Comparison of Aceclofenac with Diclofenac in the treatment of osteoarthritis

作者: D. E. Ward , E. M. Veys , J. M. Bowdler , J. Roma

DOI: 10.1007/BF02207932

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摘要: A multicentre randomised, double-blind, parallel group, general practice study was undertaken to investigate the efficacy and safety of aceclofenac (200 patients, 100mg twice daily placebo once daily) in comparison with diclofenac (197 50mg three times patients osteoarthritis knee. The treatment period twelve weeks preceded by a washout two duration. At end point, both diclofenactreated groups exhibited significant improvement pain intensity (p=0.0001). Although showed all investigators' clinical assessments (joint tenderness, swelling, on movement, functional capacity, overall assessment), there were no differences between groups. There was, however, trend towards greater complete knee movement reduced aceclofenac. In initial flexion deformity, significantly more effective than improving after 2–4 treatment. Patients' subjective assessment relief demonstrated 71% group reported as compared 59% treated (p=0.005). Tolerability better fewer experienced gastrointestinal adverse events. particular, incidence related diarrhoea less (1%) (6.6%). summary, this supports therapeutic role for arthritis suggests that it is an alternative NSAID osteoarthritis.

参考文章(11)
Abdulrhman Al Arfag, Paul Davis, Osteoarthritis 1991. Current drug treatment regimens. Drugs. ,vol. 41, pp. 193- 201 ,(1991) , 10.2165/00003495-199141020-00005
Sanford H. Roth, Nonsteroidal Anti-inflammatory Drug Gastropathy Archives of Internal Medicine. ,vol. 147, pp. 2093- 2100 ,(1987) , 10.1001/ARCHINTE.1987.00370120029008
Roy Altman, International experiences with diclofenac in osteoarthritis. The American Journal of Medicine. ,vol. 80, pp. 48- 52 ,(1986) , 10.1016/0002-9343(86)90080-X
A. Kohl, H. D. Volk, P. Buntrock, G. Kohl, T. Diamantstein, R. Baehr, The role of dipeptidylpeptidase IV positive T cells in wound healing and angiogenesis. Inflammation Research. ,vol. 32, pp. 125- 127 ,(1991) , 10.1007/BF01983337
Buchanan Ww, Potter, Brooks Pm, NSAID and osteoarthritis--help or hindrance? The Journal of Rheumatology. ,vol. 9, pp. 3- 5 ,(1982)
M. Grau, J. L. Montero, J. Guasch, A. Felipe, E. Carrasco, S. Juliá, The pharmacological profile of aceclofenac, a new nonsteroidal antiinflammatory and analgesic drug. Agents and actions. ,vol. 32, pp. 125- 129 ,(1991) , 10.1007/978-3-0348-7405-2_17
Movilia Pg, Evaluation of the analgesic activity and tolerability of aceclofenac in the treatment of post-episiotomy pain. Drugs Under Experimental and Clinical Research. ,vol. 15, pp. 47- 51 ,(1989)
A. Soliano, G. Giorgianni, C. Ottaviani, N. Campi, Efficacy and tolerability of aceclofenal versus ketoprotein in the treatment of rheumatoid arthritis Current Therapeutic Research-clinical and Experimental. ,vol. 51, pp. 175- 184 ,(1992)
F. Sainz Olalla, Analgesic efficacy of aceclofenac: double-blind controlled study vs placebo in odontalgia Current Therapeutic Research-clinical and Experimental. ,vol. 43, pp. 900- 902 ,(1988)