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Medical Forum / Diseases and Disorders / Arthritis / January 2005

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don't stop cox-2's too quickly

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DCHAM - 04 Jan 2005 18:22 GMT
so says a report in today's health section of the washington post. a study
showed that people who stopped nsaids abruptly had a 50% chance of having a
heart attack in the following 30 days.

can't win.

diane
Janet R - 04 Jan 2005 19:17 GMT
Was it NSAIDS or COX-2's that should be stopped or both?  I can never
get on the Washington post website.

Janet R
| so says a report in today's health section of the washington post. a study
| showed that people who stopped nsaids abruptly had a 50% chance of having a
[quoted text clipped - 3 lines]
|
| diane
melodymom - 04 Jan 2005 22:02 GMT
COX-2's are the ones that are dropping like flies, but now Aleve
(naproxen sodium) is in trouble, and other NSAID's are being questioned.
 Can't remember exactly what I read recently - or where I read it.  Sorry!

Denise

> Was it NSAIDS or COX-2's that should be stopped or both?  I can never
> get on the Washington post website.
[quoted text clipped - 9 lines]
> |
> | diane
Nicole H - 05 Jan 2005 03:13 GMT
NSAIDs such as ibuprofen, naproxen, etc inhibit cox 1 AND cox 2.  Vioxx,
Bextra and Celebrex only inhibit cox 2 which is supposed to leave the
stomach alone.
Cox 2 is the prostaglandins that reduces inflammation. (a good thing)

Cox 1 maintains normal stomach function and influences kidney health. (not
good to reduce/limit "maintenance" prostaglandins.

Ibuprofen, Naporoxen sodium, ketoprofen, etodolac, mobic, diclofenac,
ketorolac, nabumetone AND Vioxx, Celebrex and Bextra *all* inhibit Cox 2.

The *xib{s} (the cox 2 inhibitors all end in "xib") are the ones in
question.
According to 2 doctors I've discussed this with... as long as there's no
abnormal dosage (one of the test subjects were taking 800mg Celebrex twice a
day), not at risk for heart attack or stroke, no heart abnormalities, no
blood pressure problems, etc there won't be a problem.
One doctor told me that a lot of the problems were occuring when patients
were taking Vioxx and then not having any follow up check ups.  The dr just
wrote the RX and never checked up on the patients.... the ones with
problems, it caused their blood pressure to sky rocket and then the MI or
stroke

Hope that all makes sense.
Nicole

> Was it NSAIDS or COX-2's that should be stopped or both?  I can never
> get on the Washington post website.
[quoted text clipped - 9 lines]
> |
> | diane
Nicole H - 05 Jan 2005 02:54 GMT
I'm not stopping so I'm not worrying LOL

Nicole
> so says a report in today's health section of the washington post. a study
> showed that people who stopped nsaids abruptly had a 50% chance of having a
[quoted text clipped - 3 lines]
>
> diane
Cindy - 05 Jan 2005 16:12 GMT
Cox 1 Cox 2...Oh how confusing....
I am just taking otc ibuprofen now...was thinking of getting a prescription
strength...
I will take the chance with my stomach...I have an iron one...what is left
of it after the doctor chopped off the biggest part and only left me a
little bity pouch..LOL...
But now I am down 143 lbs and loving it....
Hugs Cindy
> so says a report in today's health section of the washington post. a study
> showed that people who stopped nsaids abruptly had a 50% chance of having
[quoted text clipped - 4 lines]
>
> diane
firechief - 06 Jan 2005 05:52 GMT
> I am just taking otc ibuprofen now...was thinking of getting a prescription
> strength...
> I will take the chance with my stomach

I was on it -Indocin - 3x50mg daily - from 1978 to 2000
with absolutely no side effects.  I always followed the
instruction to "take with food or milk."

I never could keep enough milk in the house, so every
once in awhile I did have to eat.  <g>
Janet R - 06 Jan 2005 16:32 GMT
Indocin works great!  I take that when I have a gout attack, but only
for 3 days.  I'm not supposed to take NSAIDS due to bleeding disorder,
so I cannot do stupid stuff (like bungee jump, ski dive, etc) for that
whole week.  And I get blood work each day I am on it.

But it does work!

Janet R

| > I am just taking otc ibuprofen now...was thinking of getting a
| prescription
[quoted text clipped - 7 lines]
| I never could keep enough milk in the house, so every
| once in awhile I did have to eat.  <g>
 
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