If you’re taking meloxicam for arthritis or other inflammatory conditions, you might be concerned about potential side effects, including changes in your weight. While managing chronic pain effectively is crucial for your quality of life, understanding the full spectrum of possible medication effects is equally important to your overall health.

Before adjusting your medication or making significant lifestyle changes, it’s important to understand how meloxicam might influence your weight and what you can do to maintain a healthy balance.

What is Meloxicam?

Meloxicam (sold under brand names like Mobic and Vivlodex) is a prescription medication that belongs to a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs).[1] It works by reducing hormones that cause inflammation and pain in the body. Healthcare providers commonly prescribe meloxicam to treat symptoms of osteoarthritis, rheumatoid arthritis, and various inflammatory conditions.

This medication is available in different forms, including tablets, oral suspension, and capsules, with typical dosages ranging from 7.5 to 15 milligrams daily.[2] Like other NSAIDs such as ibuprofen and naproxen, meloxicam targets inflammation at its source by blocking specific enzymes responsible for producing inflammatory substances in your body.

Unlike over-the-counter NSAIDs, meloxicam requires a prescription and is generally intended for long-term use under medical supervision. It’s specifically designed to provide extended relief from chronic inflammatory conditions while potentially causing fewer gastrointestinal side effects compared to some other NSAIDs.

What Are Some Common Side Effects of Meloxicam?

Meloxicam can cause various side effects that range from mild to severe. While not everyone experiences these effects, it’s important to be aware of potential reactions when taking this medication.

Common side effects of meloxicam typically include:[3]

• Stomach pain or discomfort
• Diarrhea or constipation
• Nausea and indigestion
• Dizziness and headaches
• Upper respiratory infections
• Skin rash or itching
• Gas and bloating
• Mild swelling in the legs or feet

More serious side effects, though less common, require immediate medical attention:[4]

• Severe stomach pain or black stools
• Signs of kidney problems, such as changes in urination
• High blood pressure
• Unexplained weight gain with swelling
• Shortness of breath or difficulty breathing
• Signs of liver problems, like yellowing of skin or eyes
• Vision changes or blurred vision
• Chest pain or irregular heartbeat

Can Meloxicam Cause Weight Gain?

Weight gain is not a direct side effect of meloxicam, but some patients taking this drug may experience fluid retention or edema, which can lead to temporary weight changes.[5] According to the FDA, while meloxicam doesn’t cause significant weight gain, the medication can affect how your body processes and retains fluids.

Healthcare providers note that if you notice sudden weight gain while taking meloxicam, especially when accompanied by swelling in your legs, feet, or hands, this could indicate a serious side effect requiring medical attention. This type of weight gain might signal underlying problems such as heart failure, kidney problems, or liver disease, particularly in patients with pre-existing cardiovascular conditions or those taking blood thinners.

Several factors can influence how meloxicam affects your weight:[6]

• Long-term use of NSAIDs, including meloxicam, may lead to fluid retention
• Interactions with other prescription medications or supplements could contribute to weight changes
• Underlying medical conditions like high blood pressure or heart disease might increase the risk of fluid retention
• Certain lifestyle factors, such as dietary choices and physical activity levels, can impact weight while taking meloxicam

Managing Weight While Taking Meloxicam

There are several strategies you can implement to help manage or prevent potential weight changes while taking meloxicam, particularly those related to fluid retention:

Monitor Fluid and Salt Intake

• Keep track of your daily fluid consumption
• Reduce sodium intake, as excess salt can contribute to fluid retention
• Stay hydrated (but avoid overhydration)
• Consider tracking your food and beverage intake in a journal

Maintain Regular Physical Activity

• Engage in gentle exercises approved by your healthcare provider
• Include low-impact activities like swimming or walking
• Practice regular movement throughout the day
• Consider working with a physical therapist who understands your condition

Follow a Balanced Diet

• Eat plenty of fresh fruits and vegetables
• Choose lean proteins and whole grains
• Limit processed foods high in sodium
• Consider consulting with a registered dietitian for personalized advice

Track Your Weight

• Weigh yourself regularly, preferably at the same time each day
• Document any sudden weight changes
• Report significant weight fluctuations to your healthcare provider
• Take note of any accompanying symptoms

Work with Your Healthcare Team

• Attend regular check-ups to monitor your health
• Discuss any concerns about weight changes promptly
• Consider regular blood pressure monitoring
• Be open to adjusting your medication dosage if needed

Remember that sudden weight gain, especially when accompanied by swelling or shortness of breath, requires immediate medical attention. Your healthcare provider might need to adjust your treatment plan or explore alternative medications if weight changes become concerning.

Can Meloxicam Be Abused?

Meloxicam, like any prescription medication, can be subject to misuse (despite not being a controlled substance). While this NSAID doesn’t produce the euphoric effects associated with other substances, taking more than prescribed or using it without medical supervision can lead to dangerous health complications.[7]

While meloxicam isn’t typically associated with addiction in the traditional sense, some people might develop a psychological dependence on the medication or misuse it in attempts to manage chronic pain. This can lead to a dangerous cycle of increasing doses and worsening health outcomes.

If you’re concerned about your use of meloxicam or find yourself taking more than prescribed, it’s important to reach out for help. Talk to your healthcare provider about your concerns – they can help adjust your pain management strategy or refer you to specialists who can provide additional support. Remember, there’s no shame in seeking help; many resources are available to support you in safely and effectively using medication.