DIFFERENTIATED APPROACH TO PRESCRIPTION OF NON-STEROID DRUGS: “SPRINTERS” AND “STAYERS” OF ANALGESIC TREATMENT

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Abstract

Non-steroid anti-inflammatory drugs are the main instrument for musculoskeletal pain treatment. Differences in pharmacologic properties and safety profile of these medications allow to divide the “scenarios” of their clinical use. For acute pain treatment it is reasonable to use non-selective non-steroid anti-inflammatory drugs with rapid response time and maximum analgesic potential. Using sport terminology we will call them “sprinters” of analgesic therapy. These medications include ketoprofen that is well known by Russian medical practitioners. For long-term treatment of musculoskeletal pain it is reasonable to use selective cyclo-oxygenase-2 inhibitors with good safety profile. These medications are the “stayers” of analgesic treatment; etoricoxib is one of the prominent representatives of the group. The review presents 2 clinical cases that illustrate approaches to the use of these medications in real clinical practice.

About the authors

Andrei E. Karateev

Nasonova Research Institute of Rheumatology

Email: aekarat@yandex.ru
д-р мед. наук, зав. лаб. патофизиологии боли и полиморфизма скелетно-мышечных заболеваний ФГБНУ «НИИР им. В.А. Насоновой» Москва, Россия

Dmitrii S. Zubkov

Association of Orthopedic Traumatologists of Moscow

канд. мед. наук, вед. юрист РОО «Ассоциация травматологов-ортопедов Москвы» Москва, Россия

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