Short answer: No, meloxicam is not a narcotic or opioid. It belongs to the NSAID class (nonsteroidal anti-inflammatory drugs), prescribed for pain and inflammation.
What is a narcotic?
In modern medicine, narcotics are opioids – such as hydrocodone or morphine, that bind to opioid receptors and can be habit-forming. Unlike these, meloxicam does not act on the nervous system in this way.
Is meloxicam a controlled substance?
No, meloxicam is not classified under the DEA’s Controlled Substances Act. It’s prescription-only, but not scheduled.
- Controlled substance = drug with potential for abuse, regulated in schedules.
- Meloxicam doesn’t meet these criteria – it’s not abused for euphoria
What is meloxicam used for?
Meloxicam treats pain and inflammation from:
- Osteoarthritis
- Rheumatoid arthritis
- Juvenile rheumatoid arthritis (ages 2+)
It’s also used off-label for sprains, back pain, or post-surgical discomfort.
Does meloxicam make you sleepy?
Drowsiness is rare with meloxicam – it may cause dizziness, headaches, or nausea instead. Overdosing, however, might lead to sleepiness. Always follow dosing guidelines to avoid side effects.
Meloxicam maximum dosage for adults
- Typical dose: 7.5 mg once daily
- Maximum: 15 mg once daily.
Long-term use increases the risk of cardiovascular and gastrointestinal complications.
Can I take Tylenol with meloxicam?
Yes—acetaminophen (Tylenol) can be safely combined with meloxicam when liver health is good. Why it works:
- Tylenol: relieves pain
- NSAID (meloxicam): treats inflammation
They have different actions—no known interaction.
Monitor Tylenol limits (max 3 g/day) and avoid overlapping with other NSAIDs.
Can I take meloxicam on an as-needed basis?
Although prescribed once daily, meloxicam may be used on an as-needed basis for flare-ups. It’s not habit-forming, but intermittent use shouldn’t exceed max daily dose. For chronic conditions, doctors often recommend regular dosing for steady effect.
Risks, Side Effects & Safety
Even though not a narcotic or controlled:
- Gastrointestinal: risk of ulcers, bleeding, especially in older adults or with blood thinners
- Cardiovascular: increased chance of heart attack or stroke with long-term or high-dose use
- Other: kidney issues, fluid retention, rash
Use the lowest effective dose for the shortest time, and check with your healthcare provider if you have existing heart, GI, kidney, or liver issues.
True North Recovery Services: Our Support for You
At True North Recovery Services, we recognize the complexities of chronic pain, prescription medication concerns, and mental health. We offer:
- Addiction treatment: for those with substance use disorders
- Mental health support: counseling for anxiety, depression, trauma
- Sober living programs: structured, supportive recovery environments
Even though meloxicam isn’t addictive like narcotics, some individuals may rely on the medication to manage mood or pain. Our holistic approach helps address underlying mental health challenges, emotional stress, and coping skills, supporting true recovery and long-term well-being. We at True North Recovery Services are here to guide your journey—whether it’s managing pain, navigating mental health challenges, or supporting sobriety.
FAQs
1. Can meloxicam cause addiction?
No, it does not activate opioid receptors or cause euphoria, making addiction highly unlikely.
2. Will it make me sleepy?
Not normally – drowsiness is rare. If it happens, talk to your doctor.
3. What should I do if pain returns?
You may use meloxicam as needed, but follow your doctor’s advice and don’t exceed 15 mg daily.
4. Can I take Tylenol alongside?
Yes—as long as you’re within liver-safe limits. It can help manage pain more effectively.
5. Do I need regular check-ups?
Absolutely – monitor for stomach, heart, and kidney issues with periodic medical review.
