Cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti-inflammatory drugs

Subjects and methods. The follow-up included 66 patients (34 women and 32 men) who took NSAIDs for emergent low back pain. Results. The findings may suggest that etoricoxib-based therapy is highly effective and relatively safe for the management of acute nonspecific backache in patients with comorbi...

Full description

Bibliographic Details
Main Authors: I E Poverennova, I A Zolotovskaya
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2015-05-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/view/31742
_version_ 1818961932245270528
author I E Poverennova
I A Zolotovskaya
author_facet I E Poverennova
I A Zolotovskaya
author_sort I E Poverennova
collection DOAJ
description Subjects and methods. The follow-up included 66 patients (34 women and 32 men) who took NSAIDs for emergent low back pain. Results. The findings may suggest that etoricoxib-based therapy is highly effective and relatively safe for the management of acute nonspecific backache in patients with comorbidity. The important feature is the established tendency towards BP destabilization in patients with chronic cerebrovascular diseases treated with NSAIDs (diclofenac, meloxicam, to a lesser extent, nimesulide). After completion of drug intake for 14 days or longer, acute cerebral circulatory disorder and acute cerebrovascular event developed within 4.5 months in 3 and 2 patients, respectively. Conclusion. Thus, the spectrum of possible adverse cardiovascular effects of NSAIDs is rather broad. It is advisable to identify two major groups of NSAID-associated complications: 1) destabilized hypertension; 2) cardiovascular and cerebrovascular events.
first_indexed 2024-12-20T12:21:17Z
format Article
id doaj.art-e5f2ac1548d347cfb01751d86fa4adfd
institution Directory Open Access Journal
issn 0040-3660
2309-5342
language Russian
last_indexed 2024-12-20T12:21:17Z
publishDate 2015-05-01
publisher "Consilium Medicum" Publishing house
record_format Article
series Терапевтический архив
spelling doaj.art-e5f2ac1548d347cfb01751d86fa4adfd2022-12-21T19:40:59Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422015-05-01875535728758Cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti-inflammatory drugsI E PoverennovaI A ZolotovskayaSubjects and methods. The follow-up included 66 patients (34 women and 32 men) who took NSAIDs for emergent low back pain. Results. The findings may suggest that etoricoxib-based therapy is highly effective and relatively safe for the management of acute nonspecific backache in patients with comorbidity. The important feature is the established tendency towards BP destabilization in patients with chronic cerebrovascular diseases treated with NSAIDs (diclofenac, meloxicam, to a lesser extent, nimesulide). After completion of drug intake for 14 days or longer, acute cerebral circulatory disorder and acute cerebrovascular event developed within 4.5 months in 3 and 2 patients, respectively. Conclusion. Thus, the spectrum of possible adverse cardiovascular effects of NSAIDs is rather broad. It is advisable to identify two major groups of NSAID-associated complications: 1) destabilized hypertension; 2) cardiovascular and cerebrovascular events.https://ter-arkhiv.ru/0040-3660/article/view/31742cerebrovascular risksbackachenonsteroidal anti-inflammatory drugs
spellingShingle I E Poverennova
I A Zolotovskaya
Cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti-inflammatory drugs
Терапевтический архив
cerebrovascular risks
backache
nonsteroidal anti-inflammatory drugs
title Cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti-inflammatory drugs
title_full Cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti-inflammatory drugs
title_fullStr Cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti-inflammatory drugs
title_full_unstemmed Cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti-inflammatory drugs
title_short Cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti-inflammatory drugs
title_sort cerebrovascular risks and prediction of complications in patients with backache during therapy with nonsteroidal anti inflammatory drugs
topic cerebrovascular risks
backache
nonsteroidal anti-inflammatory drugs
url https://ter-arkhiv.ru/0040-3660/article/view/31742
work_keys_str_mv AT iepoverennova cerebrovascularrisksandpredictionofcomplicationsinpatientswithbackacheduringtherapywithnonsteroidalantiinflammatorydrugs
AT iazolotovskaya cerebrovascularrisksandpredictionofcomplicationsinpatientswithbackacheduringtherapywithnonsteroidalantiinflammatorydrugs