APPLICATION OF NSAIDS IN THE TREATMENT OF PAIN SYNDROMES


Cite item

Full Text

Abstract

A fundamental aspect of the problem of pain is its division into two types - acute and chronic; mechanisms of development and approaches to treatment of these types of pain are fundamentally different. To date, more than 30 compounds involved in the mechanisms of excitation and inhibition of nociceptive neurons in the central nervous system are identified. Reduction of synthesis of inflammatory mediators leads to significant analgetic effect. Non-narcotic analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) have such mechanism of action. In modern medicine, priority is given to NSAID that selectively inhibits cyclooxygenase-2 (COX-2); in contrast to the nonselective COX inhibitors, they have significantly less side effects.

References

  1. Болезни нервной системы. Руководство для врачей, в 2 т. Т. 1 / Под ред. Яхно Н.Н., Штульмана Д.Р. М., 2001. 744 с.
  2. Болевые синдромы в неврологической практике / Под ред. Вейна А.М. М., 2001. 372 с.
  3. Боль: руководство для врачей и студентов / Под ред. Яхно. Н.Н. М., 2009. 304 с.
  4. Актуальные проблемы патофизиологии (избранные лекции) / Под ред. Мороза Б.Б. М., 2001. 395 с.
  5. Seibart K, Zhang Y, Leahy K, et al. Pharmacological and biochemical demonstration of the role of cyclooxygenase-2 in inflammation and pain. Proc Nat Acad Sci USA 1994;91:12013-17.
  6. Radford MG, Holley KE, Grande JP, et al. Reversible membranous nephropathy associated with the use of nonsteroidal anti-inflammatory drugs. JAMA 1996;276:466-72.
  7. Насонова В.А. Клиническая оценка нестероидных противовоспалительных препаратов в конце ХХ века // РМЖ 2000. Т. 8. № 17. С. 714-17.
  8. Rainsford KD. Relationship of nimesulide safety to its pharmacokinetics: assessment of adverse reactions. Rheumatology (Oxford) 1999;38(1):4-10.
  9. Rainsford KD. Nimesulide - a multifactorial approach to inflammation and pain: scientific and clinical consensus. Curr Med Res Opin 2006;22(6):1161-70.
  10. Marini U, Spotti D, Magni E, et al. Double-blind endoscopic study comparing the effect of nimesulide and placebo on gastric mucosa of dyspeptic patients. Drug Invest 1990;2:162-66.
  11. Bjarnason I. Effects of nimesulide and naproxen on the human gastrointestinal tract: a double-blind, crossover study. Rheumatology 1999;38 (1):24-32.
  12. Furlan AD, Sandoval JA, Mailis-Gagnon A, Tunks E. Opioids for chronic noncancer pain: a meta-analysis of effectiveness and side effects. CMAJ 2006;174(11):1589-94.
  13. Воробьева О.В. Взаимосвязь спектра безопасности нимесулида и особенностей его механизма действия, химической структуры и фармакокинетики // Consilium Medicum 2010. № 2. С. 5-8.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies