Morning stiffness and nightime pain in ankylosing spondylitis. A comparison between enteric-coated and plain naproxen tablets.

V Johnsen, J G Brun, E Fjeld, K Hansen, O A Sydnes, M B Ugstad
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Abstract

Thirty-nine patients with ankylosing spondylitis participated in a randomized, double-blind, double-dummy, multi-cross-over study with enteric-coated (ECT) and plain (PT) naproxen tablets. The duration of the study was 24 days with 6 treatment periods of 4 days. The majority of the patients were taking 750 mg naproxen daily. The mean plasma concentration of naproxen in the morning was 36% higher with ECT (p < 0.001). No significant differences regarding duration of morning stiffness and night time pain were found in this patient category. The mean duration of morning stiffness was 116 minutes (ECT) and 125 minutes (PT). We were not able to show correlation between plasma concentration of naproxen and duration of morning stiffness.

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强直性脊柱炎的晨僵和夜间疼痛。萘普生肠溶片与普通片的比较。
39例强直性脊柱炎患者参加了一项随机、双盲、双虚拟、多交叉研究,使用了肠溶(ECT)和普通(PT)萘普生片。研究持续24天,6个治疗期,每个治疗期4天。大多数患者每天服用750毫克萘普生。ECT组晨间萘普生平均血药浓度比对照组高36% (p < 0.001)。在这类患者中,晨僵和夜间疼痛的持续时间没有显著差异。晨僵的平均持续时间为116分钟(ECT)和125分钟(PT)。我们不能显示血浆萘普生浓度与晨僵持续时间之间的相关性。
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