Can the use of specific isomers improve the safety and efficacy of nonsteroidal antiinflammatory drugs?
نویسنده
چکیده
The NSAIDs have become increasingly popular for the perioperative period because of their opioid-sparing effects and potential for reducing opioid-related side effects and improving the recovery process (4). Unfortunately, nonselective NSAIDs such as ketorolac and ibuprofen also have the ability to interfere with platelet function, as well as the potential for producing adverse effects on gastric mucosal and renal tubular function (5). Interestingly, the report by Bonabello et al. (3) also suggested that S(+) ibuprofen may be associated with less gastric mucosal toxicity than racemic ibuprofen in their rat model. The current findings of Bonabello et al. (3) support an earlier clinical investigation by Dionne and McCullagh (6), which suggested that the S(+) isomer of ibuprofen improved pain control and reduced side effects after oral surgery compared with the JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
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عنوان ژورنال:
- Anesthesia and analgesia
دوره 97 2 شماره
صفحات -
تاریخ انتشار 2003