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Topical nonsteroidal anti-inflammatory drugs.

Abstract: No abstract available
Publication Date: 2023-09-19 PubMed ID: 37722741PubMed Central: PMC10506512DOI: 10.1503/cmaj.230578Google Scholar: Lookup
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  • Journal Article

Summary

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The research article discusses the characteristics, functions, and impact of Nonsteroidal anti-inflammatory drugs (NSAIDs), particularly their influence on the veterinary field, as well as their mechanism of action and possible side effects.

Understanding Nonsteroidal anti-inflammatory drugs (NSAIDs)

  • NSAIDs are substances, excluding steroids, that interfere with an aspect of the inflammatory process. The focus of this article is specifically on those NSAIDs that inhibit cyclooxygenase, an enzyme that plays a significant role in inflammation.
  • The drugs are widely used in the veterinary field to manage pain and reduce inflammation in animals, reflecting their broad applicability.

Mechanism of action and Toxicity

  • The article reviews the mode of action of NSAIDs, which involves hindering the functioning of cyclooxygenase, an enzyme directly involved with the inflammatory process. In turn, this reduces inflammation and assists pain relief.
  • In terms of toxicity, the article explores the potential harmful effects of these drugs. Understanding these interactions is crucial for assessing the risk-benefit ratio of NSAID use in different applications.

Cyclooxygenase (COX-1 and COX-2) and Newer NSAIDs

  • The two distinct forms of cyclooxygenase, known as COX-1 and COX-2, are presented in the research. These two isoforms have different roles in physiological processes, and their selective inhibition can lead to different therapeutic effects.
  • Some of these recent NSAIDs can inhibit mainly COX-2, resulting in effective anti-inflammatory action with lesser side effects. The article also highlights these newer NSAIDs.

Specific Effects and Use Cases

  • NSAIDs have specific effects on various body tissues such as soft tissue, bone, cartilage, and synovium (the soft tissue that lines the spaces of diarthrodial joints). A detailed exploration of these effects helps in comprehending the diverse roles of NSAIDs.
  • Other functions of NSAIDs, such as pain modulation, antiendotoxic, and antithrombotic uses, are thoroughly reviewed in the article, demonstrating the broader scope of these drugs beyond just anti-inflammatory activities.

Cite This Article

APA
Bhat C, Rosenberg H, James D. (2023). Topical nonsteroidal anti-inflammatory drugs. CMAJ, 195(36), E1231. https://doi.org/10.1503/cmaj.230578

Publication

ISSN: 1488-2329
NlmUniqueID: 9711805
Country: Canada
Language: English
Volume: 195
Issue: 36
Pages: E1231

Researcher Affiliations

Bhat, Chirag
  • Department of Emergency Medicine (Bhat, Rosenberg, James); Department of Anesthesiology and Pain Medicine (James), University of Ottawa, Ottawa, Ont. cbhat01@gmail.com.
Rosenberg, Hans
  • Department of Emergency Medicine (Bhat, Rosenberg, James); Department of Anesthesiology and Pain Medicine (James), University of Ottawa, Ottawa, Ont.
James, Daniel
  • Department of Emergency Medicine (Bhat, Rosenberg, James); Department of Anesthesiology and Pain Medicine (James), University of Ottawa, Ottawa, Ont.

MeSH Terms

  • Humans
  • Anti-Inflammatory Agents, Non-Steroidal

Conflict of Interest Statement

Competing interests: Hans Rosenberg is a medicolegal expert for the Canadian Medical Protective Association and sits on the editorial board of the Canadian Journal of Emergency Medicine. No other competing interests were declared.

References

This article includes 5 references
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