Misoprostol in the treatment of NSAID-induced gastroduodenal lesions.
Artículo
en Inglés
| IMSEAR
| ID: sea-64222
ABSTRACT
The cytoprotective effect of misoprostol co-administered with non-steroidal anti-inflammatory drugs (NSAIDs) was assessed in a double blind, placebo controlled study. Thirty-seven patients with rheumatoid arthritis receiving NSAIDs, having upper gastrointestinal symptoms and endoscopically confirmed gastric and/or duodenal lesions, were randomised to receive either misoprostol 200 micrograms or placebo tablets twice daily for 4 weeks. Of 31 evaluable cases, 13 of 16 (81%) patients receiving misoprostol showed endoscopic improvement as compared to 10 of 15 (67%) receiving placebo (PNS). A significant decrease in mean (+/- SEM) mucosal lesion score was observed with misoprostol (from 3.38 +/- 0.32 to 1.32 +/- 0.44; P less than 0.001) but no change was seen with placebo (from 2.80 +/- 0.42 to 1.60 +/- 0.53; PNS). Symptomatic relief was similar in both groups, being 44% and 40% respectively. Two patients complained of diarrhea in each group and one developed menorrhagia with misoprostol. It is concluded that though misoprostol decreased the number of NSAID-induced mucosal lesions, it was unable to relieve gastrointestinal symptoms.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Artritis Reumatoide
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Antiinflamatorios no Esteroideos
/
Método Doble Ciego
/
Misoprostol
/
Adulto
/
Enfermedades Gastrointestinales
Tipo de estudio:
Ensayo Clínico Controlado
Idioma:
Inglés
Año:
1991
Tipo del documento:
Artículo
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