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piroxicam (piroxicam, Douglas)

✓ Approved

Douglas Pharmaceuticals Limited · PTGS1 · Small Molecule

What is piroxicam?

piroxicam is a small molecule developed by Douglas Pharmaceuticals Limited. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand Namespiroxicam, Douglas
CompanyDouglas Pharmaceuticals Limited
Drug ClassSmall Molecule
Molecular TargetPTGS1, PTGS2
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

piroxicam acts on 2 molecular targets:

PTGS1prostaglandin-endoperoxide synthase 1 (COX3, PCOX1)
PTGS2prostaglandin-endoperoxide synthase 2 (GRIPGHS, hCox-2)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

piroxicam is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Hepatobiliary disordersHepatitis✓ Approved

Related Research Articles

PubMedJournal of visualized experiments : JoVE2026-08-18

A Model of Piroxicam-Accelerated Enterocolitis in Interleukin-10 Knockout Mice for Studying Inflammation-Induced Metabolic Alterations.

Ranjan Mihir M, Williams Justin J, Peng Lan L, Burstein Ezra E et al.

Inflammatory bowel disease (IBD) is a chronic inflammatory disorder of the digestive tract affecting over 10 million individuals globally. While substantial research has focused on the immunologic mechanisms and consequences underlying IBD, less is understood about how mucosal inflammation contributes to metabolic dysregulation, including weight loss and reduced appetite. Here, the authors describe a mouse model of piroxicam-accelerated enterocolitis in interleukin-10-knockout (IL-10-KO) mice to study inflammation-induced metabolic dysregulation. IL-10-KO mice are known to develop spontaneous enterocolitis and have heightened susceptibility to enterocolitis triggered by infections or drugs. However, vivarium conditions and strain background have been reported as confounders in colitis development in this model. Piroxicam, a non-steroidal anti-inflammatory drug (NSAID), has been demonstrated to trigger or accelerate enterocolitis in animal models by increasing mucosal exposure to luminal bacteria. In this protocol, male and female IL-10-KO mice were fed a piroxicam-fortified diet in place of a regular chow diet. Food intake and body weight were measured daily to reflect whole-body metabolic alterations, along with clinical manifestations of enterocolitis such as diarrhea and rectal bleeding. The protocol is efficient and reproducible, inducing enterocolitis simultaneously in multiple mice, and allows assessment of metabolic dysregulation in an inflammatory bowel disease model. Further studies using this protocol may investigate the effects of enterocolitis on other components of metabolic dysregulation, such as energy expenditure and body composition, revealing broader connections between inflammatory bowel disease and host metabolism.

PubMedInflammopharmacology2026-08-17

Evaluation of anti-arthritic activity of aripiprazole through multi models: new potential of an old drug.

