• COX-2 inhibitors appear to work as well as nonselective NSAIDs, such as aspirin. (wikipedia.org)
  • Aspirin is technically an NSAID, but this article does not discuss the use of aspirin. (arthritis.org)
  • Every NSAID (except aspirin) increases your risk of heart attack, stroke and heart failure. (arthritis.org)
  • There have been reports that aspirin and other NSAIDs such as ibuprofen , indomethacin , and naproxen may reduce the effects of ARBs. (medicinenet.com)
  • for all patients the balance of GI and cardiovascular risk should be considered before prescribing a COX-2 inhibitor, particularly for those with risk factors for heart disease (such as hypertension, hyperlipidaemia, diabetes and smoking, as well as for patients with peripheral arterial disease) and those taking low dose aspirin, for whom GI benefit has not been clearly demonstrated. (gpnotebook.com)
  • Information on current NSAID use (aspirin, cyclooxygenase-2 inhibitors, and other NSAIDs combined) was collected using a questionnaire at the time of blood draw. (aacrjournals.org)
  • Experimental studies have reported a protective effect of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen, against mammary carcinogenesis ( 1 - 3 ), and accumulating evidence from both case-control and cohort studies suggests that use of NSAIDs may be associated with a modest decreased risk of breast cancer in women ( 4 - 10 ). (aacrjournals.org)
  • This study assessed the prospective risk of breast cancer (overall and by subtype) according to use of aspirin and other non-steroidal anti-inflammatory medications (NSAIDs) in a cohort of female public school professionals in California. (medscape.com)
  • Tough, Non-steroidal Anti-Inflammatory Drugs such as ibuprofen and diclofenac are nowadays used to hinder the activity of COX, but they have undesirable effect. (medgadget.com)
  • At doses available in over-the-counter (OTC) products -- like ibuprofen, and naproxen - NSAIDs provide good, short-term pain relief. (arthritis.org)
  • [ 34 ] It has been shown that prior exposure of non-selective NSAID such as ibuprofen in THR surgery significant increases bleeding. (medscape.com)
  • TruProfen Flavored Tab is a non-steroidal anti-inflammatory drug (NSAID) of the propionic acid class that includes ibuprofen, naproxen, and ketoprofen. (drugs.com)
  • To control the attack as quickly and safely as possible (recalling that it takes 5 half-lives to reach steady state), consider using an NSAID with a short half-life (eg, ketoprofen, ibuprofen, or diclofenac). (medscape.com)
  • COX-2 inhibitors (coxibs) are a type of nonsteroidal anti-inflammatory drug (NSAID) that directly target cyclooxygenase-2, COX-2, an enzyme responsible for inflammation and pain. (wikipedia.org)
  • Their side effects as well as their therapeutic actions are related to their ability to inhibit cyclooxygenase enzymes involved in the first step of the arachidonic acid cascade 2-3 . (ijpsr.com)
  • Although basic NSAIDs such as glafenine and floctafenine are expected to be devoid of the primary insult effect, their damaging effect upon the stomach and kidney is still prominent as they inhibit prostaglandin biosynthesis as strongly as indomethacin 5-6 . (ijpsr.com)
  • Moreover, a recent study with various malignant tumor cells showed that celecoxib could inhibit the growth of these cells, even though some of these cancer cells didn't even contain COX-2. (wikipedia.org)
  • However, when the ability of all these compounds to kill tumor cells in cell culture was investigated, it turned out that the antitumor potency did not at all depend on whether or not the respective compound could inhibit COX-2, showing that inhibition of COX-2 was not required for the anticancer effects. (wikipedia.org)
  • One of these compounds, 2,5-dimethyl-celecoxib, which entirely lacks the ability to inhibit COX-2, actually turned out to display stronger anticancer activity than celecoxib itself and this anticancer effect could also be verified in highly drug-resistant tumor cells and in various animal tumor models. (wikipedia.org)
  • [ 17 , 25 ] Conventional non-selective NSAIDs reversibly inhibit COX and interfere with platelet functions, while selective COX-2 inhibitors have less antiplatelet effects than conventional non-selective NSAIDs. (medscape.com)
  • Meloxicam and etodolac inhibit COX-2 up to 50 times more than COX-1. (gpnotebook.com)
  • However they may still inhibit COX-1 at therapeutic doses (1). (gpnotebook.com)
  • When taken as directed, the main objective of Lodine is to inhibit the action of the COX enzymes that convert arachidonic acid into the inflammatory chemicals called prostaglandins. (northwestpharmacy.com)
  • Unlike most NSAIDs, which inhibit both COX-1 and COX-2, the selective COX-2 inhibitor celecoxib offers the possibility of relieving inflammation and pain, but with a lower risk of GI side effects. (medscape.com)
  • Selective COX-2 inhibitors may have better gastrointestinal tolerance and less risk for cardiovascular events. (medscape.com)
  • It's suggested that selective COX-2 inhibitors have less gastrointestinal toxicity than conventional non-selective NSAIDs. (medscape.com)
  • even demonstrated that celecoxib had less gastrointestinal and cardiovascular risk than conventional non-selective NSAIDs and all other coxibs. (medscape.com)
  • NSAIDs promote mucosal inflammation and ulcer formation (sometimes with gastrointestinal bleeding) both topically and systemically. (merckmanuals.com)
  • 2 The constitutive cyclooxygenase, COX-1, synthesizes prostaglandins necessary for normal gastrointestinal and renal function. (drugs.com)
  • Inhibition of COX-1 is thought to be associated with gastrointestinal and renal toxicity while inhibition of COX-2 provides anti-inflammatory activity. (drugs.com)
  • Use of concomitant gastric protection with misoprostol or consideration of a cyclooxygenase-2 (COX-2)-specific NSAID might be considered if the patient has gastrointestinal (GI) risk or is older than 51 years. (medscape.com)
  • By inhibiting prostaglandin production via blockage of the enzyme cyclooxygenase (COX), NSAIDs reduce gastric blood flow, reduce mucus and HCO3 secretion, and decrease cell repair and replication. (merckmanuals.com)
  • It inhibits inflammatory reactions and pain by decreasing activity of the enzyme cyclooxygenase, resulting in prostaglandin synthesis. (medscape.com)
  • Diclofenac inhibits prostaglandin synthesis by decreasing activity of the enzyme cyclooxygenase, which in turn decreases formation of prostaglandin precursors. (medscape.com)
  • Comparative studies indicate at least similar efficacy with etoricoxib versus traditional NSAIDs. (ijpsr.com)
  • Single- and multiple-dose pharmacokinetics of etoricoxib, a selective inhibitor of cyclooxygenase-2, in man. (e-lactancia.org)
  • Interesting duality was observed for NSAIDs, with meloxicam exhibiting opposite-trend effects from diclofenac and etoricoxib. (hindawi.com)
  • Targeting selectivity for COX-2 reduces the risk of peptic ulceration and is the main feature of celecoxib, rofecoxib, and other members of this drug class. (wikipedia.org)
  • Rofecoxib (sold under the brand name Vioxx) was taken off the market in 2004 because of these concerns, while celecoxib (sold under the brand name Celebrex) and traditional NSAIDs received boxed warnings on their labels. (wikipedia.org)
  • The inhibition of COX-2 is paramount for the anti-inflammatory and analgesic function of the selective COX-2 inhibitor celecoxib. (wikipedia.org)
  • In recent years, several additional intracellular components (besides COX-2) were discovered that appear to be important for mediating the anticancer effects of celecoxib in the absence of COX-2. (wikipedia.org)
  • Additional support for the idea that other targets besides COX-2 are important for celecoxib's anticancer effects has come from studies with chemically modified versions of celecoxib. (wikipedia.org)
  • The only selective COX-2 NSAID currently available in the United States is the prescription drug celecoxib (Celebrex). (arthritis.org)
  • In our study, we found that perioperative administration of celecoxib, a selective COX-2 inhibitor, reduced postoperative VAS pain scores at rest and decreased morphine usage while providing better ROM rehabilitation results. (medscape.com)
  • also demonstrated no significant increase in CV risks with celecoxib in comparison to placebo or non-selective NSAIDs. (medscape.com)
  • NSAID and early lead compound during the discovery of Celecoxib ( Axon 1919 ). (axonmedchem.com)
  • NSAIDs are often used in treatment of acute gout attacks. (wikipedia.org)
  • NSAIDs are the most commonly used drugs in acute gout. (medscape.com)
  • As a class, NSAIDs are the drugs most widely used to treat the pain and inflammation of acute gout attacks in patients who can safely take these medications. (medscape.com)
  • The present results show that the test-2 possesses a significant antipyretic effect in yeast-provoked elevation of body temperature in rats, and its effect is less than that of paracetamol. (ijpsr.com)
  • Paracetamol (acetaminophen) inhibits COX-2 almost exclusively within the brain and only minimally in the rest of the body, although it is not considered an NSAID, since it has only minor anti-inflammatory activity. (wikipedia.org)
  • If NSAIDS (including COX 2 selective inhibitors) are contraindicated, ineffective, or poorly tolerated, opioid analgesics with or without paracetamol may be effective. (bmj.com)
  • The analgesic regimen for lumbar laminectomy should include paracetamol and a non-steroidal anti-inflammatory drug (NSAID) or cyclooxygenase (COX)-2 selective inhibitor administered preoperatively or intraoperatively and continued post-operatively, with post-operative opioids for rescue analgesia. (springer.com)
  • Perioperative pain management for lumbar laminectomy should include paracetamol and NSAID- or COX-2-specific inhibitor, continued into the post-operative period, as well as intraoperative surgical wound instillation or infiltration. (springer.com)
  • [ 32 ] However, there might not be any difference in the coxibs and conventional non-selective NSAIDs with respect to serious vascular events. (medscape.com)
  • [ 33 ] Selective COX-2 inhibitors may cause less bleeding than non-selective NSAID, because coxibs do not interfere the normal mechanisms of platelet aggregation and hemostasis, whereas non-selective NSAID produces significant reductions in platelet aggregation and serum thromboxane B 2 . (medscape.com)
  • Acute inflammation due to gout can be treated with nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or colchicine. (medscape.com)
  • Over the long term, gout is treated by decreasing tissue stores of uric acid with the xanthine oxidase inhibitors allopurinol or febuxostat or with the uricosuric agent probenecid. (medscape.com)
  • Indomethacin has been the NSAID traditionally used to treat acute inflammation in gout, though other NSAIDs are effective in this setting as well. (medscape.com)
  • Nephropathy in type 2 diabetic patients: The most common adverse reactions which were more frequent than placebo were hyperkalemia dizziness, orthostatic dizziness, and orthostatic hypotension. (nih.gov)
  • MI and stroke) compared with placebo and some NSAIDs and the risk may increase with dose and duration of exposure. (gpnotebook.com)
  • Nimesulide is a relatively COX-2 selective, non-steroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic properties. (rcsb.org)
  • RCT evidence exists to support the statement that optimal management of knee OA requires a combination of non-pharmacological and pharmacological treatment options (eg, exercise programmes, physiotherapy, weight loss plus exercise, education, and wedged insoles give added benefit when used with an analgesic or non-steroidal anti-inflammatory drug [NSAID] regimen). (bmj.com)
  • NSAIDs, used at OTC doses, are antipyretic - meaning they reduce fever. (arthritis.org)
  • The selective COX-2 inhibitor has high cardiovascular side effects, with low GI side effects, as compare to the conventional NSAID and it is proved that low dose of any drugs is always good for the health due to chances of less adverse effects. (ijpsr.com)
  • So the main objective of this research work is to lower the dose of selective COX -2 inhibitor, combine with a conventional NSAID and find out the pharmacological activity of combination drug, selective cox-2 inhibitor alone and other standard NSAIDs and compare with control. (ijpsr.com)
  • So the present study was intended to find out that whether the low dose combination of a selective Cox-2 inhibitor is effective to the single dose and to the other conventional NSAIDs. (ijpsr.com)
  • Previous studies have shown that conventional preoperative non-selective NSAIDs increase bleeding risks. (medscape.com)
  • Selective COX-2 inhibitors may be a better choice for multimodal analgesia than conventional non-selective NSAID. (medscape.com)
  • Nevertheless, clinical trials have not observed consistent benefits when NSAIDs are associated with conventional mechanical therapy 5 . (bvsalud.org)
  • In 1995 − 1996, participants in the California Teachers Study completed a baseline questionnaire on family history of cancer and other conditions, use of NSAIDs, menstrual and reproductive history, self-reported weight and height, living environment, diet, alcohol use, and physical activity. (medscape.com)
