Comparison Of Naproxen And Diacerein In The Treatment Of Knee Joint Osteoarthritis

Background: Knee osteoarthritis is a common disease in older age. Pain and limitation of movement are the main symptoms of knee osteoarthritis. Many pharmacological options are available for symptomatic relief but NSAIDs are mostly prescribed. Diacerein is also prescribed for osteoarthritis but dat...

Full description

Bibliographic Details
Main Authors: Mehtab Munir, Ayesha Khan, Tauseef Sayyar, Maria Mufti, Iqra Siddiqui, Sara Tariq Abbasi
Format: Article
Language:English
Published: Rawalpindi Medical University 2023-09-01
Series:Journal of Rawalpindi Medical College
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/2034
_version_ 1797450752407371776
author Mehtab Munir
Ayesha Khan
Tauseef Sayyar
Maria Mufti
Iqra Siddiqui
Sara Tariq Abbasi
author_facet Mehtab Munir
Ayesha Khan
Tauseef Sayyar
Maria Mufti
Iqra Siddiqui
Sara Tariq Abbasi
author_sort Mehtab Munir
collection DOAJ
description Background: Knee osteoarthritis is a common disease in older age. Pain and limitation of movement are the main symptoms of knee osteoarthritis. Many pharmacological options are available for symptomatic relief but NSAIDs are mostly prescribed. Diacerein is also prescribed for osteoarthritis but data regarding its efficacy is still controversial. Moreover, studies regarding the comparison of diacerein with NSAIDs are deficient in Pakistan. Objective: The objective of the study was to compare the clinical efficacy of naproxen (NSAID) with diacerein in treating knee osteoarthritis. Methodology: Patients fulfilling inclusion criteria were included in the study. After written informed consent 60 patients of knee osteoarthritis were included in the study. They were divided randomly into two groups. Group A (n=30) was prescribed with tablet naproxen 500mg twice daily and group B (n=30) was given capsule diacerein 50mg twice daily for 12 weeks. Baseline VAS and WOMAC scores of the patients were noted. These scores were compared with scores achieved 12 weeks after intervention. Intra-group comparison of the scores was also carried out. SPSS version 23.0 was used for statistical analysis. Results: WOMAC and VAS scores comparison of the two groups (A & B) before intervention showed an insignificant p-value that is 0.815 for the WOMAC score and  0.509 for the VAS score. After intervention means WOMAC score i.e.10.50 ± 2.46 of group A (treated with naproxen) was better than the mean 29.62 ± 7.03 of group B (treated with diacerein) showing significant p-value (< 0.001). Similarly mean VAS of group A 1.92 ± 0.58 improved more than the mean VAS of group B i.e 3.38 ± 0.75 with significant p-value (< 0.001). Intra-group comparison of the groups also showed a significant p-value. Conclusion: Clinical efficacy of naproxen is better than diacerein in treating knee osteoarthritis.
first_indexed 2024-03-09T14:45:07Z
format Article
id doaj.art-1737a6a04b48412db6ce34c057b5c0cf
institution Directory Open Access Journal
issn 1683-3562
1683-3570
language English
last_indexed 2024-03-09T14:45:07Z
publishDate 2023-09-01
publisher Rawalpindi Medical University
record_format Article
series Journal of Rawalpindi Medical College
spelling doaj.art-1737a6a04b48412db6ce34c057b5c0cf2023-11-27T08:01:18ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702023-09-0127310.37939/jrmc.v27i3.2034Comparison Of Naproxen And Diacerein In The Treatment Of Knee Joint OsteoarthritisMehtab MunirAyesha KhanTauseef SayyarMaria MuftiIqra SiddiquiSara Tariq Abbasi Background: Knee osteoarthritis is a common disease in older age. Pain and limitation of movement are the main symptoms of knee osteoarthritis. Many pharmacological options are available for symptomatic relief but NSAIDs are mostly prescribed. Diacerein is also prescribed for osteoarthritis but data regarding its efficacy is still controversial. Moreover, studies regarding the comparison of diacerein with NSAIDs are deficient in Pakistan. Objective: The objective of the study was to compare the clinical efficacy of naproxen (NSAID) with diacerein in treating knee osteoarthritis. Methodology: Patients fulfilling inclusion criteria were included in the study. After written informed consent 60 patients of knee osteoarthritis were included in the study. They were divided randomly into two groups. Group A (n=30) was prescribed with tablet naproxen 500mg twice daily and group B (n=30) was given capsule diacerein 50mg twice daily for 12 weeks. Baseline VAS and WOMAC scores of the patients were noted. These scores were compared with scores achieved 12 weeks after intervention. Intra-group comparison of the scores was also carried out. SPSS version 23.0 was used for statistical analysis. Results: WOMAC and VAS scores comparison of the two groups (A & B) before intervention showed an insignificant p-value that is 0.815 for the WOMAC score and  0.509 for the VAS score. After intervention means WOMAC score i.e.10.50 ± 2.46 of group A (treated with naproxen) was better than the mean 29.62 ± 7.03 of group B (treated with diacerein) showing significant p-value (< 0.001). Similarly mean VAS of group A 1.92 ± 0.58 improved more than the mean VAS of group B i.e 3.38 ± 0.75 with significant p-value (< 0.001). Intra-group comparison of the groups also showed a significant p-value. Conclusion: Clinical efficacy of naproxen is better than diacerein in treating knee osteoarthritis. https://www.journalrmc.com/index.php/JRMC/article/view/2034
spellingShingle Mehtab Munir
Ayesha Khan
Tauseef Sayyar
Maria Mufti
Iqra Siddiqui
Sara Tariq Abbasi
Comparison Of Naproxen And Diacerein In The Treatment Of Knee Joint Osteoarthritis
Journal of Rawalpindi Medical College
title Comparison Of Naproxen And Diacerein In The Treatment Of Knee Joint Osteoarthritis
title_full Comparison Of Naproxen And Diacerein In The Treatment Of Knee Joint Osteoarthritis
title_fullStr Comparison Of Naproxen And Diacerein In The Treatment Of Knee Joint Osteoarthritis
title_full_unstemmed Comparison Of Naproxen And Diacerein In The Treatment Of Knee Joint Osteoarthritis
title_short Comparison Of Naproxen And Diacerein In The Treatment Of Knee Joint Osteoarthritis
title_sort comparison of naproxen and diacerein in the treatment of knee joint osteoarthritis
url https://www.journalrmc.com/index.php/JRMC/article/view/2034
work_keys_str_mv AT mehtabmunir comparisonofnaproxenanddiacereininthetreatmentofkneejointosteoarthritis
AT ayeshakhan comparisonofnaproxenanddiacereininthetreatmentofkneejointosteoarthritis
AT tauseefsayyar comparisonofnaproxenanddiacereininthetreatmentofkneejointosteoarthritis
AT mariamufti comparisonofnaproxenanddiacereininthetreatmentofkneejointosteoarthritis
AT iqrasiddiqui comparisonofnaproxenanddiacereininthetreatmentofkneejointosteoarthritis
AT saratariqabbasi comparisonofnaproxenanddiacereininthetreatmentofkneejointosteoarthritis