Akber Aroosa A, Alamgeer, Irfan Hafiz Muhammad HM, Nawaz Shoaib S

This study was conducted to investigate the anti-arthritic effect of three different doses of aripiprazole based on its previously reported anti-inflammatory activity. Aripiprazole, an atypical antipsychotic, has been used in the present study in animal models. Histamine model was used to verify the documented property of aripiprazole to treat inflammation. In-silico evaluation included molecular docking that was done by Auto-Dock of Chemical Computing Group. In-vitro studies involved heat evoked BSA protein degradation and egg albumin degradation and maintenance of human RBCs membrane test, whereas in-vivo studies encompassed, formaldehyde evoked arthritis & CFA evoked arthritis. Acute histamine model was carried out for four hours. Formaldehyde provoked arthritic disease in Sprague Dawley rats was studied to appraise anti-arthritic action of three respective doses of aripiprazole at 5 mg/kg, 10 mg/kg and 15 mg/kg oral dose for 10 days while the time period for study of same activity was twenty eight days with Complete Freund adjuvant and diameter of rat hind paw, arthritic index, body weight, radiological and histopathological investigation of ankles joints were performed. Variety of inflammation causing bio-markers (interleukin-1β, interleukin-6, nuclear factor-Kβ, tumor necrosis factor-α, Cox-2, interleukin-4, interleukin-10 and PGE2) had been investigated by real time-polymerase chain reaction and ELISA. Aripiprazole significantly suppressed paw edema in acute inflammatory model of histamine at dose of 15 mg/kg of aripiprazole showed significant (p < 0.0001) prevention of paw edema showing percentage inhibition of (56.10%) and diameter of 3.13 mm (± 0.046). Molecular docking analysis disclosed that aripiprazole shows binding interactions with TNF-alpha, IL6, IL-1β, NF- κB and Cox-2. It was evaluated in this study that aripiprazole showed inhibition of protein degradation and stability of human red blood cell membrane in concentration gradient manner, demonstrating maximum activity at concentration of 6400 µg/ml. Similarly, considerable (****p < 0.0001) prevention in hind paw edema and arthritic score had been shown at dose of 15 mg/kg in arthritic models that was interestingly greater than piroxicam. aripiprazole suppressed increase in paw diameter in dose dependent manner. 15 mg/kg of aripiprazole showed significant (****p < 0.0001) suppression of in paw edema showing percentage inhibition (64.14%) and paw diameter of 2.94 mm (± 0.044) in formaldehyde provoked arthritic model. Administration of 15 mg/kg of aripiprazole in CFA induced arthritic model presented significant (****p < 0.0001) suppression in paw edema showing percentage inhibition (70.58%) that was interestingly greater then piroxicam and paw diameter of 3.5 mm (± 0.105) and aripiprazole 15 mg/kg has significantly (****p < 0.0001) reduced arthritic score with suppression of edema confirmed by arthritic score 1 (± 0.00) recorded on 28th day of model. Aripiprazole had recovered body weight alteration in CFA induced arthritic model (****p < 0.0001), Radiographic and histopathological investigation displayed no substantial architectural variations in joints of rats that were given treatment. Inflammatory genes IL-1β, TNF-α, IL-6, Cox-2, NF-Kβ and PGE2 were down regulated together with remarkable rise in expression of interleukin-4 and interleukin-10 in treated animals had been revealed by aripiprazole. Significant (****p < 0.0001) downregulation of levels of PGE2 of 222.055 ng/ml (± 4.760) was detected at highest dose of aripiprazole 15 mg/kg. Whereas, a significant (****p < 0.0001) down-regulation of fold change of NF- κB, IL-1β, TNF-α, IL-6, Cox-2 in dose dependent manner was shown by aripiprazole. Above stated results strongly claims that aripiprazole is an effective anti-arthritic therapy as verified through molecular docking, in-vitro and in-vivo assessment and via down regulating pro-inflammatory markers and up regulation of anti-inflammatory cytokines and can be thought to be an appropriate option to repurpose the drug as anti-arthritic agent.

PubMedGalen medical journal2026-08-17

Comparing the Effect of Subcutaneous and Intradermal Mesotherapy on Pain and Function in Knee Osteoarthritis: A Randomized Clinical Trial : Short title: Subcutaneous vs. Intradermal Mesotherapy in Knee Osteoarthritis.

