O czym musi pamiętać lekarz, sięgając po niesteroidowy lek przeciwzapalny? Artykuł przeglądowy
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Opublikowane:
wrz 30, 2014
Słowa kluczowe:
niesteroidowe leki przeciwzapalne, reumatoidalne zapalenie stawów, ryzyko gastroenterologiczne, ryzyko sercowo-naczyniowe
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Abstrakt
Stosowanie niesteroidowych leków przeciwzapalnych (NLPZ) to jedna z najczęstszych terapii w chorobach narządu ruchu, w tym w reumatoidalnym zapaleniu stawów oraz innych układowych chorobach tkanki łącznej. Zarówno tradycyjne NLPZ, jak i koksyby zwiększają ryzyko działań niepożądanych ze strony układu pokarmowego i sercowo-naczyniowego. Zagrożenie to można zmniejszyć poprzez odpowiednie oszacowanie czynników ryzyka oraz stosowanie najmniejszych dawek krótko działających NLPZ przez jak najkrótszy czas. U chorych z podwyższonym ryzykiem sercowo-naczyniowym lekiem pierwszego wyboru powinien być zawsze naproksen.
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Jak cytować
Rupiński , R. (2014). O czym musi pamiętać lekarz, sięgając po niesteroidowy lek przeciwzapalny? . Medycyna Faktów , 7(3(24), 54-58. Pobrano z https://journalsmededu.pl/index.php/jebm/article/view/2354
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Bibliografia
1. Wanders A., Heijde Dv, Landewé R. et al.: Nonsteroidal antiinflammatory drugs reduce radiographic progression in patients with ankylosing spondylitis: a randomized clinical trial. Arthritis Rheum. 2005; 52(6): 1756-1765.
2. Zhou Y., Boudreau D.M., Freedman A.N. et al.: Trends in the use of aspirin and nonsteroidal anty-inflammatory drugs in general population. Pharmacoepidemiol. Drug Saf. 2014; 23: 43-50.
3. ACR AD HOC Group on Use of Selective and Nonselective Nonsteroidal Antiinflammatory Drugs. Recommendations for Use of Selective and Nonselective Nonsteroidal Antiinflammatory Drugs: An American College of Rheumatology White Paper. Arthritis Rheum. 2008; 59(8): 1058-1073.
4. Hochberg M.C., Altman R.D., April K.T. et al.: American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res. 2012; 64(4): 465-474.
5. Antman E.M., Bennett J.S., Daugherty A. et al.: Use of nonsteroidal anti-inflammatory drugs: an update for clinicians: a scientific statement from the American Heart Association. Circulation 2007; 115(12): 1634-1642.
6. Scheiman J.M., Hindley C.E.: Strategies to optimize treatment with NSAIDs in patients at risk for gastrointestinal and cardiovascular adverse events. Clin. Ther. 2010; 32: 667-677.
7. Święcicki A., Antonienko A.: The peculiarities of pathogenesis of NSAID-induced gastrointestinal injuries and current prevention strategies. Reumatologia 2014; 52(3): 155-159.
8. Wallace J.L., Denou E., Vong L. et al.: Proton pump inhibitors and low-dose aspirin markedly exacerbate NSAID-induced small intestinal injury: link to dysbiosis? Gastroenterology 2011; 140: 68-87.
9. Tielemans M.M., Eikendal T., Jansen J.B., van Oijen M.G.: Identification of NSAID users at risk for gastrointestinal complications: a systematic review of current guidelines and consensus agreements. Drug Saf. 2010; 33(6): 443-453.
10. Lanza F.L., Chan F.K., Quigley E.M.; Practice Parameters Committee of the American College of Gastroenterology. Guidelines for prevention of NSAID-related ulcer complications. Am. J. Gastroenterol. 2009; 104(3): 728-738.
11. Lanza F.L., Chan F.K., Quigley E.M.: Practice Parameters Committee of the American College of Gastroenterology. Guidelines for prevention of NSAID related ulcer complications. Am. J. Gastroenterol. 2009; 104(3): 728-738.
12. Peters M.J.L., Symmons D.P.M., McCarey D. et al.: EULAR evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis. Ann. Rheum. Dis. 2010; 69: 325-331.
13. Juni P., Nartey L., Reichenbach S. et al.: Risk of cardiovascular events and rofecoxib: a cumulative metaanalysis. Lancet 2004, 364: 2021-2029.
14. Garcia Rodriguez L.A., Tacconelli S., Patrignani P.: Role of dose potency in the prediction of risk of myocardial infarction associated with nonsteroidal anti-inflammatory drugs in the general populations. J. Am. Coll. Cardiol. 2008; 52: 1628-1636.
