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[骨关节炎疾病:昔康衍生物疗法]

[Osteoarthritic disease: therapy with oxicam derivatives].

作者信息

Abate G, Zito M, Guarino F, Di Peppe M C, Troya C

机构信息

Istituto di Fisiopatologia Medica, Cattedra di Geriatria, Università degli Studi G. D'Annunzio, Chieti.

出版信息

Riv Eur Sci Med Farmacol. 1990 Aug-Oct;12(4-5):273-81.

PMID:2103968
Abstract

Two groups, each composed of 20 elderly patients suffering from osteoarthritis characterised by intense pain, were treated for 4 weeks with the oral formulation of two modern oxicam derivatives (tenoxicam capsules and beta-cyclodextrin-piroxicam tablets respectively). The analysis of the results showed that both drugs have an excellent antalgic effect. After the first dose the action of beta-cyclodextrin-piroxican was quicker and more marked, with statistically significant differences between treatments for the first 4 hours. At the end of the study period the two drugs proved to be equally effective, with a more pronounced symptomatic effect of beta-cyclodextrin-piroxican. No side effects serious enough to warrant suspension of treatment were observed: the only side effects reported were gastric adverse events (pyrosis, gastralgia) in both groups, having an incidence of 50% (tenoxicam) and 15% (beta-cyclodextrin-piroxicam) respectively.

摘要

两组,每组由20名患有以剧痛为特征的骨关节炎的老年患者组成,分别用两种现代奥昔康衍生物的口服制剂(替诺昔康胶囊和β-环糊精吡罗昔康片)治疗4周。结果分析表明,两种药物均具有出色的镇痛效果。首次给药后,β-环糊精吡罗昔康的作用起效更快且更显著,在最初4小时内治疗之间存在统计学显著差异。在研究期结束时,两种药物被证明同样有效,β-环糊精吡罗昔康的症状改善效果更明显。未观察到严重到足以导致停药的副作用:报告的唯一副作用是两组的胃部不良事件(烧心、胃痛),发生率分别为50%(替诺昔康)和15%(β-环糊精吡罗昔康)。

相似文献

1
[Osteoarthritic disease: therapy with oxicam derivatives].[骨关节炎疾病:昔康衍生物疗法]
Riv Eur Sci Med Farmacol. 1990 Aug-Oct;12(4-5):273-81.
2
[Beta-cyclodextrin-piroxicam in the treatment of the active phase of osteoarthritic pathology].β-环糊精-吡罗昔康治疗骨关节炎病理活动期
Riv Eur Sci Med Farmacol. 1990 Aug-Oct;12(4-5):265-72.
3
Efficacy and gastrointestinal tolerability of beta-cyclodextrin-piroxicam and tenoxicam in the treatment of chronic osteoarthritis.β-环糊精-吡罗昔康和替诺昔康治疗慢性骨关节炎的疗效及胃肠道耐受性
Clin Ther. 1990 Nov-Dec;12(6):547-55.
4
[Analgesic efficacy and the tolerance for piroxicam-beta-cyclodextrin compared to piroxicam, paracetamol and placebo in the treatment of postextraction dental pain].[与吡罗昔康、对乙酰氨基酚和安慰剂相比,吡罗昔康-β-环糊精治疗拔牙后牙痛的镇痛效果及耐受性]
Minerva Stomatol. 1993 May;42(5):235-41.
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Rheumatic diseases--clinical experience with piroxicam-beta-cyclodextrin.风湿性疾病——吡罗昔康-β-环糊精的临床经验
Eur J Rheumatol Inflamm. 1993;12(4):47-54.
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Efficacy and tolerability of piroxicam-beta-cyclodextrin in the outpatient management of chronic back pain.吡罗昔康-β-环糊精在门诊慢性背痛管理中的疗效与耐受性
Bratisl Lek Listy. 2002;103(12):467-72.
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[Evaluation of the anti-inflammatory effect and tolerability of tenoxicam in short-team treatment of osteoarthrosis in the aged].[替诺昔康在老年骨关节炎短期治疗中的抗炎作用及耐受性评估]
Clin Ter. 1992 Mar;140(3):243-9.
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A large multicentre, parallel group, double-blind study comparing tenoxicam and piroxicam in the treatment of osteoarthritis and rheumatoid arthritis.
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Double-blind comparison of the efficacy and safety of etodolac SR 600 mg u.i.d. and of tenoxicam 20 mg u.i.d. in elderly patients with osteoarthritis of the hip and of the knee.依托度酸缓释片600毫克每日一次与替诺昔康20毫克每日一次治疗老年髋膝关节骨关节炎疗效和安全性的双盲比较
Int J Clin Pharmacol Res. 1994;14(5-6):203-16.
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A double-blind parallel study of tenoxicam and piroxicam in patients with osteoarthrosis.替诺昔康与吡罗昔康治疗骨关节炎患者的双盲平行研究。
Eur J Rheumatol Inflamm. 1985;8(1):53-9.

引用本文的文献

1
Piroxicam-beta-cyclodextrin. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in rheumatic diseases and pain states.吡罗昔康-β-环糊精。对其药效学和药代动力学特性以及在风湿性疾病和疼痛状态中的治疗潜力的综述。
Drugs. 1994 Dec;48(6):907-29. doi: 10.2165/00003495-199448060-00007.