Non-Steroidal Antiinflammatory Drugs

Prof. V. V. Nimbalkar, Dr. P M. Gaikwad, Gauri P. Shinde, Simran M. Jaggi, Snehal S. Jogdand, Kalyani S. Mhaismale
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Abstract

Nonsteroidal anti-inflammatory drugs, or NSAIDs, are among the most often prescribed pain relievers. NSAIDs are a highly successful medicine class for pain and inflammation, but they are also known to cause gastrointestinal bleeding, cardiovascular side effects, and NSAID-induced nephrotoxicity. The pharmacodynamic action of these medicines is predominantly mediated by COX2 inhibition, whereas COX1 inhibition is largely responsible for the unfavourable effects. The activity of (COX-1) and COX2, and thus the synthesis of prostalglandin and thromboxanes, is inhibited by most NSAIDs. Inhibiting COX-2 is thought to have anti-inflammatory, analgesic, and antipyretic effects, and that NSAIDs that also inhibit COX-1, such as aspirin, may cause gastrointestinal bleeding and ulcers. This review aims to provide a comprehensive overview pharmacodynamic and pharmacokinetics of NSAIDs as well as the medication class and method of action.
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非甾体抗炎药
非甾体抗炎药(NSAIDs)是最常用的止痛药之一。非甾体抗炎药是一种非常成功的治疗疼痛和炎症的药物,但它们也会引起胃肠道出血、心血管副作用和非甾体抗炎药引起的肾毒性。这些药物的药效学作用主要是由COX2抑制介导的,而COX1抑制主要是造成不利影响的原因。大多数非甾体抗炎药抑制(COX-1)和COX2的活性,从而抑制前列腺素和血栓素的合成。抑制COX-2被认为具有抗炎、镇痛和解热作用,而非甾体抗炎药也抑制COX-1,如阿司匹林,可能导致胃肠道出血和溃疡。本文综述了非甾体抗炎药的药效学和药代动力学,以及药物种类和作用方法。
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