arthritis (RA), where symptoms can present with fluctuating or episodic manifestations.

In these trials, research examined whether outcomes related to physical discomfort and functional limitations change. The Muvik study group was evaluated alongside a placebo control group and groups receiving other standard medicines. Studies reported how symptoms evolved in the observed populations over defined time intervals, typically lasting several weeks. Longer observational settings have also tracked patterns related to measured patient-reported outcomes during extended periods of administration, sometimes for a year or more.

It is important to note that the existing evidence focuses entirely on symptomatic outcomes. Research does not determine whether an individual will respond similarly and evidence is limited regarding the long-term impact on the underlying disease process. For example, existing studies provide no data or insight into whether Muvik influences the progression of joint damage in conditions like OA or RA.

Evidence for Use in Pediatric Joint Conditions (Juvenile Idiopathic Arthritis)

Research was also conducted in children who have specific forms of Juvenile Idiopathic Arthritis (JIA). The evidence base here is smaller and consists of active-controlled studies, which means Muvik was the medicine studied in trials comparing it against another established NSAID, rather than against a placebo. These studies used in research exploring how symptoms change over time to track progress based on standardized criteria specific to pediatric rheumatology.

What Remains Undefined in the Research Landscape

The existing research provides context for what has been observed so far but also highlights where the evidence is limited or incomplete. A key limitation is that Muvik was studied for outcomes related to physical discomfort only, and not to modify the underlying disease or prevent long-term joint damage. Additionally, comparative evidence is lacking for some comparisons, particularly for long-term tracking against every available therapeutic option.

Key Studies & References

  1. Intravenous Meloxicam in the Management of Moderate-to-Severe Pain: A Review of Clinical Efficacy and Safety

Frequently Asked Questions (FAQ)

Common questions about Muvik (FAQ)


Q: Is Muvik considered a long-term treatment or is it for short-term use?

A: Muvik is approved for the symptomatic management of chronic conditions such as osteoarthritis and rheumatoid arthritis. However, consistent with general NSAID protocol, official documents note that the medicine is typically prescribed for the shortest duration necessary to achieve individual treatment goals.


Q: Can Muvik be used by people who have existing kidney issues?

A: According to official documentation, Muvik is formally contraindicated for patients with severe, non-dialyzed renal failure (kidney failure). However, for patients with mild to moderate kidney impairment, regulatory information states that dose adjustment is generally not necessary, though patients on dialysis have a specific maximum daily dose limit. The severity of kidney issues is a critical factor for determining use.


Q: Is Muvik safe for older patients, or is there an age limit described in studies?

A: Official documents note that while no specific age limit restricts use, older patients ( geriatric population) are at an increased risk for serious gastrointestinal and kidney-related adverse effects. For this reason, official prescribing information notes that Muvik use is associated with caution in this population due to increased risk.


Q: If I have a history of heart problems, can Muvik still be prescribed?

A: Muvik is formally contraindicated for patients undergoing coronary artery bypass graft ( CABG) surgery and those with severe, uncontrolled heart failure. For individuals with a history of other heart diseases, official warnings indicate that Muvik use is associated with caution due to a documented risk of serious cardiovascular events, such as heart attack and stroke.


Q: Why is it important to check for pre-existing conditions before starting Muvik?

A: Prescribing information emphasizes checking pre-existing conditions because Muvik carries documented risks of serious adverse effects. These include serious gastrointestinal bleeding and cardiovascular thrombotic events (such as heart attack or stroke), which are elevated in patients who have existing risk factors for these conditions.


Q: Do interactions with other drugs mean Muvik cannot be used at all, or just needs careful attention?

A: Drug interactions with Muvik fall into two main categories. Some combinations are formally contraindicated (meaning they must not be used), while others are associated with the need for careful monitoring or potential dose adjustment due to increased risk of side effects or diminished effectiveness of one of the medicines.


Q: Do people typically have to take Muvik for a set period, or is it open-ended treatment?

A: Regulatory guidelines specify that Muvik be used for the shortest duration consistent with individual treatment goals. For chronic conditions, the medicine is typically used to manage symptoms over time, with the overall duration guided by a patient’s continuous need for symptomatic relief.


Q: What information is provided by official sources regarding Muvik and pregnancy/breastfeeding?

