<p><strong>Standard dosage</strong>: For all indications except acute gout, a daily dosage of 20 mg should be given at the same time of day.<br />
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<strong>In acute attacks of gout</strong>: The recommended dose for acute attacks of gout is 40 mg once daily for two days followed by 20 mg once daily for a further five days.<br />
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<strong>In the treatment of chronic disorders</strong>: The therapeutic effect of tenoxicam is evident early in treatment but there is a progressive increase in response over time. In chronic disorders, daily doses higher than 20 mg should be avoided since this would increase the frequency and intensity of unwanted reactions without significantly increasing efficacy. For patients needing long-term treatment, a reduction to a daily oral dose of 10 mg may be tried for maintenance.<br />
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<strong>Special dosage instructions</strong>: In principle, the above dosage recommendations also apply to elderly patients and to patients suffering from kidney or liver disease. Because of lack of clinical experience, no dosage recommendations have so far been established for children and adolescents.</p>

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<p><strong>Administration</strong></p>

<p>The tablets should be taken with a glass of water. It is preferable to take this medicine during or immediately after a meal.</p>