Tóth Károly
John Ferenc Dél-pesti Kórház, II. Belgyógyászati Osztály, Budapest.
Ideggyogy Sz. 2005 May 20;58(5-6):173-4.
Although during treatment of arthrosis with meloxicam the level of thromboxan A2 decreases, thrombocyte functions are not affected. Meloxicam in therapeutic doses doesn't increase the risk of haemorrhage. Previously it was suspected that co-administration of salicylates with certain other non-steroid antiinflammatory drugs (NSAIDs) will suppress the effect of salicylate. Van Ryn et al have proved that this is not the case with salicylate plus meloxicam therapy. It is hypothesized that meloxicam loosely binds to the cyclooxygenase-1 (COX-1) enzyme and salicylate can easily replace it.
尽管在使用美洛昔康治疗关节炎期间血栓素A2水平会降低,但血小板功能不受影响。治疗剂量的美洛昔康不会增加出血风险。以前曾怀疑水杨酸酯与某些其他非甾体抗炎药(NSAIDs)联合使用会抑制水杨酸酯的效果。Van Ryn等人已证明水杨酸酯加美洛昔康治疗并非如此。据推测,美洛昔康与环氧化酶-1(COX-1)酶的结合较松散,水杨酸酯能够轻易取代它。