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Medically reviewed by Kovalenko Svetlana Olegovna, PharmD. Last updated on 26.06.2023

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Xefo 8 Mg (chlortenoxicam) is a new nonsteroidal anti-inflammatory drug (NSAID) of the oxicam class with analgesic, anti-inflammatory and antipyretic properties. Xefo 8 Mg differs from other oxicam compounds in its potent inhibition of prostaglandin biosynthesis, a property that explains the particularly pronounced efficacy of the drug. Xefo 8 Mg is approved for use in Japan.
Xefo 8 Mg is used to treat acute mild to moderate pain, and to treat pain and inflammation of the joints caused by certain types of rheumatic diseases.
Oral
Pain relief
Adult: 8-16 mg daily. Max: 24 mg daily.
Oral
Osteoarthritis; Rheumatoid arthritis
Adult: 12 mg daily in 2-3 divided doses, up to 16 mg daily if needed.
Parenteral
Pain relief
Adult: 8 mg once or twice daily by IM/IV inj. Max: 24 mg daily.
It is contra-indicated in the following groups of patients those allergic to Xefo 8 Mg, or any of its excipients
Xefo 8 Mg is used in short-term treatment of pain after dental surgery, pain associated with acute sciatica and pain and inflammation in osteoarthritis and rheumatoid arthritis.
Increased Xefo 8 Mg blood conc when given concomitantly with cimetidine. Enhanced effects of anticoagulants, sulfonylureas, methotrexate, ciclosporin, digoxin. Decreased effects of diuretics, ACE inhibitors.
Potentially Fatal: Increased risk of lithium toxicity.
General : Headache, dizziness, somnolence, changes in appetite, increased sweating, loss of weight, oedema, allergic reactions, debility, weight increase.
Central nervous system (CNS): Depression, insomnia.
Eyes : Conjunctivitis, vision disorders.
Gastro-intestinal: Abdominal pain, diarrhoea, dyspepsia, nausea, vomiting, flatulence, dysphagia, constipation, gastritis, dry mouth, stomatitis, gastro-esophageal reflux, peptic ulceration with or without bleeding, esophagitis, haemorrhoidal or rectal bleeding.
Haematological : Anemia, ecchymosis, prolonged bleeding time, thrombocytopenia
Liver: Increased transaminases.
Musculo-skeletal: Cramps in leg, myalgia.
Neurological : Migraine, paraesthesia, taste perversion, tinnitus and tremor.
Respiratory : Dyspnoea, symptoms of irritation in upper respiratory tract.
Skin: Allergic skin reactions such as dermatitis, flushing and pruritis, loss of hair.
Urogenital : Micturition disorders.
Vascular : Palpitations, tachycardia, changes in blood pressure.