UBC Faculty Research and Publications

Selective COX-2 inhibitors : Are they safer than NSAIDs? Therapeutics Initiative (University of British Columbia)

Description

Therapeutics Letter 39 adds new evidence to information previously published about NSAIDs in Therapeutics Letters 4 and Letter 17. It also responds to our commitment in Therapeutics Letter 31 to report on celecoxib when published trials became available. Conclusions: Patients on rofecoxib had less complicated and symptomatic ulcers but more myocardial infarctions than patients on naproxen. COX-2 selective NSAIDs were associated with the same incidence of serious adverse events as non-selective NSAIDs. Celecoxib and meloxicam caused fewer withdrawals due to adverse events than non-selective NSAIDs. Head-to-head RCTs comparing NSAIDS with dosing regimens to optimize efficacy and safety would be useful.

Item Citations and Data

Rights

Attribution-NonCommercial-NoDerivatives 4.0 International