ANALYSIS OF SIDE EFFECTS AND DISADVANTAGES OF ANTI-INFLAMMATORY DRUGS RELATED TO THEIR USE

Section: Articles Published Date: 2025-12-18 Pages: 5-15 Views: 0 Downloads: 0

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Abstract

The long-term effects of non-steroidal anti-inflammatory medicines (NSAIDs) on the development of symptoms and joint structural degradation in knee diseases are investigated in this study. Many people with arthritic disorders use non-steroidal anti-inflammatory medications (NSAIDs) both immediately as analgesics and chronically to reduce pain and inflammation. The suppression of the cyclooxygenase (COX) enzyme is the cause of both the positive and negative effects of NSAIDs.  Depending on how selective they are for COX inhibition, NSAIDs are categorized as either non-selective or COX-2-selective inhibitors (COXIBS). Nevertheless, reports about the GI adverse effects of NSAIDs, especially on the lower gastrointestinal (GI) tract, and the detrimental function of their controlled release formulations continue to surface despite their COX selectivity.  The GI sparing qualities of rofecoxib, a COXIB that has been discontinued due to cardiovascular (CV) adverse effects, are also called into question by previously disclosed data kept in the sponsor's files.  GI problems, renal problems, and cardiovascular events are currently the main adverse effects of NSAIDs.  There is a propensity to assume that all NSAIDs have negative effects on the kidneys and cardiovascular system, a notion that is not well-supported by data.  In fact, several NSAIDs may have cardioprotective effects at lower but still therapeutic doses. These results imply that long-term NSAID use may hasten the transition to total knee replacement by significantly aggravating symptoms, while also accepting the limitations of this study due to its observational methodology and the possibility of bidirectional causality.

Keywords

Cyclooxygenase enzyme, cardiovascular adverse effects, bidirectional causality, anti-arthritic, analgesic, disadvantages.