15. Crofford L.J.: Use of NSAIDs in treating patients with arthritis. Arthritis Research & Therapy 2013; 15(suppl. 3): S2.
16. Lindhardsen J., Gislason G.H., Jacobsen S. et al.: Non-steroidal anti-inflammatory drugs and risk of cardiovascular disease in patients with arthritis: a nationwide cohort study. Ann. Rheum. Dis. 2014; 73: 1515-1521.
17. Atchison J.W., Herndon C.M., Rusie E.: Musculoskeletal Pain Management: Current Perspectives and Novel Strategies to Improve Safety. J. Manag. Care Pharm. 2013; 19(suppl 9-a): S3-S19.
18. Zorvolex label information. Iroko Pharmaceuticals, LLC. October 2013.
2. Zhou Y., Boudreau D.M., Freedman A.N. et al.: Trends in the use of aspirin and nonsteroidal anty-inflammatory drugs in general population. Pharmacoepidemiol. Drug Saf. 2014; 23: 43-50.
3. ACR AD HOC Group on Use of Selective and Nonselective Nonsteroidal Antiinflammatory Drugs. Recommendations for Use of Selective and Nonselective Nonsteroidal Antiinflammatory Drugs: An American College of Rheumatology White Paper. Arthritis Rheum. 2008; 59(8): 1058-1073.
4. Hochberg M.C., Altman R.D., April K.T. et al.: American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res. 2012; 64(4): 465-474.
5. Antman E.M., Bennett J.S., Daugherty A. et al.: Use of nonsteroidal anti-inflammatory drugs: an update for clinicians: a scientific statement from the American Heart Association. Circulation 2007; 115(12): 1634-1642.
6. Scheiman J.M., Hindley C.E.: Strategies to optimize treatment with NSAIDs in patients at risk for gastrointestinal and cardiovascular adverse events. Clin. Ther. 2010; 32: 667-677.
7. Święcicki A., Antonienko A.: The peculiarities of pathogenesis of NSAID-induced gastrointestinal injuries and current prevention strategies. Reumatologia 2014; 52(3): 155-159.
8. Wallace J.L., Denou E., Vong L. et al.: Proton pump inhibitors and low-dose aspirin markedly exacerbate NSAID-induced small intestinal injury: link to dysbiosis? Gastroenterology 2011; 140: 68-87.
9. Tielemans M.M., Eikendal T., Jansen J.B., van Oijen M.G.: Identification of NSAID users at risk for gastrointestinal complications: a systematic review of current guidelines and consensus agreements. Drug Saf. 2010; 33(6): 443-453.
10. Lanza F.L., Chan F.K., Quigley E.M.; Practice Parameters Committee of the American College of Gastroenterology. Guidelines for prevention of NSAID-related ulcer complications. Am. J. Gastroenterol. 2009; 104(3): 728-738.
11. Lanza F.L., Chan F.K., Quigley E.M.: Practice Parameters Committee of the American College of Gastroenterology. Guidelines for prevention of NSAID related ulcer complications. Am. J. Gastroenterol. 2009; 104(3): 728-738.
12. Peters M.J.L., Symmons D.P.M., McCarey D. et al.: EULAR evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis. Ann. Rheum. Dis. 2010; 69: 325-331.
13. Juni P., Nartey L., Reichenbach S. et al.: Risk of cardiovascular events and rofecoxib: a cumulative metaanalysis. Lancet 2004, 364: 2021-2029.
14. Garcia Rodriguez L.A., Tacconelli S., Patrignani P.: Role of dose potency in the prediction of risk of myocardial infarction associated with nonsteroidal anti-inflammatory drugs in the general populations. J. Am. Coll. Cardiol. 2008; 52: 1628-1636.
15. Crofford L.J.: Use of NSAIDs in treating patients with arthritis. Arthritis Research & Therapy 2013; 15(suppl. 3): S2.
16. Lindhardsen J., Gislason G.H., Jacobsen S. et al.: Non-steroidal anti-inflammatory drugs and risk of cardiovascular disease in patients with arthritis: a nationwide cohort study. Ann. Rheum. Dis. 2014; 73: 1515-1521.
17. Atchison J.W., Herndon C.M., Rusie E.: Musculoskeletal Pain Management: Current Perspectives and Novel Strategies to Improve Safety. J. Manag. Care Pharm. 2013; 19(suppl 9-a): S3-S19.
18. Zorvolex label information. Iroko Pharmaceuticals, LLC. October 2013.