STRATEGIES IN THE PREVENTION OF NONSTEROIDALANTIINFLAMMATORY DRUGS INDUCED COMPLICATIONS IN THE GASTROINTESTINAL TRACT

B. Dejanović
B. Dejanović

Internal clinic, Medical faculty Pristina , Коsоvsка Мitrovica , Kosovo*

Published: 01.12.2007.

Volume 35, Issue 2 (2007)

pp. 79-84;

https://doi.org/10.70949/pramed200702206D

Abstract

Nonsteroidal antiinflamatory drugs are currently one of the most widely used categories of drugs, because there is a huge number of indication for theirs purpose. This huge purpose of this drugs has theirs own price, which is shown in side effects, especialy in the upper parts of gastrointestinal tract: erosions of the mucose in 35-60 %, ulcers in 10-25%, strong bleeding or perforation in <1%. It is appears that this drugs are responsible for 10-20 thousands lethal outcome in the world. Even small dose of acetlisalicil acid by 75 mg,which is used in prevention of cardiovascular disease, brings to the damage of mucose GIT and 11% have ulcer. Inhibition ciklooxigen-1,which have main role in protection mucose of stomach and duodenum on the part of NAIL, lead to damage mucose GIT, and that is the result of sistemic inhibition, which is indenpendant of the way of getting drugs. Some author instigate a local effect of Nail,as week acid. It is necessary to protect highrisk pacient with using gastroprotektiv drugs

Keywords

References

1.
Review. Cyclooxygenase-2 implications on maintenance of gastric mucosal integrity and ulcer healing: controversial issues and perspectives. Gut. 49:443–53.
2.
L.K. C, D.Y G. Review article: prevention of nonsteroidal anti-inflammatory drug gastrointestinal complications - review and recommendations based on risk assessment. Aliment Pharmacol Ther. 19:111–9.
3.
C.H H. Update on aspirin in the treatment and prevention of cardiovascular disease. Am Heart J. 137:913–9.
4.
F.M. G, S.R. H, A.J K. Treatment of colonic and rectal adenomas with sulindac in familial adenomatous polyposis. N Engl J Med. 328:131–316.
5.
W.F. S, C. K, M C. Risk of Alzheimer’s disease and duration of NSAID use. Neurology. 48:626–32.

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