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: Laurel J. Mengle-Gaw, Benjamin D. Schwartz
Format: Article
Language:English
Published: Wiley 2002-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1080/09629350290000041
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author Laurel J. Mengle-Gaw
Benjamin D. Schwartz
author_facet Laurel J. Mengle-Gaw
Benjamin D. Schwartz
author_sort Laurel J. Mengle-Gaw
collection DOAJ
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.
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spelling doaj-art-c3407f2538124e068d8d2a8fda8c1ed92025-02-03T05:54:17ZengWileyMediators of Inflammation0962-93511466-18612002-01-0111527528610.1080/09629350290000041Cyclooxygenase-2 inhibitors: promise or peril?Laurel J. Mengle-Gaw0Benjamin D. Schwartz1Principal and Co-Founders, The Camden Group, 19 Oak Park Drive, St. Louis, 63141, MO, USAPrincipal and Co-Founders, The Camden Group, 19 Oak Park Drive, St. Louis, 63141, MO, USAThe 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.http://dx.doi.org/10.1080/09629350290000041
spellingShingle Laurel J. Mengle-Gaw
Benjamin D. Schwartz
Cyclooxygenase-2 inhibitors: promise or peril?
Mediators of Inflammation
title 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_short Cyclooxygenase-2 inhibitors: promise or peril?
title_sort cyclooxygenase 2 inhibitors promise or peril
url http://dx.doi.org/10.1080/09629350290000041
work_keys_str_mv AT laureljmenglegaw cyclooxygenase2inhibitorspromiseorperil
AT benjamindschwartz cyclooxygenase2inhibitorspromiseorperil