Cyclooxygenase-2 inhibitors: promise or peril?

The discovery of two isoforms of the cyclooxygenase enzyme, COX-1 and COX-2, and the development of COX-2-specific inhibitors as anti-inflammatories and analgesics have offered great promise that the therapeutic benefits of NSAIDs could be optimized through inhibition of COX-2, while minimizing thei...

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Main Authors: Mengle-Gaw, Laurel J, Schwartz, Benjamin D
Format: Online
Language:English
Published: 2002
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1781678/
id pubmed-1781678
recordtype oai_dc
spelling pubmed-17816782007-01-25 Cyclooxygenase-2 inhibitors: promise or peril? Mengle-Gaw, Laurel J Schwartz, Benjamin D Research Article The discovery of two isoforms of the cyclooxygenase enzyme, COX-1 and COX-2, and the development of COX-2-specific inhibitors as anti-inflammatories and analgesics have offered great promise that the therapeutic benefits of NSAIDs could be optimized through inhibition of COX-2, while minimizing their adverse side effect profile associated with inhibition of COX-1. While COX-2 specific inhibitors have proven to be efficacious in a variety of inflammatory conditions, exposure of large numbers of patients to these drugs in postmarketing studies have uncovered potential safety concerns that raise questions about the benefit/risk ratio of COX-2-specific NSAIDs compared to conventional NSAIDs. This article reviews the efficacy and safety profiles of COX-2-specific inhibitors, comparing them with conventional NSDAIDs. 2002-10 /pmc/articles/PMC1781678/ /pubmed/12467519 http://dx.doi.org/10.1080/09629350290000041 Text en
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Mengle-Gaw, Laurel J
Schwartz, Benjamin D
spellingShingle Mengle-Gaw, Laurel J
Schwartz, Benjamin D
Cyclooxygenase-2 inhibitors: promise or peril?
author_facet Mengle-Gaw, Laurel J
Schwartz, Benjamin D
author_sort Mengle-Gaw, Laurel J
title Cyclooxygenase-2 inhibitors: promise or peril?
title_short Cyclooxygenase-2 inhibitors: promise or peril?
title_full Cyclooxygenase-2 inhibitors: promise or peril?
title_fullStr Cyclooxygenase-2 inhibitors: promise or peril?
title_full_unstemmed Cyclooxygenase-2 inhibitors: promise or peril?
title_sort cyclooxygenase-2 inhibitors: promise or peril?
description The discovery of two isoforms of the cyclooxygenase enzyme, COX-1 and COX-2, and the development of COX-2-specific inhibitors as anti-inflammatories and analgesics have offered great promise that the therapeutic benefits of NSAIDs could be optimized through inhibition of COX-2, while minimizing their adverse side effect profile associated with inhibition of COX-1. While COX-2 specific inhibitors have proven to be efficacious in a variety of inflammatory conditions, exposure of large numbers of patients to these drugs in postmarketing studies have uncovered potential safety concerns that raise questions about the benefit/risk ratio of COX-2-specific NSAIDs compared to conventional NSAIDs. This article reviews the efficacy and safety profiles of COX-2-specific inhibitors, comparing them with conventional NSDAIDs.
publishDate 2002
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1781678/
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