Khalifa Nabil, El-Husseini Timour, Morrah Ahmed, Mostafa Elshenawy, Hamoud Hesham
Department of Orthopedic Surgery, Ain Shams University, Cairo, Egypt.
Department of Orthopedic Surgery, Cairo University, Cairo, Egypt.
Open Access Rheumatol. 2014 May 12;6:49-56. doi: 10.2147/OARRR.S59564. eCollection 2014.
Ibuprofen sustained release (SR) has been shown to provide effective symptomatic pain relief in chronic arthritic conditions such as osteoarthritis in European and US patient populations. Few studies have been conducted in other patient populations. A 4-week prospective multicenter open-label observational study was designed to explore and describe the combined effect of ibuprofen SR and standard medical care in patients suffering from osteoarthritis in 15 general medical practices in Egypt.
In total, 519 patients were prescribed ibuprofen SR 2 ×800 mg once daily for 4 weeks.
Ibuprofen SR combined with standard medical care significantly improved day and night pain, with 99.4% of the patients reporting improvement. The treatment reduced the symptom severity of joint tenderness/stiffness and the duration of morning stiffness, and allowed more patients to carry out normal activities. Overall compliance with the prescribed ibuprofen SR regimen was 98.6%. Ibuprofen SR was generally well tolerated with no serious adverse events reported during the study. There was no increase in blood pressure or heart rate.
The combined treatment provided effective relief of pain in patients with osteoarthritis in a large real-life general medical practice setting in Egypt. Owing to its convenient once-daily dosing regimen, ibuprofen SR may enhance patient compliance.
在欧美患者群体中,布洛芬缓释制剂(SR)已被证明能有效缓解慢性关节炎(如骨关节炎)的症状性疼痛。在其他患者群体中开展的研究较少。一项为期4周的前瞻性多中心开放标签观察性研究旨在探索并描述在埃及15家普通医疗机构中,布洛芬SR与标准医疗护理对骨关节炎患者的联合疗效。
总共519例患者被处方每日1次服用2×800mg布洛芬SR,持续4周。
布洛芬SR联合标准医疗护理显著改善了日间和夜间疼痛,99.4%的患者报告症状有所改善。该治疗减轻了关节压痛/僵硬的症状严重程度以及晨僵持续时间,使更多患者能够进行正常活动。对规定的布洛芬SR治疗方案的总体依从率为98.6%。布洛芬SR总体耐受性良好,研究期间未报告严重不良事件。血压和心率没有升高。
在埃及一个大型现实生活中的普通医疗环境中,联合治疗为骨关节炎患者提供了有效的疼痛缓解。由于其每日一次的便捷给药方案,布洛芬SR可能会提高患者的依从性。