مضادات الالتهابات-غير الستيرويدية كانت و لا تزال من الأدوية الأكثر استعمالاً
على نطاق العالم: فهي تستعمل كمضادات التهابية و مضادات آلام و خافضات حرارة. إلا أن أثارها الجانبية الضارة، و بصورة خاصة تلك التي تصيب المعدة و الأمعاء، جعلت كثيراً من الأطباء حذرين في استعمالها لعلاج حالات التهابات المفاصل المزمنة. على الرغم من أن هذه الأدوية تشكل مجموعة غير متجانسة من المركبات الكيميائية، إلا أن آلية عملها واحدة، و هي قابليتها لتثبيط عمل مادة البروستوكلاندين الموجودة في مخاطية المعدة من خلال تثبيط أنزيم السيكلواوكسي جنيز. إن البروستوكلاندين المفرز من مخاطية المعدة يؤدي
دوراً حاسماً في حمايته من التأثيرات الضارة للحمض المعدي و الببسين.
Non-steroidal anti-inflammatory drugs (NSAID) have long
been, and still, an essential group of drugs having anti-inflammatory,
antipyretic, and analgesic effects. The significant gastro-intestinal toxicity
associated with their use in treatment of chronic arthritis remains of great
concern in clinical applications. The central pathogenic mechanism in
NSAID-induced gastro-duodenal toxicity lies in their ability to inhibit the
synthesis of prostaglandins by gastric mucosa through inhibition of cyclooxygenase
enzyme (Cox). There are two isoforms of Cox enzyme: Cox-1 and
Cox-2. The gastro-protective effects of prostaglandins are mediated by Cox-
1, while the inflammatory effects are mediated by Cox-2. NSAID lead to
inhibition of synthesis of prostaglandins, resulting in toxic effects on gastric
mucosa and beneficial anti-inflammatory effects.
References used
Carson JI, Willet LR: Toxicity of NSAID: An overview of the epidemiological evidence. J Drugs 46(suppl.):243-248, 1993
Gabriel SE, Jaak L, and Bombardier C: Risk of serious gastrointestinal complications related to NSAID. N Engl. J. Med 303: 136-138. 1980
Wolf MM: NSAID and gastric mucosa. N Engl. J. Med.15: 37-48, 1996
The purpose of this article is how to determine simultaneously the content of
some Anti-Inflammatory (NSAIDS):, Ketoprofen, Flurbiprofen, Orphenadrine
Citrate (Muscle relaxant( and Clopidogrel Bisulfate (Anti-thrombocytopenia( in
pure and pharmace
Background& Objective: This research is carried out to investigate the Anti-inflammatory activity of the alcoholic extract of flower buds of Crataegus laevigata in experimentally-induced arthritis in rats.
Materials & Methods: the inflammation was i
This research studies the notion of non-equivalence in translation
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It also suggests a number of strategies
The aim of this study was to compare between two ways of mechanical ventilation,
invasive & non invasive, and study the results (morbidity – mortality – complications)
Rat collagen II – induced arthritis is a model of chronic
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characterized by similar pathophysiological and pathobiochemical changes
as rheumatoid arthritis (RA) in humans. In th