Fw: Debates in Medicine

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alonmarcus

Monday, June 27, 2005 8:04 AM

Debates in Medicine

 

 

Medscape Join the Medscape Debate

 

 

 

 

Debates in Medicine

 

 

Read this June article from MedGenMed and discuss with your

colleagues whether the negative effects of NSAIDs warrant any dramatic changes

to your practice.

 

NSAID Hysteria -- Chicken Little Revisited

by John A. Goldman, MD, FACP, FACR, FASLMS, CCD; Sanford S. Hartman,

MD, MBA

from Medscape General Medicine

 

As practicing rheumatologists with over 65 (35 + 30) years in

rheumatology, we are disturbed by the data " sensationalizing " the adverse

gastrointestinal, renal, and cardiovascular outcomes associated with

nonsteroidal anti-inflammatory drugs (NSAIDs) and cyclooxygenase (COX)-2 NSAIDs

(COX-1 sparing).[2-12] This is not completely new information (ie, some data are

newer than others), and if one reviews all of these drugs, many other adverse

outcomes can be readily noted....

 

 

 

Items for discussion:

 

 

a.. Has the US overestimated the hazards of

NSAIDs?

b.. Would black box warnings have been enough?

c.. How are your patients faring without these

medications?

Join the Medscape Debate

 

 

 

 

Visit the Medscape NSAID and Cardiovascular Effects

Alert Center

 

 

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