Med Lett Drugs Ther. 1981 Jan 9;23(1):1-3.
Zomepirac sodium is a new oral analgesic that is more effective than aspirin, with no apparent tolerance or potential for addiction. It causes gastrointestinal bleeding similar to that caused by large doses of aspirin. For occasional moderate pain not responsive to aspirin, zomepirac may prove to be preferable to oral narcotics such as codeine, oxycodone, propoxyphene, pentazocine and meperidine. For chronic use, the safety and continued effectiveness of the new drug remain to be determined; it probably cannot replace oral narcotics in narcotic-dependent patients. For severe pain, as in myocardial infarction, renal colic and after some operations, zomepirac is no substitute for parenteral morphine.
氯苯唑酸是一种新型口服镇痛药,比阿司匹林更有效,无明显耐受性或成瘾可能性。它会引起与大剂量阿司匹林所致类似的胃肠道出血。对于阿司匹林治疗无效的偶尔中度疼痛,氯苯唑酸可能比可待因、羟考酮、丙氧芬、喷他佐辛和哌替啶等口服麻醉药更可取。对于长期使用,该新药的安全性和持续有效性仍有待确定;在对麻醉药有依赖性的患者中,它可能无法替代口服麻醉药。对于严重疼痛,如心肌梗死、肾绞痛及某些手术后的疼痛,氯苯唑酸不能替代胃肠外给药的吗啡。