A: Muvik is formally contraindicated during the third trimester of pregnancy and is not recommended for women who are actively trying to conceive. Regarding breastfeeding, regulatory information generally does not recommend Muvik use due to the potential for serious adverse reactions in the nursing infant.


Q: Can Muvik be used alongside drugs for high blood pressure?

A: Muvik can be used alongside high blood pressure medicines ( like ACE inhibitors or diuretics), but co-administration is associated with the need for careful monitoring. Official documents note that Muvik may diminish the blood-pressure-lowering effect of these medicines and can increase the risk of kidney function deterioration.


Q: How quickly do people usually start to notice the intended effect of Muvik?

A: According to pharmacokinetic data, the peak concentration of Muvik in the blood is typically reached within four to five hours after taking the oral tablet. However, the intravenous formulation is specifically noted to have a delayed onset of analgesia (pain relief).


Q: What is the difference between Muvik and other similar prescription options?

A: Muvik is classified as a Nonsteroidal Anti-Inflammatory Drug ( NSAID) that functions as a preferential inhibitor of the COX-2 enzyme. In clinical trials for its approved chronic pain conditions, its effectiveness has been found to be comparable to that of other standard NSAIDs such as piroxicam and diclofenac.


Q: Is it common to feel tired or fatigued when first starting Muvik?

A: Official side effect listings include drowsiness ( Somnolence) as an uncommon reaction. General feelings of tiredness or weakness are also sometimes reported by patients, though the precise frequency of fatigue is not always known.


Q: Are there any specific vitamins, supplements, or herbs that are known to interact with Muvik?

A: Interactions are documented with certain herbal supplements and vitamins that may increase the risk of bleeding, particularly those that affect platelet function or blood clotting. Co-administration of such supplements is generally associated with caution in prescribing information.


Q: Do I need to change my diet while I am taking Muvik?

A: A major change in diet is not generally required while taking Muvik. However, taking the medicine with a high-fat meal can increase the amount of medicine absorbed into the blood. Additionally, consumption of alcohol is documented to increase the risk of gastrointestinal bleeding and is generally advised against.


Q: How is Muvik described in terms of its safety profile compared to its effectiveness?

A: The official documentation notes that Muvik carries serious risks, specifically cardiovascular and gastrointestinal events ( Boxed Warnings). Therefore, the regulatory standard requires the use of the lowest effective dose for the shortest duration necessary to balance potential risk against symptomatic relief.


Q: What kind of research has been published about the long-term effects of Muvik?

A: Research has included longer observational studies, sometimes tracking outcomes for a year or more. These studies tracked patterns in patient-reported outcomes and monitored the safety profile during extended administration for chronic conditions.


Q: Can Muvik be crushed, split, or chewed, or must it be swallowed whole?

A: Official patient information generally advises that the tablet and capsule formulations should be swallowed whole. Modification of the tablet or capsule is not typically advised, unless the specific product is designed as a chewable or disintegrating form.


Q: Why do some patient communities mention Muvik can cause changes in sleep patterns?

A: Official adverse event reports include several effects that impact sleep. For instance, Insomnia ( difficulty sleeping) is listed as a common reaction, and Nightmares are reported as a rare reaction.


Q: How does Muvik affect the liver, according to official regulatory information?

A: Official warnings note that Muvik may cause borderline elevations of liver tests in some patients. In addition, there have been rare reports of severe liver reactions, including jaundice and fatal hepatitis.


Q: Is Muvik known to cause weight gain or weight loss?

A: Official safety data reports that changes in weight, including both weight gain and weight loss, are reported as rare side effects. However, fluid retention ( oedema) is listed as an uncommon side effect, which may contribute to some gain in weight.


Q: If I stop taking Muvik suddenly, are there any expected withdrawal effects?

A: Muvik is not classified as a controlled substance and is not described as physically addictive or habit-forming. Therefore, formal withdrawal effects are not expected.


Q: Does Muvik interact with common pain relievers like ibuprofen or acetaminophen?

A: The regulatory standard is generally not to use Muvik with other Nonsteroidal Anti-Inflammatory Drugs ( NSAIDs) like ibuprofen. Combining them significantly increases the documented risk of serious gastrointestinal side effects. The use of Acetaminophen (Paracetamol) with Muvik is generally reviewed by a healthcare professional.


Q: Is it acceptable to have a cup of coffee or caffeine while taking Muvik?

