Dolcum 20mg Injection

Last Updated: March 27th, 2026

Dolcum 20mg Injection is a product of Dolvis Bio Pharma Pvt Ltd

Composition: Piroxicam (20mg)

₹ 23.44

Note: MRP can vary depending up on batch!

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All Details About Dolcum 20mg Injection

Find out detailed description, uses, directions of use, side effects, warnings and precautions, frequently asked questions about Dolcum 20mg Injection

Description:

Dolcum 20mg Injection is a pain-relieving medicine. It is used in the treatment of moderate to severe pain. It helps to relieve pain and swelling of various conditions related to joints and muscles. It is usually given in cases where oral administration is unsuitable.

Dolcum 20mg Injection is generally administered by a healthcare professional. You should not self-administer this medicine at home. The dose and duration will depend on what you are taking it for and how well it helps your symptoms. You should keep receiving the medicine until the doctor says it is okay to stop using the medicine.

The most common side effects of this medicine include injection site reactions (such as pain, redness, and swelling), vomiting, stomach pain, indigestion, diarrhea, headache, and dizziness. If any of these side effects persist or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms.

Earlier using it, you should let your doctor know if you have a history of stomach ulcers, heart diseases, high blood pressure, and liver or kidney disease. Let your doctor also know about all the other medicines you are taking because they may affect, or be affected by, this medicine.

This medicine is not recommended for pregnant or breastfeeding women. Pregnant and breastfeeding mothers must consult with their doctors before using the medicine. Your doctor may also regularly monitor your kidney function, liver function, and levels of blood components if you are taking this medicine for long-term treatment.

Uses:

Pain relief

Directions For Use:

Your doctor or nurse will give you this medicine. Compassionately do not self administer.

Side Effects:

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Ordinary side effects of Dolcum

Injection site reactions (pain, swelling, redness)
Vomiting
Stomach pain
Nausea
Headache
Dizziness

Warning & Precautions:

Alcohol

CAUTION

Alcohol should be used with caution while taking Dolcum 20mg Injection.

Pregnancy

CONSULT YOUR DOCTOR

Dolcum 20mg Injection is not recommended during pregnancy as there is positive evidence of fetal risk based on animal studies. However, it may still be prescribed by a doctor in situations where the benefits outweigh the risks.

Breast feeding

CONSULT YOUR DOCTOR

Dolcum 20mg Injection may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor.

Driving

UNSAFE

Dolcum 20mg Injection may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Dolcum 20mg Injection should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.

Liver

CAUTION

Dolcum 20mg Injection should be used with caution in patients with liver disease. Dose adjustment may be needed.

FAQs:

What is the difference between Dolcum 20mg Injection and diclofenac?

Both Dolcum 20mg Injection and diclofenac are pain killers. However, piroxicam is a non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain) inhibitor whereas diclofenac has a bit more selectivity to a COX-2 enzyme. This selectivity of diclofenac is supposed to decrease the side effects as compared to Dolcum 20mg Injection.

What is the difference between Dolcum 20mg Injection and naproxen?

Both Dolcum 20mg Injection and naproxen are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, gastric side effects are lesser with naproxen as compared to Dolcum 20mg Injection.

What is the difference between Dolcum 20mg Injection and meloxicam?

Both Dolcum 20mg Injection and meloxicam are pain killers. Both are non-selective COX (cyclooxygenase - an enzyme responsible for inflammation and pain). Research studies have shown both are equally effective. However, acute gastric side effects are lesser with meloxicam as compared to Dolcum 20mg Injection.

What is the difference between Dolcum 20mg Injection and ketoprofen?

Both Dolcum 20mg Injection and ketoprofen are pain killers. Both are non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain). Research studies have shown ketoprofen topical gel is better and effective as compared to Dolcum 20mg Injection. Ketoprofen gel also showed excellent tolerability.

What is the difference between Dolcum 20mg Injection and tramadol?

Dolcum 20mg Injection is a COX (cyclooxygenase -an enzyme responsible for inflammation and pain) whereas Tramadol is a narcotic-like painkiller. Tramadol is a habit forming medicine.

What is the difference between Dolcum 20mg Injection and nimesulide?

Both Dolcum 20mg Injection and nimesulide are pain killers. However, Dolcum 20mg Injection is a non-selective COX (cyclooxygenase -an enzyme responsible for inflammation and pain) inhibitor whereas nimesulide is selective to the COX-2 enzyme. This selectivity of nimesulide is supposed to decrease the side effects as compared to piroxicam. It should not be used in children below 12 years of age.

Can Dolcum 20mg Injection be used in the treatment of chikungunya?