  • However, liquids are cleared from the stomach within 2 hours of ingestion, and no differences in the volume or pH of gastric contents is noted in those patients taking clear fluids 2 hours before surgery compared to those taking clear fluids 9 hours before surgery. (medscape.com)
  • Also, because NSAIDs are weak acids and are nonionized at gastric pH, they diffuse freely across the mucus barrier into gastric epithelial cells, where H+ ions are liberated, leading to cellular damage. (merckmanuals.com)
  • Because gastric prostaglandin production involves the COX-1 isoform, NSAIDs that are selective COX-2 inhibitors have fewer adverse gastric effects than other NSAIDs. (merckmanuals.com)
  • Gastric mucosa of Patients 2 and 3 were positive for H. suis staining. (bvsalud.org)
  • Many medications must be continued through the perioperative period, with the last dose taken with a sip of clear liquid up to 2 hours prior to the procedure, and resumed during recovery. (medscape.com)
  • Therefore, patients can be given their routine medications with sips of water up to 2 hours before anesthesia. (medscape.com)
  • Among them, the nonsteroidal anti-inflammatory drugs (NSAIDs) are probably the most studied medications, showing effective outcomes in controllingperiodontal breakdown in pre-clinical experiments when systemically administered 3-5 . (bvsalud.org)
  • Treatment of diabetic nephropathy in hypertensive patients with type 2 diabetes, an elevated serum creatinine, and proteinuria. (nih.gov)
  • Appropriate laboratory tests to establish hematological and serum biochemical baseline data prior to, and periodically during, administration of any NSAID should be considered. (drugs.com)
  • General linear models were used to evaluate the association between NSAID use and serum total estradiol. (aacrjournals.org)
  • To our knowledge, this report is the first to examine the relationship between NSAID use and serum estradiol in postmenopausal women. (aacrjournals.org)
  • One patient (Patient 1) was also positive for H. pylori by PCR, another patient (Patient 3) was positive for serum IgG for H. pylori, and the other patient (Patient 2) had no evidence for H. pylori infection. (bvsalud.org)
  • This is why long-term use of any non-selective NSAIDs are not recommended for long-term treatment as you could develop an ulcer over time. (northwestpharmacy.com)
  • 5-9 Data also indicate that Carprofen inhibits the production of osteoclast-activating factor (OAF), PGE 1 , and PGE 2 by its inhibitory effects on prostaglandin biosynthesis. (drugs.com)
  • The risk of GI problems is greater for people who take NSAIDs frequently or at high doses, those who are older than 65, have a history of stomach ulcers, or take blood thinners or corticosteroids. (arthritis.org)
  • The pain-relieving effects of NSAIDs begin quickly -- within a few hours. (arthritis.org)
  • However, the FDA warns that these serious side effects can occur as early as the first few weeks of using an NSAID. (arthritis.org)
  • This book may provide additional knowledge about the design and development of new drug delivery systems loaded with NSAIDs potentially useful in the treatment of chronic inflammatory-based diseases following circadian cycle, uses of NSAIDs as a source of medicinal plants, and the adverse effects and drug interactions of the nonsteroidal anti-inflammatory drugs. (intechopen.com)
  • These cross-sectional findings suggest that NSAID use may be associated with lower circulating estradiol levels, potentially representing one mechanism through which NSAIDs exert protective effects on breast cancer. (aacrjournals.org)
  • Lodine is listed as a non-selective COX inhibitor, meaning that it has effects on COX-1 and COX-2 enzymes (cyclooxygenase 1 and 2). (northwestpharmacy.com)
  • Additionally, these drugs, both non-selective inhibitors and selective cyclooxygenase-2 inhibitors, are frequently associated with side effects, impairing patients' compliance to their use 6 . (bvsalud.org)
  • Some COX-2 inhibitors are used in a single dose to treat pain after surgery. (wikipedia.org)
  • the lowest effective dose of COX-2 inhibitor should be used for the shortest necessary period. (gpnotebook.com)
  • given the association between cardiovascular risk and exposure to COX-II inhibitors, doctors are advised to use the lowest effective dose for the shortest possible duration of treatment. (gpnotebook.com)
