Skip to main content

Two medicines, side by side

Meloxicam vs hydrocodone

Meloxicam and hydrocodone are both labeled for pain. Drugs@FDA records approvals of meloxicam since 2000 and of hydrocodone since 2013. Pharmacies paid $0.0166 per meloxicam 7.5 mg tablet and $7.95 per hydrocodone ER 15 mg capsule (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Hydrocodone's other strengths are brand-only: $13.31 per Hysingla ER 20 mg tablet. In FDA's classes, meloxicam is a nonsteroidal anti-inflammatory drug and hydrocodone an opioid agonist.

Check it at the source: the meloxicam FDA label on DailyMed (effective January 29, 2026); the hydrocodone FDA label on DailyMed (effective May 29, 2026).

Highlights of the meloxicam record

Meloxicam (Mobic) · label of January 29, 2026

Boxed warning

RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS Cardiovascular Thrombotic Events Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal. This risk may occur early in treatment and may increase with duration of use [see Warnings and Precautions (5.1)].

Used for

From the label: indications

INDICATIONS AND USAGE Meloxicam tablets are a non-steroidal anti-inflammatory drug indicated for: Osteoarthritis (OA) (1.1) Rheumatoid Arthritis (RA) (1.2) Juvenile Rheumatoid Arthritis (JRA) in patients who weigh ≥60 kg (1.3) 1.1 Osteoarthritis (OA) Meloxicam tablets are indicated for relief of the signs and symptoms of osteoarthritis [see Clinical Studies (14.1)]. 1.2 Rheumatoid Arthritis (RA) Meloxicam tablets […]

On the market

Earliest approval on file
April 13, 2000
Generic labelers
43 labelers
Pharmacy cost
$0.0166 per tablet

Supply and safety

Shortage
No current entry
Recalls
3

Highlights of the hydrocodone record

Hydrocodone (Hysingla) · label of May 29, 2026

Boxed warning

SERIOUS AND LIFE-THREATENING RISKS FROM USE OF HYSINGLA ER Addiction, Abuse, and Misuse Because the use of HYSINGLA ER exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to overdose and death, assess each patient's risk prior to prescribing and reassess all patients regularly for the development of these behaviors and conditions [see Warnings and Precautions (5.1) ].

Used for

From the label: indications

HYSINGLA ER is indicated for the management of severe and persistent pain that requires an opioid analgesic and that cannot be adequately treated with alternative options, including immediate-release opioids. […]

On the market

Earliest approval on file
October 25, 2013
Generic labelers
1 labeler
Pharmacy cost
$7.95 per capsule

Supply and safety

Shortage
No current entry
Recalls
0

Source: FDA drug labels via openFDA (Meloxicam label of January 29, 2026, Hydrocodone label of May 29, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do meloxicam and hydrocodone differ on the record?

In FDA's classes, meloxicam is a nonsteroidal anti-inflammatory drug and hydrocodone an opioid agonist.

How each works, in its label's words: Meloxicam, “The mechanism of action of meloxicam, like that of other NSAIDs, is not completely understood but involves inhibition of cyclooxygenase (COX-1 and COX-2).”; Hydrocodone, “Hydrocodone is a full opioid agonist with relative selectivity for the mu-opioid receptor, although it can interact with other opioid receptors at higher doses.”

Half-life, in each label's words: Meloxicam, “The mean elimination half-life (t 1/2 ) ranges from 15 hours to 20 hours.”; Hydrocodone, “The mean terminal half-life (t 1/2 ) was similar for all HYSINGLA ER dose strengths ranging from 7 to 9 hours.”

Both labels carry a boxed warning; the records quote them.

Generics: meloxicam since 2006; hydrocodone since 2020 (Drugs@FDA).

DEA schedule: meloxicam none; hydrocodone CII.

MeloxicamHydrocodone
Labeled forOsteoarthritis, Rheumatoid arthritis, PainPain
Pharmacologic classNonsteroidal Anti-inflammatory DrugOpioid Agonist
How it works (label)Meloxicam has analgesic, anti-inflammatory, and antipyretic properties. The mechanism of action of meloxicam, like that of other NSAIDs, is not completely understood but involves inhibition of cyclooxygenase (COX-1 and COX-2).Hydrocodone is a full opioid agonist with relative selectivity for the mu-opioid receptor, although it can interact with other opioid receptors at higher doses. The principal therapeutic action of hydrocodone is analgesia.
Half-life (label)The mean elimination half-life (t 1/2 ) ranges from 15 hours to 20 hours.The mean terminal half-life (t 1/2 ) was similar for all HYSINGLA ER dose strengths ranging from 7 to 9 hours.
Earliest approval on file (Drugs@FDA)April 13, 2000October 25, 2013
First generic approvedJuly 19, 2006January 21, 2020
Generic labelers (NDC)43 labelers1 labeler
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0166 per tablet (Meloxicam 7.5 mg tablet)$7.95 per capsule (Hydrocodone ER 15 mg capsule)
12-month price change+0.8%+34%
Boxed warningYesYes
Shortage nowNo current entryNo current entry
Recalls recorded30
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)57,75743,191
DEA schedulenoneCII

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Hydrocodone label, warnings and precautions

Use with Benzodiazepines or Other CNS Depressants Profound sedation, respiratory depression, coma, and death may result from the concomitant use of HYSINGLA ER with benzodiazepines and/or other CNS depressants, including alcohol (e.g., non-benzodiazepine sedatives/hypnotics, anxiolytics, tranquilizers, muscle relaxants, general anesthetics, antipsychotics, gabapentinoids [gabapentin or pregabalin], and other …

Source: FDA drug labels via openFDA

What next?

Alternatives to meloxicam
every medicine labeled for the same conditions