Usually, the platelet count does not dip in cases of chikungunya and painkillers like piroxicam can lead to the risk of increased bleeding tendency. So refrain from taking Dolcum 20mg Injection or any painkiller in the case of any fever with joint pain. Consult your doctor before starting Dolcum 20mg Injection.

Are Dolcum 20mg Injection and aspirin same?

No. Dolcum 20mg Injection and aspirin are not same. They belong to the same class of drugs known as COX (cyclooxygenase) inhibitors. They both are anti-inflammatory and analgesic.

Can Dolcum 20mg Injection be used along with dexamethasone?

No. Dolcum 20mg Injection should not be used with dexamethasone. They both increase each other's toxicity. There is an increased risk of GI ulceration.

Can Dolcum 20mg Injection be used with methocarbamol?

Affirmative. Methocarbamol can be used with Dolcum 20mg Injection as no serious side effects are known. Inform your doctor before starting any of the medication.

Can Dolcum 20mg Injection be used along with paracetamol?

Affirmative. Paracetamol can be used with Dolcum 20mg Injection as no serious side effects are known. Inform your doctor before starting any of the medication.

Is Dolcum 20mg Injection a NSAID?

Affirmative. Dolcum 20mg Injection is a non-steroidal anti-inflammatory drug (NSAID).

Is Dolcum 20mg Injection a sulfa drug?

Dolcum 20mg Injection is a sulphur containing compound. Dolcum 20mg Injection can cause serious adverse events in sensitive individuals. It can cause severe skin reactions like Steven Johnson Syndrome. Do inform your doctor if you have any kind of allergies.

Is Dolcum 20mg Injection a blood thinner?

No. Dolcum 20mg Injection is not a blood thinner. It is a pain killer. It should be avoided in a patient with a bleeding disorder.

Is Dolcum 20mg Injection a muscle relaxant?

No. Dolcum 20mg Injection is not a muscle relaxant. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme.

Is Dolcum 20mg Injection a narcotic?

No. Dolcum 20mg Injection is not a narcotic. It is a pain killer which acts on COX (cyclooxygenase -an enzyme responsible for inflammation and pain) enzyme to decrease the pain and inflammation.

Can Dolcum 20mg Injection be used in hypertension?

No. Dolcum 20mg Injection is not a medication to control hypertension. It is important to note that Dolcum 20mg Injection decreases the effectiveness of the antihypertensive medication when given together. Inform your doctor if you are taking antihypertensive medications before starting Dolcum 20mg Injection.

Can Dolcum 20mg Injection be used along with Losartan?

No. Dolcum 20mg Injection should not be combined with Losartan. It is important to note that Dolcum 20mg Injection decreases the effectiveness of the antihypertensive medication like losartan when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Dolcum 20mg Injection.

Can Dolcum 20mg Injection be used with Lisinopril?

No. Dolcum 20mg Injection should be avoided with lisinopril. It is important to note that piroxicam decreases the effectiveness of the antihypertensive medication like lisinopril when given together leading to failure of antihypertensive therapy. Inform your doctor if you are taking antihypertensive medications before starting Dolcum 20mg Injection.

Can Dolcum 20mg Injection be used with calcium channel blocker?

Affirmative. Dolcum 20mg Injection can be taken with calcium channel blocker. NSAIDs have been observed to reduce the effectiveness of all antihypertensive drugs except calcium channel blockers (ref: White 2007)

Can Dolcum 20mg Injection be used with Tizanidine?

Affirmative, Dolcum 20mg Injection can be combined with tizanidine. Piroxicam is a pain killer and tizanidine is a skeletal muscle relaxant. It is used in the condition like a backache.

Why is beta cyclodextrin added to Dolcum 20mg Injection?

Affirmative. Dolcum 20mg Injection can be combined with beta-cyclodextrin. Research has shown that combining Dolcum 20mg Injection with beta-cyclodextrin leads to faster onset of action of piroxicam and reduced gastric side effects.

Are there any alternatives of Dolcum 20mg Injection?

Affirmative. There are alternatives to Dolcum 20mg Injection. Pain killers are prescribed according to the disease condition. Consult your doctor before starting piroxicam or changing it to other medication.

What are the contraindications for Dolcum 20mg Injection?

Contraindications to piroxicam are an allergy, bleeding tendency, duodenal/gastric/peptic ulcer, stomatitis, Systemic Lupus Erythematosus (SLE), ulcerative colitis, upper GI disease, late pregnancy, cardiac disease, hepatic impairment, renal impairment.

Can Dolcum 20mg Injection be used in the treatment of allergy?

No. Dolcum 20mg Injection is not a drug to treat allergy. It is a pain killer.

How long does Dolcum 20mg Injection work?

Dolcum 20mg Injection is a long acting drug. Once the daily dose is enough for the relief of pain but it depends from person to person as the effectiveness of piroxicam increases when given for few weeks.

