Abstract :
Background:
Peptic Ulcer disease is a common disease among arthritis patients who have regular use of
Materials and Methods:
receiving non-specific NSAIDs and had at least one gastric ulcer size 3-10 mm. at baseline esophagogastroduodenoscopy
(EGD) to receive either lumiracoxib 200 mg/day plus omeprazole 20 mg/day, or placebo plus omeprazole 20
mg/day. After 4 and 8 weeks of treatment, healing of gastric ulcer was reevaluated by EGD. The primary outcome
was the percentage of patients in each treatment group who had no gastric ulcers at week 8.
This randomized, double-blind, controlled trial included patients who were
Results:
200 mg/day plus omeprazole 20 mg/day was 55.6%, and placebo plus omeprazole 20 mg/day was 100% (p =
0.228). GU healing rate at week 8 was 100 % in both groups. All treatment was well tolerated and no significant
adverse events occurred.
A total of 13 patients were randomized to treatment. At week 4, GU healing rate with lumiracoxib
Conclusion:
week short course, is effective and well-tolerated therapy compared with omeprazole 20 mg/day alone for healing
of gastric ulcers in rheumatoid arthritis patient.
COX-2 specific inhibitor, lumiracoxib 200 mg/day plus omeprazole 20 mg/day, in a 8
nonsteroidal anti-inflammatory drugs (NSAIDs). In the presence of gastric ulcers, discontinuing NSAIDs may be
difficult and not be tolerable for the arthritis patients who depended on these agents for treatment of painful inflammatory
joints. Therefore, the ability to heal NSAIDs-associated ulcers while maintaining NSAIDs therapy is an
important pharmacologic strategy that has clinical relevance. COX-2 specific inhibitors have more efficacies in
minimize GI side effect and ulcer when compared to non-specific COX inhibitor NSAIDs. It’s used may be applicable
for selected patient group who need continued use of NSAIDs, but some studies have shown that inhibition of
COX-2 resulted in delay healing of ulcer. There were limited data to demonstrate clinically significant delay in
gastric healing among arthritis patients who have continued use of NSAIDs. This study was performed to compare
the effect of COX-2 specific inhibitor, lumiracoxib (200 mg/day) with standard dose omeprazole and standard dose
omeprazole alone for the healing of gastric ulcer (GUs) during 8 weeks in rheumatoid arthritis patients. |
file/Thai-Journal-of-gastroenterology-vol-10-no-1-139468.pdf