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What the FDA labels say about taking them together

Diclofenac and piroxicam

Piroxicam's FDA label of August 19, 2026 names diclofenac in its drug interactions section; diclofenac's label does not name piroxicam itself but warns about its class (NSAIDs (nonsteroidal anti-inflammatory drugs)).

Check it at the source: the diclofenac FDA label on DailyMed (effective February 11, 2025, Haleon US Holdings LLC); the piroxicam FDA label on DailyMed (effective August 19, 2026, Teva Pharmaceuticals USA, Inc.).

What does the diclofenac label say about piroxicam?

Diclofenac's label does not name piroxicam itself; it warns about its class (NSAIDs (nonsteroidal anti-inflammatory drugs)):

Diclofenac label, boxed warning

This risk may occur early in the treatment and may increase with duration of use ( 5.1 ) LICART is contraindicated in the setting of coronary artery bypass graft (CABG) surgery. ( 4 , 5.1 ) NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal.

Diclofenac label, boxed warning

Gastrointestinal Bleeding, Ulceration, and Perforation NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal.

Source: FDA drug label (Voltaren Arthritis Pain), Haleon US Holdings LLC, effective February 11, 2025 (SPL set 30a94282-0892-442a-aa10-6525cbd4fe88), via openFDA; the full label on DailyMed

What does the piroxicam label say about diclofenac?

Piroxicam label, drug interactions

NSAIDs with short elimination half-lives (e.g., diclofenac, indomethacin) should be avoided for a period of two days before, the day of, and two days following administration of pemetrexed.

Source: FDA drug label (Piroxicam), Teva Pharmaceuticals USA, Inc., effective August 19, 2026 (SPL set f1123fe1-b79c-430b-8548-08cd6e518482), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

149Diclofenac generic labelers
10Piroxicam generic labelers
DiclofenacPiroxicam
Labeled forPain, Osteoarthritis, Rheumatoid arthritis, MigraineOsteoarthritis, Rheumatoid arthritis
Boxed warningYesYes
Pharmacy cost (NADAC)$0.0619 per tablet 75 mg tablet$0.215 per capsule 20 mg capsule
Shortage nowA presentation being discontinuedNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?