Lumiracoxib inhibits cyclo-oxygenase 2 completely at the 50 mg dose: is liver toxicity avoidable by adequate dosing?

作者: B Hinz , B Renner , O Cheremina , D Besz , O Zolk

DOI: 10.1136/ARD.2008.092536

关键词: Cyclo oxygenase 2OsteoarthritisMedicineDosingClinical trialLumiracoxibPharmacologyLiver toxicityTherapeutic effectAnesthesiaSymptomatic treatment

摘要: Lumiracoxib is a selective cyclo-oxygenase 2 (COX-2) inhibitor used for symptomatic treatment of osteoarthritis and acute pain. Among the available COX-2 inhibitors, lumiracoxib only compound with gastrointestinal benefit in patients that has been demonstrated large outcome study.1 Several countries have approved at doses 200 mg (for osteoarthritis) 400 pain), both them exceeding dose necessary to inhibit time maximal plasma concentration.2 In line this notion, one clinical trial reported knee or hip randomised receive 50, 100 twice daily once experienced comparable pain relief.3 Regrettably, systematical analysis dose-dependent therapeutic effects lacking. The interest …

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