Can you get high by using Dolcum 20mg Injection?

No. Dolcum 20mg Injection is not known to cause high. It is a non-narcotic painkiller.

Can Dolcum 20mg Injection be used to treat menstrual cramp?

Dolcum 20mg Injection is not approved for the treatment of menstrual cramps. Research studies have shown that piroxicam is quite effective in significantly decreasing the menstrual cramps.

Can I use Dolcum 20mg Injection for a migraine?

Dolcum 20mg Injection is not approved for the treatment of migraine. Research studies have shown that Dolcum 20mg Injection is effective in significantly decreasing the pain associated with migraine without aura.

Is Dolcum 20mg Injection effective in back pain management?

Affirmative. It can be given for decreasing the back pain. However, you should consult your doctor for the exact cause of your back pain and then start the treatment. Do not self-medicate yourself with Dolcum 20mg Injection as the cause of back pain can be different for different person.

Is Dolcum 20mg Injection affective in gout management?

Affirmative. Dolcum 20mg Injection can be given for the treatment of acute gout. Research studies have shown Dolcum 20mg Injection to be highly effective in the treatment of acute gout.

Can you donate blood when on the medication with Dolcum 20mg Injection?

Affirmative. You can donate blood when on Dolcum 20mg Injection. Do inform your doctor before donating blood.

Can I use Dolcum 20mg Injection if I am a diabetic?

Dolcum 20mg Injection in a diabetic patient can only be taken only by consulting a doctor because these medicines have the propensity to cause renal failure when taken for a long period. Diabetes itself causes renal Dolcum 20mg Injection so taking piroxicam can lead to increased risk of renal failure by many folds.

Can I use Dolcum 20mg Injection if I have a deranged renal function?

No. Dolcum 20mg Injection should not be taken if you have a abnormal renal function because long-term administration of NSAIDs has resulted in renal papillary necrosis and another renal injury.

Can Dolcum 20mg Injection lead to skin reactions?

Affirmative. Dolcum 20mg Injection is known to cause skin reactions which can be very severe such as exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. These serious events may occur without warning. You should inform your doctor if you feel you have a mild rash and immediately discontinue the drug.

Can I use Dolcum 20mg Injection if I am pregnant?

No. Dolcum 20mg Injection should not be taken in pregnancy. It causes premature closure of the ductus arteriosus which can lead to fetal heart failure and death of the baby.

Can I use Dolcum 20mg Injection if I have peptic ulcer disease?

No. Dolcum 20mg Injection is contraindicated in cases of active peptic ulcer disease. Dolcum 20mg Injection is known to cause gastric ulceration and bleeding.

Can I use Dolcum 20mg Injection if I have asthma?

Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory (NSAID) drugs like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.

Can Dolcum 20mg Injection lead to difficulty in conception?

Affirmative. Dolcum 20mg Injection can sometimes cause reversible infertility. Piroxicam by its mechanism of action may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.

Can Dolcum 20mg Injection be used with diuretics?

No. Dolcum 20mg Injection should not be used with diuretics. Dolcum 20mg Injection reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.

Can Dolcum 20mg Injection be used with lithium?

No. Dolcum 20mg Injection should not be used with lithium. Dolcum 20mg Injection leads to an elevation of plasma lithium levels and a reduction in renal lithium clearance. This is because of inhibition of renal prostaglandin synthesis by the NSAID. Consult and inform your doctor before starting this medication.

Can Dolcum 20mg Injection be used with warfarin?

No. Dolcum 20mg Injection should be avoided with warfarin as they both lead to increase in bleeding tendencies. Inform your doctor if you are taking any of the medications. If given together then the therapy should be monitored closely.

What increases the chances of getting a gastric ulcer when I am already taking Dolcum 20mg Injection?

The chances of gastric ulceration increases if you take medicines like corticosteroids and anticoagulants. Long term use, alcohol, smoking and old age are few other factors which can increase the chances of ulceration.

Who should not take a Non-Steroidal Anti-Inflammatory Drug (NSAID)/ Dolcum 20mg Injection?

Tolerants who had an asthma attack, hives, or other allergic reaction with aspirin or any other NSAID medicine or for pain right before or after heart bypass surgery.

What are the serious side effects of Dolcum 20mg Injection?

GI discomfort and, rarely, serious GI side effects, such as ulcers and bleeding, serious skin side effects such as exfoliative, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis, liver failure, renal damage.

Written by:
Dr. T. Sharmila Krishna
M.B.B.S., MD (Biochemistry)

Reviewed by:
Dr. Sureshbabu Yadav
M.B.B.S., DIP.DIAB, F.R.S.H

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