Abstract
Non-steroidal anti-inflammatory drugs (NSAIDs) are drugs widely prescribed throughout the world. In the United States, these drugs were prescribed to 44 million patients in 1984 [1]. The utility of these drugs is, in part, due to the high frequency of gastric intolerance to aspirin. Unfortunately, gastrointestinal (GI) side-effects are also the most frequent adverse reactions to NSAIDs [2]. The GI problems reported vary from mild symptoms, such as indigestion, to serious events, including GI bleeding, peptic ulcer disease, and intestinal perforation.
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References
The National Disease and Therapeutic Index, 1981–1984. IMS America Ltd., Ambler, Pennsylvania.
Coles S.I., Fries J.F., Krainers R.G. et al. From experiment to experience: Side effects of nonsteroidal anti-inflammatory drugs. Am J Med. 1983;74:820–827.
Langman M.J.S. Epidemiologic evidence on the association between peptic ulceration and anti-inflammatory drug use. Gastroenterology. 1989;96:640–646.
Fries J.F., Miller S.R., Spitz P.W., Williams C.A., Hubert H.B., Bloch D.A. Toward an epidemiology of gastropathy associated with non-steroidal anti-inflammatory drug use. Gastroenterology. 1989;96:646–655.
Soli A.H., Weinstein W.M., Kurata J., McCarthy D. Nonsteroidal anti-inflammatory drugs and peptic ulcer disease. Ann Intern Med. 1991;114:307–319.
Carson J.L., Strom B.L. Techniques of post marketing surveillance: An overview. Med Toxicol. 1986;1:237–246.
Somerville K., Faulkner G., Langman M. Nonsteroidal anti-inflammatory drugs and bleeding peptic ulcer. Lancet. 1986;1:462–464.
Carson J.L., Strom B.L., Soper K.A., West S.L., Morse M.L. The association of non-steroidal anti-inflammatory drugs with upper gastrointestinal tract bleeding. Arch Intern Med. 1987;147:85–88.
Beard K., Walker A.M., Perera D.R., Jick H. Nonsteroidal anti-inflammatory drugs and hospitalization for gastroesophageal bleeding in the elderly. Arch Intern Med. 1987;147:1621–1623.
Griffin M.R., Ray W.A., Schaffner W. Non-steroidal anti-inflammatory drug use and death from peptic ulcer in elderly persons. Ann Intern Med. 1988;109:359–363.
Laporte J.R., Came X., Vidal X., Moreno V., Jauan J. Upper gastrointestinal bleeding in relation to previous use of analgesics and non-steroidal anti-inflammatory drugs. Lancet. 1991;337:85–89.
Griffin M.R., Piper J.M., Daugherty J.R., Snowden M., Ray W. Nonsteroidal anti-inflammatory drug use and increased risk for peptic ulcer disease in elderly persons. Ann Intern Med. 1991;114:257–263.
Carson J.L., Strom B.L., Morse M.L. The relative gastrointestinal toxicity of the non-steroidal anti-inflammatory drugs. Arch Intern Med. 1987;147:1054–1059.
Rossi A.D., Hsu J.P., Faieh G.A. Ulcerogenicity of piroxicam: An analysis of spontaneously reported data. Br Med J. 1987;294:147–150.
Collier D.St.J., Pain J.A. Ulcer perforation in the elderly and non-steroidal anti-inflammatory drugs. Lancet. 1986;1:971.
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© 1992 Springer Science+Business Media Dordrecht
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Carson, J.L., Strom, B.L. (1992). The gastrointestinal toxicity of the non-steroidal anti-inflammatory drugs. In: Rainsford, K.D., Velo, G.P. (eds) Side-Effects of Anti-Inflammatory Drugs 3. Inflammation and Drug Therapy Series, vol 5. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-2982-4_1
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DOI: https://doi.org/10.1007/978-94-011-2982-4_1
Publisher Name: Springer, Dordrecht
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