Moxal (Meloxicam) para Gastrite: Não Recomendado Sem Orientação Médica

Moxal (meloxicam, NSAID) is contraindicated in active gastritis/peptic ulcer disease.

Why Avoid

• COX-1 inhibition → ↓ prostaglandins → ↓ mucus/bicarbonate, ↓ mucosal blood flow → ulcer exacerbation, bleeding risk.
• Meloxicam is COX-2 preferential but not selective at therapeutic doses; GI risk remains.

Gastritis Management

• H. pylori: Test (urea breath, stool antigen, biopsy) → eradicate (PPI + 2 antibiotics).
• NSAID-induced: Stop NSAID; PPI 4–8 weeks; misoprostol if NSAID essential.
• Stress/alcohol: PPI/H₂ blocker; lifestyle modification.
• Functional dyspepsia: PPI trial, prokinetics, neuromodulators.

Pain Alternative

Acetaminophen (≤3 g/day) for analgesia without GI toxicity. Topical NSAIDs for localized pain.

Consult physician for diagnosis and tailored therapy. Do not self-treat gastritis with NSAIDs.