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10.1016/j.bcp.2020.114147

http://scihub22266oqcxt.onion/10.1016/j.bcp.2020.114147
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suck abstract from ncbi


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pmid32653589      Biochem+Pharmacol 2020 ; 180 (ä): 114147
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  • Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective #MMPMID32653589
  • Bindu S; Mazumder S; Bandyopadhyay U
  • Biochem Pharmacol 2020[Oct]; 180 (ä): 114147 PMID32653589show ga
  • Owing to the efficacy in reducing pain and inflammation, non-steroidal anti-inflammatory drugs (NSAIDs) are amongst the most popularly used medicines confirming their position in the WHO's Model List of Essential Medicines. With escalating musculoskeletal complications, as evident from 2016 Global Burden of Disease data, NSAID usage is evidently unavoidable. Apart from analgesic, anti-inflammatory and antipyretic efficacies, NSAIDs are further documented to offer protection against diverse critical disorders including cancer and heart attacks. However, data from multiple placebo-controlled trials and meta-analyses studies alarmingly signify the adverse effects of NSAIDs in gastrointestinal, cardiovascular, hepatic, renal, cerebral and pulmonary complications. Although extensive research has elucidated the mechanisms underlying the clinical hazards of NSAIDs, no review has extensively collated the outcomes on various multiorgan toxicities of these drugs together. In this regard, the present review provides a comprehensive insight of the existing knowledge and recent developments on NSAID-induced organ damage. It precisely encompasses the current understanding of structure, classification and mode of action of NSAIDs while reiterating on the emerging instances of NSAID drug repurposing along with pharmacophore modification aimed at safer usage of NSAIDs where toxic effects are tamed without compromising the clinical benefits. The review does not intend to vilify these 'wonder drugs'; rather provides a careful understanding of their side-effects which would be beneficial in evaluating the risk-benefit threshold while rationally using NSAIDs at safer dose and duration.
  • |Animals[MESH]
  • |Anti-Inflammatory Agents, Non-Steroidal/*adverse effects/classification/*pharmacology[MESH]
  • |Cyclooxygenase 2 Inhibitors/adverse effects/classification/pharmacology[MESH]
  • |Humans[MESH]
  • |Multiple Organ Failure/*chemically induced/metabolism[MESH]
  • |Oxidative Stress/drug effects/physiology[MESH]


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