Source:http://linkedlifedata.com/resource/pubmed/id/10369404
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1999-6-23
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pubmed:abstractText |
Adverse events, particularly gastrointestinal, partially offset the therapeutic value of NSAIDs. The abilities of nimesulide to inhibit COX-2 preferentially and to exert other novel anti-inflammatory actions are consistent with good efficacy and safety. This is borne out by a double-blind multicentre comparison of nimesulide and diclofenac in 122 patients with acute shoulder, and by a meta-analysis of various nimesulide trials. At the end of the 14 day double-blind study, nimesulide was at least as effective as diclofenac (investigator ratings: good/very good in 79.0% of patients given nimesulide, and 78.0% with diclofenac; patient ratings: good/very good in 82.3 and 78.0% respectively). Four patients (6.5%) dropped out in the nimesulide group (two early recovery, one lack of effect, one adverse event), compared with 13 (21.7%) in the diclofenac group, due mainly to adverse events (P=0.003). Global tolerability was judged by the investigators to be good/very good in 96.8% of the nimesulide group compared with 72.9% of those given diclofenac. Judgements by the patients were 96.8 and 78.0% respectively. Both differences are highly significant statistically. The meta-analysis demonstrates that nimesulide given for 2 weeks is far more efficacious than placebo in treating osteoarthritis, and is at least comparable to other NSAIDs The benefit-risk ratio for nimesulide was better in all individual studies since 100 mg nimesulide twice daily was about equal to placebo in safety and tolerability, especially regarding gastrointestinal adverse events.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Inflammatory Agents...,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclooxygenase 2,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclooxygenase 2 Inhibitors,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclooxygenase Inhibitors,
http://linkedlifedata.com/resource/pubmed/chemical/Diclofenac,
http://linkedlifedata.com/resource/pubmed/chemical/Isoenzymes,
http://linkedlifedata.com/resource/pubmed/chemical/Membrane Proteins,
http://linkedlifedata.com/resource/pubmed/chemical/PTGS2 protein, human,
http://linkedlifedata.com/resource/pubmed/chemical/Prostaglandin-Endoperoxide Synthases,
http://linkedlifedata.com/resource/pubmed/chemical/Sulfonamides,
http://linkedlifedata.com/resource/pubmed/chemical/nimesulide
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1462-0324
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
38 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
33-8
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pubmed:dateRevised |
2007-9-6
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pubmed:meshHeading |
pubmed-meshheading:10369404-Acute Disease,
pubmed-meshheading:10369404-Adult,
pubmed-meshheading:10369404-Anti-Inflammatory Agents, Non-Steroidal,
pubmed-meshheading:10369404-Bursitis,
pubmed-meshheading:10369404-Cyclooxygenase 2,
pubmed-meshheading:10369404-Cyclooxygenase 2 Inhibitors,
pubmed-meshheading:10369404-Cyclooxygenase Inhibitors,
pubmed-meshheading:10369404-Diclofenac,
pubmed-meshheading:10369404-Double-Blind Method,
pubmed-meshheading:10369404-Female,
pubmed-meshheading:10369404-Humans,
pubmed-meshheading:10369404-Isoenzymes,
pubmed-meshheading:10369404-Male,
pubmed-meshheading:10369404-Membrane Proteins,
pubmed-meshheading:10369404-Middle Aged,
pubmed-meshheading:10369404-Prostaglandin-Endoperoxide Synthases,
pubmed-meshheading:10369404-Shoulder Joint,
pubmed-meshheading:10369404-Sulfonamides,
pubmed-meshheading:10369404-Tendinopathy,
pubmed-meshheading:10369404-Treatment Outcome
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pubmed:year |
1999
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pubmed:articleTitle |
Comparative efficacy and safety of nimesulide and diclofenac in patients with acute shoulder, and a meta-analysis of controlled studies with nimesulide.
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pubmed:affiliation |
Institute for Clinical Research of MIM, München, Germany.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Meta-Analysis
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