A: Official warnings about Muvik include the risk of gastrointestinal irritation. Because caffeine can also irritate the stomach lining, individuals with pre-existing gastrointestinal issues are advised to use caution with consumption. However, moderate use is generally acceptable.


Q: What is the general duration of action for a single dose of Muvik?

A: The general duration of action is supported by the medicine's long elimination half-life, which ranges from approximately 15 to 20 hours. This long duration is what permits the medicine to be dosed only once daily for most patients.


Q: Does Muvik affect birth control or other hormonal medicines?

A: Muvik may interact with certain hormonal medicines, such as those containing drospirenone, by potentially increasing potassium levels in the blood. Patients who are using hormonal birth control or other hormonal therapies are advised to have this potential interaction reviewed by their healthcare provider.


Q: Is Muvik available as a generic version or only as a branded drug?

A: The active ingredient in Muvik, which is Meloxicam, is widely available as a generic medicine in addition to the branded product. This provides multiple options for patients.


Q: How long does Muvik stay in the system after the last use?

A: The elimination half-life of Muvik is approximately 15 to 20 hours. Based on this pharmacokinetic data, the majority of the medicine is typically cleared from the body within several days after the last dose is taken.


Q: Does Muvik cause sensitivity to sunlight, according to safety data?

A: Yes, official safety data indicates that increased sensitivity of the skin to sunlight ( phototoxicity) has been reported as an adverse event.


Q: What kind of tests or monitoring is generally described as necessary while taking Muvik?

A: For patients on long-term therapy, regulatory guidelines typically call for periodic monitoring. This involves checking for changes in kidney function, liver tests, and monitoring blood counts ( hemoglobin/hematocrit) due to the risk of gastrointestinal blood loss. Blood pressure is also a component of monitoring.


Q: Are there any high-level summaries of Muvik's effectiveness mentioned in public-facing government documents?

A: Regulatory summaries indicate that Muvik has demonstrated comparable effectiveness to other Nonsteroidal Anti-Inflammatory Drugs ( NSAIDs) in relieving the signs and symptoms of conditions such as osteoarthritis and rheumatoid arthritis.


Q: Is Muvik described as being physically addictive or habit-forming?

A: No, Muvik is not classified as a controlled substance and is not described in official documentation as being physically addictive or habit-forming.


Q: Can Muvik affect mood or cause emotional changes?

A: Yes, though it is rare, adverse event reports include mood alterations and changes in mood such as anxiety, confusion, or nervousness. These are typically listed in the psychiatric or nervous system categories of the side effect profile.


Q: If Muvik is used for a long time, does its effectiveness decrease (tolerance)?

A: Studies indicate that prolonged use of Muvik may potentially lead to the development of drug tolerance. This means that the regulatory information notes this potential for a higher dose to be needed to achieve the same level of symptomatic relief.


Q: What is the role of Muvik in combination therapy with other medicines?

A: The injectable form of Muvik is approved for use alone or in combination with non- NSAID analgesics for pain management. For chronic conditions like rheumatoid arthritis, it is typically used in conjunction with other long-term disease-modifying treatments.


Q: Why is Muvik generally taken once a day (or twice a day)?

A: Muvik is generally taken once a day because it has a long elimination half-life, typically ranging from 15 to 20 hours. This allows the therapeutic dose to remain effective throughout a full 24-hour dosing interval, which is desirable for the management of chronic conditions.


Q: Are there different strengths of Muvik available, and what do they indicate?

A: Muvik is available in different strengths, such as 7.5 mg and 15 mg oral tablets, and a 30 mg solution for injection. These strengths indicate the amount of active ingredient and are used to provide the lowest effective dose for a patient's specific condition.

How should Muvik be stored and disposed of?

Muvik (meloxicam) must be stored and disposed of according to official regulatory requirements to ensure product integrity and public safety.

Storage Requirement Conditions
Temperature Store tablets at controlled room temperature (20 C–25 C); the solution for injection must be protected from freezing.
Environment The medicine must be protected from moisture and excessive heat.
Container Keep the medication in the original container and ensure the container is tightly closed.
Child Safety Keep out of the sight and reach of children and pets.

For disposal, do not flush unused or expired meloxicam down the toilet or pour it down the sink. The preferred method is to use an authorized drug take-back program. If a take-back program is unavailable, unused tablets can be mixed with an unappealing substance (like dirt or coffee grounds), placed in a sealed bag or container, and disposed of in the household trash.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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