  • Here, we focus on newly uncovered pathways, involving either the cyclooxygenases (COXs) or nonenzymatic chemical transformations, that lead to the formation of bioactive prostanoids and of previously unknown lipid mediators produced by COX-2. (jci.org)
  • Patients with an initial valgus and posterior tilt of greater than 15° (B1.1.2 fracture) were found to have a 17-fold higher risk of treatment failure than did patients with a tilt in both planes of less than 15° (B1.2.1 fracture). (medscape.com)
  • Nonsteroidal Anti-inflammatory Drugs (NSAIDs) and COX-2 inhibitors: Increased risk of renal impairment. (nih.gov)
  • Do selective cyclo-oxygenase-2 inhibitors and traditional non-steroidal anti-inflammatory drugs increase the risk of atherothrombosis? (bmj.com)
  • Systemic autoimmune diseases, such as rheumatoid arthritis (RA), exhibit accelerated atherosclerosis (AS) [ 1 - 4 ] as a consequence of endothelial dysfunction, leading to higher incidence of cardiovascular (CV) disease (at least 2-fold enhanced CV risk) and premature and higher mortality [ 5 , 6 ]. (hindawi.com)
  • evidence suggests that selective COX-2 inhibitors, as a class, may cause an increased risk of thrombotic events (e.g. (gpnotebook.com)
  • caution should be exercised when prescribing COX-II inhibitors to patients with risk factors for heart disease, such as hypertension, hyperlipidaemia, diabetes and smoking. (gpnotebook.com)
  • The objective of this observational study was to assess the relationship between current NSAID use and endogenous estradiol levels, an established breast cancer risk factor. (aacrjournals.org)
  • Few studies have addressed whether risk reduction pertains to specific breast cancer subtypes defined jointly by hormone receptor (estrogen and progesterone receptor) and human epidermal growth factor receptor 2 (HER2) expression. (medscape.com)
  • Multivariable Cox proportional hazards regression models provided hazard rate ratios (HRR) for the association between NSAID use and risk of invasive breast cancer as well as hormone receptor- and HER2-defined subtypes. (medscape.com)
  • Use of three or more tablets of "other" NSAIDs was marginally associated with lower risk of breast cancer (HRR = 0.79, 95% CI 0.62-1.00). (medscape.com)
  • Current studies support an association of disorders such as these with chronic inflammation, which appears to decrease with the use of COX-2 inhibitors. (wikipedia.org)
  • NSAIDs can decrease your kidney function. (arthritis.org)
  • This book intends to provide the reader with a comprehensive overview about the state of the art regarding the use of nonsteroidal anti-inflammatory drugs (NSAIDs) in physical and rehabilitation medicine and the study of the pharmacodynamics of existing and newly introduced NSAIDs in the management of pain and inflammation. (intechopen.com)
  • However, with regard to this drug's promise for the therapy of advanced cancers, it is unclear whether the inhibition of COX-2 plays a dominant role, and this has become a controversial and intensely researched issue. (wikipedia.org)
  • The mechanism of action of Carprofen, like that of other NSAIDs, is believed to be associated with the inhibition of cyclooxygenase activity. (drugs.com)
  • 3 In an in vitro study using canine cell cultures, Carprofen demonstrated selective inhibition of COX-2 versus COX-1. (drugs.com)
  • Combining Atacand or other ARBs with nonsteroidal anti-inflammatory drugs ( NSAIDs ) in patients who are elderly, fluid-depleted (including those on diuretic therapy), or with poor kidney function may result in reduced kidney function, including kidney failure . (medicinenet.com)
  • Before the study started, all the patients reported requiring NSAIDs or COX-2 inhibitors on most days. (nutraingredients.com)
  • COX-II inhibitors must not be used in patients with established ischaemic heart disease and/or cerebrovascular disease, and also in patients with peripheral arterial disease. (gpnotebook.com)
  • Soixante-douze virgule deux pour cent des patients déclaraient satisfaits de leur prise en charge. (bvsalud.org)
  • Conclusion: Le développement extensif de la chirurgie ambulatoire est basé sur la sélection des patients à qui l'on propose ce type de prise en charge. (bvsalud.org)
  • Elle a concerné les patients àgés de plus de 15 ans pris en charge dans le service et décédés en hospitalisation, en réanimation ou au bloc opératoire. (bvsalud.org)
  • Il s'agissait d'une étude descriptive de 74 patients hospitalisés dans le Service en 2017. (bvsalud.org)
  • The specificity of a particular NSAID for COX-2 versus COX-1 may vary from species to species. (drugs.com)
