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What is the best NSAID regimen for arthritis patients with bleeding ulcer?
PRACTICE RECOMMENDATIONS

Among arthritis patients with a recent history of bleeding ulcer, celecoxib was just as likely as diclofenac plus omeprazole to cause recurrent bleeding. The effectiveness of these two regimens in preventing recurrent bleeding compared with a general nonsteroidal antiinflammatory drug (NSAID) used alone cannot be determined from this study. Unfortunately, adverse renal effects were common with both regimens.

 
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Practice Recommendations from Key Studies

Chan FK, Hung LC, Suen BY, et al. Celecoxib versus diclofenac and omeprazole in reducing the risk of recurrent ulcer bleeding in patients with arthritis. N Engl J Med 2002; 347:2104–2110.

Eric A. Jackson, PharmD
University of Connecticut School of Medicine and Saint Francis Hospital and Medical Center Hartford

[email protected]

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The Journal of Family Practice - 52(5)
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349-364
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Practice Recommendations from Key Studies

Chan FK, Hung LC, Suen BY, et al. Celecoxib versus diclofenac and omeprazole in reducing the risk of recurrent ulcer bleeding in patients with arthritis. N Engl J Med 2002; 347:2104–2110.

Eric A. Jackson, PharmD
University of Connecticut School of Medicine and Saint Francis Hospital and Medical Center Hartford

[email protected]

Author and Disclosure Information

Practice Recommendations from Key Studies

Chan FK, Hung LC, Suen BY, et al. Celecoxib versus diclofenac and omeprazole in reducing the risk of recurrent ulcer bleeding in patients with arthritis. N Engl J Med 2002; 347:2104–2110.

Eric A. Jackson, PharmD
University of Connecticut School of Medicine and Saint Francis Hospital and Medical Center Hartford

[email protected]

Article PDF
Article PDF
PRACTICE RECOMMENDATIONS

Among arthritis patients with a recent history of bleeding ulcer, celecoxib was just as likely as diclofenac plus omeprazole to cause recurrent bleeding. The effectiveness of these two regimens in preventing recurrent bleeding compared with a general nonsteroidal antiinflammatory drug (NSAID) used alone cannot be determined from this study. Unfortunately, adverse renal effects were common with both regimens.

 
PRACTICE RECOMMENDATIONS

Among arthritis patients with a recent history of bleeding ulcer, celecoxib was just as likely as diclofenac plus omeprazole to cause recurrent bleeding. The effectiveness of these two regimens in preventing recurrent bleeding compared with a general nonsteroidal antiinflammatory drug (NSAID) used alone cannot be determined from this study. Unfortunately, adverse renal effects were common with both regimens.

 
Issue
The Journal of Family Practice - 52(5)
Issue
The Journal of Family Practice - 52(5)
Page Number
349-364
Page Number
349-364
Publications
Publications
Topics
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What is the best NSAID regimen for arthritis patients with bleeding ulcer?
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What is the best NSAID regimen for arthritis patients with bleeding ulcer?
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