PMID- 11825322 OWN - NLM STAT- MEDLINE DCOM- 20020926 LR - 20190916 IS - 1465-6566 (Print) IS - 1465-6566 (Linking) VI - 2 IP - 11 DP - 2001 Nov TI - COX-2 inhibitors compared and contrasted. PG - 1859-76 AB - Non-steroidal anti-inflammatory drugs (NSAIDs) are the principal drug treatments for inflammation, pain and fever. They act primarily by inhibiting prostaglandin (PG) synthesis but this can cause adverse events (AEs). Since the discovery of two PG synthesising enzymes, COX-1 and COX-2, and the substantial evidence that sparing COX-1 is advantageous for gastric safety, great interest has focused on selective COX-2 inhibitors. Much of the impetus has come from the most recently developed compounds celecoxib and rofecoxib, which have shown spectacular sales growth. However, the older drugs etodolac, nimesulide and meloxicam, made before COX-2 was discovered, are also COX-1-sparing and have good GI safety and therapeutic activities. These five compounds show similarities and differences that are discussed in relation to aspects that include their uses, efficacy, actions and safety. FAU - Bennett, A AU - Bennett A AD - Academic Department of Surgery, The Rayne Institute, Guy's, King's and St Thomas' Medical School, King's College, London, SE5 9NU, UK. FAU - Tavares, I A AU - Tavares IA LA - eng PT - Comparative Study PT - Journal Article PT - Review PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Cyclooxygenase 2 Inhibitors) RN - 0 (Cyclooxygenase Inhibitors) RN - 0 (Isoenzymes) RN - 0 (Membrane Proteins) RN - 0 (Prostaglandin Antagonists) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 1.14.99.1 (PTGS2 protein, human) RN - EC 1.14.99.1 (Prostaglandin-Endoperoxide Synthases) SB - IM MH - Animals MH - Arthritis, Rheumatoid/drug therapy MH - Cyclooxygenase 2 MH - Cyclooxygenase 2 Inhibitors MH - Cyclooxygenase Inhibitors/adverse effects/chemistry/economics/pharmacokinetics/*therapeutic use MH - Humans MH - Isoenzymes/*antagonists & inhibitors MH - Membrane Proteins MH - Pain/drug therapy MH - Prostaglandin Antagonists/pharmacology MH - Prostaglandin-Endoperoxide Synthases MH - Terminology as Topic RF - 159 EDAT- 2002/02/05 10:00 MHDA- 2002/09/27 06:00 CRDT- 2002/02/05 10:00 PHST- 2002/02/05 10:00 [pubmed] PHST- 2002/09/27 06:00 [medline] PHST- 2002/02/05 10:00 [entrez] AID - 10.1517/14656566.2.11.1859 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2001 Nov;2(11):1859-76. doi: 10.1517/14656566.2.11.1859.