2024, Number 1
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Med Int Mex 2024; 40 (1)
Non-steroidal anti-inflammatory drugs: Dr. Jekyll and Mr. Hyde
Mercado U
Language: Spanish
References: 6
Page: 53-58
PDF size: 260.51 Kb.
ABSTRACT
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) have been shown
to be effective in treating pain, fever, and inflammation by inhibiting prostaglandin
synthesis. However, these agents have a substantial burden of side effects. As a result
of the search for a better aspirin, cyclooxygenase-2 (COX-2) was discovered and specific
COX-2 antagonists or coxibs were synthesized. Anti-inflammatory benefits were
maintained, gastric ulcers occurred, and decreased vascular prostacyclin production
(antithrombotic) without a change in thromboxane levels (prothrombotic) caused
hypertension and thrombosis and withdrawal of some coxibs.
REFERENCES
Vane JR. Inhibition of prostaglandin synthesis as a mechanismof action for aspirin-like drugs. Nat New Biol 1971; 231: 232-235. https://doi.org/10.1038/newbio231232a0.
Lee HJ, Cantú, SM, Peredo HA, Puyo AM, Donoso A. Prostanoides:un viaje a lo largo de su evolución histórica y aplicacionesclínicas. Ciencia e Investigación 2017; 67: 13-20.
Mengle-Gaw LJ, Schwartz BD. Cyclooxygenase-2 inhibitors:promise or peril? Mediators Inflamm 2002; 11: 275-286.doi: 10.1080/09629350290000041.
Psaty BM, Furberg CD. COX-2 inhibitors-lessons indrug safety. NEJM 2005; 352: 1133-35. doi: 10.1056/NEJMe058042.
Eberhart CE, Coffey RJ, Radhika A, Diardello FM, FerrenbachS et al. Up-regulation of cyclooxygenase 2 gene expressionin human colorecxtal adenomas and adenocardinomas.Gastroenteroly 1994; 107: 1183-1188. doi: 10.1016/0016-5085(94)90246-1.
Funk CD, FizGerald GA. COX-2 inhibitors and cardiovascularrisk. J Cardiovascular Pharmacol 2007; 5: 470-9. DOI:10.1097/FJC.0b013e318157f72d.