Taheri Parisa P, Sadri Soroush S, Behroozinia Maryam M

Knee osteoarthritis (KOA) is the most common form of osteoarthritis and is associated with pain and functional impairment. Mesotherapy, which involves localized intradermal or subcutaneous injection of active agents, may provide targeted pain relief. This study aimed to compare the effects of intradermal and subcutaneous mesotherapy on pain and function in patients with KOA. A single-center, randomized, assessor-blinded clinical trial was conducted in Isfahan, Iran, between 2023 and 2024 among patients with mild-to-moderate KOA. Each patient received six sessions of intradermal or subcutaneous piroxicam-lidocaine mesotherapy at six acupuncture points over three weeks (two sessions per week). Pain and function were assessed at baseline, immediately after treatment, and one month after treatment. Statistical analyses included chi-square tests for qualitative variables, independent-samples t-tests for quantitative variables, and repeated-measures analysis of variance to assess changes over time. Statistical significance was set at P<0.05. A total of 50 patients were included. The demographic characteristics and baseline pain and function scores did not differ significantly between the two groups. At the one-month follow-up, the intradermal group showed significantly greater improvement, with a mean difference in pain score reduction of 1.6 points (95% CI: 0.57 to 2.67, P=0.003) compared to the subcutaneous group. For dysfunction scores, the intradermal group demonstrated immediate post-treatment benefits (mean difference: 9.4 points, 95% CI: 1.36 to 17.44, P=0.02), with sustained improvement at the one-month post-treatment follow-up (mean difference: 15.5 points, 95% CI: 7.95 to 23.01, P<0.001). Repeated measures ANOVA showed that pain and dysfunction scores significantly changed over time in both groups (P<0.001). Both subcutaneous and intradermal mesotherapy appeared to be effective short-term treatments for patients with KOA. However, intradermal mesotherapy demonstrated greater effectiveness at the one-month follow-up, with superior pain reduction and functional improvement compared with subcutaneous mesotherapy.

PubMedBiomolecules & biomedicine2026-08-15

Sabinene attenuates inflammation and oxidative stress in CFA-induced arthritis: In vivo and in silico evidence implicating TLR4/NLRP3/NF-κB signaling.

Asif Kanwal K, Uttra Ambreen Malik AM, Shabbir Arham A, Qasim Sumera S et al.

Rheumatoid arthritis (RA) is a chronic immune-mediated disease in which persistent inflammation and oxidative stress contribute to progressive joint damage. This study evaluated the prophylactic effects of sabinene in complete Freund's adjuvant (CFA)-induced arthritis and explored potential molecular associations using integrated in vivo and computational approaches. Rats were allocated to vehicle control, arthritic control, piroxicam, or sabinene groups (15, 30, or 60 mg/kg; n = 6/group); sabinene was administered orally beginning 30 minutes before CFA injection and continued for 28 days. Paw swelling, hematological and biochemical parameters, inflammatory and oxidative-stress markers, and gene expression were assessed, followed by network pharmacology, enrichment analysis, and molecular docking. Sabinene dose-dependently attenuated CFA-induced paw swelling and body-weight loss and improved hematological, hepatic, renal, and inflammatory parameters. Treatment also enhanced antioxidant defenses and reduced lipid peroxidation, prostaglandin E₂, 5-lipoxygenase, and anti-cyclic citrullinated peptide antibody levels. Sabinene reduced messenger RNA expression of nuclear factor kappa B (NF-κB), toll-like receptor 4 (TLR4), NOD-like receptor family pyrin domain-containing 3 (NLRP3), caspase-1, gasdermin D, and other pro-inflammatory genes while increasing interleukin-4 and interleukin-10 expression. Network pharmacology identified 133 overlapping sabinene-RA targets, and molecular docking predicted interactions with tumor necrosis factor alpha (TNF-α), interleukin-6 (IL-6), signal transducer and activator of transcription 3 (STAT3), and interferon gamma (IFN-γ). These findings support a prophylactic protective effect of sabinene against CFA-induced arthritis associated with reduced inflammation, improved antioxidant status, and modulation of inflammasome-related gene expression. Further protein-level, functional, and post-induction studies are required to confirm the proposed mechanisms and therapeutic relevance.

PubMedMedicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina2026-08-13

Comparative effects of topically applied diclofenac, ketoprofen, and piroxicam on interleukin-17, signal transducer and activator of transcription 3, and prostaglandin E2 levels in a rat model of collagen-induced arthritis.

Maleskic Kapo Sanita S, Burnazovic Ristic Lejla L, Dervisevic Emina E, Čamdžić Nina N et al.

