2002, Número 3
Inhibidores selectivos de la ciclooxigenasa-2: Usos potenciales en perros
Lizárraga MI, Sumano LH, Castillo AF
Idioma: Español/Inglés
Referencias bibliográficas: 81
Paginas: 285-307
Archivo PDF: 147.58 Kb.
RESUMEN
La gran variedad y frecuencia de efectos adversos que producen los antiinflamatorios no esteroidales (AINE) limitan su uso en perros. Estos fármacos, en mayor o menor medida, inhiben a las ciclooxigenasas (COX), de las cuales existen al menos dos isoformas: COX-1 y COX-2. Se cree que la inhibición de la COX-1 ocasiona los efectos adversos de los AINE y que el bloqueo de la COX-2 se relaciona con sus efectos terapéuticos. Hasta cierto punto esta teoría parece ser cierta en humanos que sufren de osteoartritis y reciben inhibidores selectivos de la COX-2. Si esta hipótesis también se cumple en perros, el uso de los inhibidores selectivos de la COX-2 tendría un lugar importante dentro de la terapéutica canina. Este ensayo destaca aspectos relevantes de la fisiopatología de la COX-2 en diversos órganos y sistemas (por ejemplo, tubo gastrointestinal, riñón, sistema nervioso central) y, a partir de esta información, se discuten los posibles usos y efectos adversos de los inhibidores selectivos de la COX-2 (por ejemplo, celecoxib, nimesulida, NS-398) en perros. También se presenta información clínico-farmacológica del uso de inhibidores selectivos de la COX-2 (por ejemplo, carprofeno, nimesulida y celecoxib) derivada específicamente de perros.
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