  • "The results of this study indicate the efficacy of Pycnogenol in alleviating osteoarthritis symptoms and reducing the need for NSAIDs or COX-2 inhibitors administration," ​ wrote the researchers. (nutraingredients.com)
  • Most NSAIDs are nonspecific, meaning they interfere with both COX-1 and COX-2. (arthritis.org)
  • It has been suggested that COX-2 expression in monocytes is induced in response to urate crystals. (medscape.com)
  • Non-steroidal anti-inflammatory drug (NSAID), that functions as a selective inhibitor of the cyclooxygenase-2 (COX-2) enzyme. (e-lactancia.org)
  • Lodine or generic Etodolac is a non-steroidal anti inflammatory drug (NSAID) that can be taken to reduce painful inflammation, stiffness, and swelling of their joints and muscles. (northwestpharmacy.com)
  • Subjects in the pycnogenol group reported a significant reduction in the monthly intake of NSAIDs and COX-2 inhibitor pills in terms of the number of pills and number of days, compared to the baseline. (nutraingredients.com)
  • however, the mechanism by which NSAIDs may protect against the development of this disease is uncertain. (aacrjournals.org)
  • Your body makes two different kinds of cyclooxygenase: COX-1 helps protect your stomach lining and COX-2 plays a role in inflammation. (arthritis.org)
  • COX-1 is found in most cells and is better known for maintaining your stomach lining. (northwestpharmacy.com)
  • After several COX-2-inhibiting drugs were approved for marketing, data from clinical trials revealed that COX-2 inhibitors caused a significant increase in heart attacks and strokes, with some drugs in the class having worse risks than others. (wikipedia.org)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), both non-selective and selective cyclooxygenase-2 (COX-2) inhibitors, are very widely prescribed, but they may cause increased blood pressure (BP) and adverse cardiovascular (CV) events. (cardiologyonline.com)
  • By 2005 observational studies and small randomized trials suggested excess cardiovascular (CV) adversity with some NSAIDs. (cardiologyonline.com)
  • Among women reporting this exposure, the HRR was 0.84 (95% confidence interval (CI) 0.72-0.98) compared to those not taking NSAIDs and this was particularly evident in women with the hormone receptor-positive/HER2-negative subtype (HRR = 0.80, 95% CI 0.66-0.96). (medscape.com)
  • The different NSAIDs work similarly, but some people respond better to one than another. (arthritis.org)
  • Non steroidal anti-inflammatory drugs (NSAIDs), including selective cyclooxygenase (COX-2 inhibitors), have come to play an important role in the pharmacologic management of arthritis and pain. (ijpsr.com)
  • NSAIDs are expanding rapidly because of an aging population in developed countries and the associated increase in the prevalence of diseases like arthritis. (ijpsr.com)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most-frequently used drugs to ease the pain, inflammation and stiffness that come with arthritis, bursitis and tendinitis. (arthritis.org)
  • If you need short-term relief during a flare or while your other arthritis medicines take effect, your doctor may prescribe a short-acting NSAID that has to be taken several times per day. (arthritis.org)
  • At the higher doses available in prescription NSAIDs, the drug can battle inflammation caused by injury or arthritis. (arthritis.org)
  • Having an inflammatory type of arthritis (like rheumatoid or psoriatic arthritis) or diabetes or being obese already increases your odds of developing heart problems, so adding the risks of long-term NSAID use must be considered carefully. (arthritis.org)
  • Although there is no cure for arthritis, NSAIDs have been successful at reducing the painful symptoms of rheumatoid and osteoarthritis. (northwestpharmacy.com)
  • Several studies have found that selective COX-2 inhibitors are comparable to other NSAIDs for treating acute gouty arthritis. (medscape.com)
  • 2) The rx list web site will open here with the drug search completed. (globalrph.com)
  • NSAIDs can cause severe allergic reactions, especially in people with asthma, sinus problems or small growths in the nose (called nasal polyps). (arthritis.org)
  • hypersensitivity reactions and rare, but serious and sometimes fatal, skin reactions can occur with all COX-II inhibitors. (gpnotebook.com)
  • As with all medicines, there are risks and benefits to consider when taking an NSAID. (arthritis.org)