To evaluate and compare the effects of topically applied diclofenac, ketoprofen, and piroxicam on key inflammatory mediators, including interleukin-17 (IL-17), prostaglandin E2 (PGE2), and signal transducer and activator of transcription 3 (STAT3), in a rat model of collagen-induced arthritis (CIA). Thirty male Wistar rats were assigned to five groups: three experimental groups receiving topical diclofenac, ketoprofen, or piroxicam, respectively, a positive control group receiving a placebo patch, and a negative control group without collagen injection. CIA was induced using bovine type II collagen and incomplete Freund's adjuvant, with arthritis severity assessed through macroscopic scoring. NSAID patches were applied to the right hind paw for 6 hours daily over 5 days. Immunological parameters were quantified via enzyme-linked immunosorbent assay (ELISA). Statistical analysis included ANOVA, Kruskal-Wallis, and mixed-effects models to evaluate drug effects over time. A significant difference was observed in tissue PGE₂ levels (F(4,25) = 4.235; p=0.009; η² = 0.404), with diclofenac showing significantly lower values compared to the negative control and ketoprofen groups, while no significant differences were found for IL-17 or STAT3. Topical NSAIDs demonstrated selective anti-inflammatory effects, primarily through significant suppression of tissue PGE₂, confirming effective local COX pathway inhibition. The absence of significant changes in IL-17 and STAT3 suggests that short-term topical therapy mainly targets prostaglandin-mediated inflammation rather than upstream cytokine or transcriptional pathways involved in rheumatoid arthritis pathogenesis, warranting further investigation into their long-term therapeutic benefits.

PubMedDermatology and therapy2026-08-13

Oral Retinol, Alone or Combined with Medical Photoprotection, in Patients with Actinic Keratosis: A Randomized, Open-Label, Prospective, Multicentric Study.

Ardigò Marco M, Burlando Martina M, Campione Elena E, Nazzaro Gianluca G et al.

Actinic keratosis (AK) is a chronic ultraviolet-induced condition with potential progression to squamous cell carcinoma. This study assessed the efficacy and tolerability of oral retinol, alone or combined with broad-spectrum medical photoprotection containing piroxicam, in patients with mild-to-moderate AK. In this multicenter, prospective, randomized, open-label study, 117 patients with up to six AK lesions were assigned to oral retinol 50,000 international units (IU)/day (group A), oral retinol plus medical photoprotection (group B), or standard photoprotection recommendations (group C). Treatment lasted 6 months, followed by 3 months of follow-up. Assessments were performed at baseline and at months 3, 6, and 9. The primary endpoint was change in Actinic Keratosis Area and Severity Index (AKASI). Secondary outcomes included global clinical efficacy, lesion clearance, tolerability, and exploratory line-field confocal optical coherence tomography findings. All 117 patients were included in the intention-to-treat analysis, and 99 in the per-protocol analysis. AKASI scores decreased significantly in group A at month 6 by - 19.3% (mean difference (MD) 0.61, 95% confidence interval (CI) 0.11-1.11; p < 0.05) and at month 9 by - 22.5% (MD 0.71, 95% CI 0.18-1.25; p < 0.01). In group B, significant reductions were observed at all time points (T3: - 24.1%; MD 0.90, 95% CI 0.42-1.39; p < 0.0001; T6: - 34.9%; MD 1.31, 95% CI 0.86-1.76; p < 0.0001; T9: - 38.8%; MD 1.45, 95% CI 0.95-1.95; p < 0.0001). No significant changes occurred in group C. Reductions were earlier and greater with the combined strategy. Global clinical efficacy was rated good or very good in 69% of patients in group A and 88% in group B, while lesion clearance rates were 56% and 82%, respectively. Tolerability was generally good, and no treatment-related adverse events were formally recorded. In the imaging substudy, significant reductions in epidermal and stratum corneum thickness occurred only in group B. Oral retinol combined with medical photoprotection was associated with earlier and greater improvements than oral retinol alone or standard photoprotection recommendations. These findings support further controlled studies to confirm efficacy and clarify the contribution of each intervention. Trial registration number ISRCTN42565762, retrospectively registered on 18 May 2026.

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