The ups and downs of non-steroidal anti-inflammatory drugs
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Online publication date: 2006-04-28
Reumatologia 2006;44(2):106-111
Conventional non-steroidal anti-inflammatory drugs (NSAIDs) inhibit the metabolism of arachidonic acid to proinflammatory prostaglandins (PGs) by cyclooxygenase COX-1 and COX-2. Non-steroidal anti-inflammatory drugs provide important analgesic and anti-inflammatory benefits to millions of patients, but are associated with a number of serious adverse events. These include gastrointestinal toxicity, renal impairment, cardiovascular and thromboembolic complications. The mechanism underlying the serious complications associated with conventional NSAIDs and selective cyclooxygenase COX-2 inhibitors treatment is more complicated than simple imbalance between COX-1 and COX-2 inhibition and still is not clear. A recent opinions on benefit-risk balance associated with NSAIDs treatment are presented in this report
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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