Meloxicam (Mobic)
Preferential COX-2 inhibitor (enolic acid NSAID). Long half-life allows once-daily dosing. At therapeutic doses, more COX-2 selective than traditional NSAIDs, offering some GI protection — though less selective than celecoxib. One of the most prescribed NSAIDs globally for osteoarthritis and rheumatoid arthritis. Hepatically metabolized by CYP2C9; renal excretion of metabolites. 89% oral bioavailability.
Projected serum levels — 7.5 mg, once daily
Maintenance schedule: 7.5 mg once daily (oral).
Loading schedule: 13.5 mg on day 1, then 7.5 mg once daily — reaching therapeutic levels sooner.
Modeled steady state after ~3 days: peak ≈ 10.1 mg, trough ≈ 5.3 mg body load. Population-based estimate over 15 days for a 7.5 mg dose at a 70 kg reference body mass — the interactive app scales curves to your doses, timing, and body mass.
Key facts
- Category
- Analgesic
- Route modeled
- Oral
- Model confidence
- inferred
- Half-life
- 20 h
- Common dose
- 7.5 mg
- Suggested maximum
- 15 mg/day
- Reference dose range
- 3.8–15 mg (single dose)
- Suggested cadence
- once daily
- Validated against
- 15 mg oral — Cmax 2 mg/L at 5 h
Documented interactions
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danger
Carbamazepine (Tegretol) + Meloxicam (Mobic)
Carbamazepine (Tegretol) inducer of CYP2C9 predicted to change Meloxicam (Mobic) AUC by ~0.46x
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danger
CBD (Cannabidiol) + Meloxicam (Mobic)
CBD (Cannabidiol) reversible_inhibitor of CYP2C9 predicted to change Meloxicam (Mobic) AUC by ~2.20x
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danger
Efavirenz (Sustiva) + Meloxicam (Mobic)
Efavirenz (Sustiva) inducer of CYP3A4 predicted to change Meloxicam (Mobic) AUC by ~0.39x
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danger
Fluconazole + Meloxicam (Mobic)
Fluconazole reversible_inhibitor of CYP2C9 predicted to change Meloxicam (Mobic) AUC by ~2.20x
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danger
Fluvoxamine (Luvox) + Meloxicam (Mobic)
Fluvoxamine (Luvox) reversible_inhibitor of CYP2C9 predicted to change Meloxicam (Mobic) AUC by ~2.20x
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danger
Levothyroxine (Synthroid) + Meloxicam (Mobic)
Meloxicam (Mobic) may displace Levothyroxine (Synthroid) from plasma protein binding sites, transiently raising free drug concentration. This drug has a narrow therapeutic index; free concentration…
Serum checks 220 modeled interaction pairings for meloxicam (mobic) across your whole stack — absorption conflicts, enzyme inhibition, and nutrient depletion included.
Research behind this entry
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Meloxicam: a review of its pharmacology and clinical efficacy in osteoarthritis
Large review of clinical trials confirming meloxicam 7.5-15 mg/day is as effective as diclofenac and piroxicam for osteoarthritis pain with 40-50% fewer GI adverse events.
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Clinical pharmacokinetics of meloxicam: a review
PK review establishing meloxicam half-life of 20 hours, 89% bioavailability, 99.4% protein binding, CYP2C9 metabolism, and steady-state achievement in 3-5 days with once-daily dosing.
2 published studies referenced in the app, each with a plain-language summary.