Tag Archives: nonsteroidal anti inflammatory drugs

Aspirin fights oesophageal cancer risk

Aspirin can reduce the risk of throat cancer, according to a new study.

Aspirin is already known to help stave off a host of diseases, including arthritis, heart disease and strokes, and now researchers say it can reduce the risk of oesophageal cancer.

Last year, 7,610 people in the UK died from oesophageal cancer and in 2009, 8,161 people were diagnosed with the incurable disease.

But researchers say taking aspirin can reduce the risk of Barrett’s esophagus (BE), a condition which affects the cells in the throat and which is the largest known risk factor for oesophageal cancer.

The incidence of oesophageal cancer has been increasing at an alarming rate, with current attempts at targeted screening focusing on identifying BE.

Previous studies have found nonsteroidal anti-inflammatory drugs (NSAIDs), particularly aspirin, have been associated with lower death rates for oesophageal cancer.

Although research has analysed NSAID and aspirin chemoprevention for oesophageal cancer or BE progression, few have explored whether the drugs can prevent BE.

Aspirin

Aspirin

Researchers analysed characteristics of 434 patients for factors that might be used in screening and management, discovering those taking aspirin were 44 per cent less likely to have BE.


Results in the Clinical Gastroenterology and Hepatology study also showed men were more than three times more likely to develop the condition than women.

The researchers warn people should not start taking high doses of aspirin to prevent throat cancer, but say further research is being done to see if aspirin should be a considered treatment.

Dr Chin Hur, of the the Massachusetts General Hospital Institute for Technology Assessment, said: ‘The protective effect of aspirin use appears robust because the analyses suggests a dose-response relationship in which high-dose aspirin was significantly associated with decreased Barrett’s esophagus risk.

‘It would not be advisable at this time for patients to start taking aspirin, particularly at higher doses, if preventing Barrett’s esophagus is the only goal.

‘However, if additional data confirms our findings and an individual at high risk for development of Barrett’s esophagus and oesophageal cancer also could derive additional benefits, most notably cardiovascular, aspirin could be a consideration.’

Arthritis Drugs options – 1

Are the Newer Arthritis Drugs Always the Better Choice?

Arthritis drugs have long been considered the “traditional” treatment option. Since individual response to drugs can vary and because potential side effects and adverse reactions are also a factor, finding the most effective combination of arthritis drugs can be a more difficult process than one would expect. Patients should become knowledgeable about the various arthritis drugs so they can make decisions with their doctor.

NSAIDs / COX-2 Inhibitors

NSAIDs (nonsteroidal anti-inflammatory drugs) are among the most commonly prescribed and widely used arthritis drugs. There are three types of NSAIDs: salicylates (both acetylated, such as aspirin, and nonacetylated such as (Disalcid) salsalate, (Trilisate) choline magnesium trisalicylate and (Doan’s Pills, Novasal) magnesium salicylate), the traditional NSAIDs, and COX-2 selective inhibitors.

NSAIDs work by blocking the activity of the enzyme, cyclooxygenase, also known as COX. Research has revealed that there are two forms, known as COX-1 and COX-2. NSAIDs affect both forms. COX-1 is involved in maintaining healthy tissue, while COX-2 is involved in the inflammation pathway. COX-2 selective inhibitors became a new subset of NSAIDs born of this research.

Traditional NSAIDs include:

*Ansaid (Flurbiprofen)
*Arthrotec (Diclofenac/Misoprostol)
*Cataflam (Diclofenac potassium)
*Clinoril (Sulindac)
*Daypro (Oxaprozin)
*Dolobid (Diflunisal)
*Feldene (Piroxicam)
*Ibuprofen (Motrin, Advil)
*Indocin (Indomethacin)
*Ketoprofen (Orudis, Oruvail)
*Lodine (Etodolac)
*Meclomen (Meclofenamate)
*Mobic (Meloxicam)
*Nalfon (Fenoprofen)
*Naproxen (Naprosyn, Aleve)
*Ponstel (Mefanamic Acid)
*Relafen (Nabumetone)
*Tolectin (Tolmetin)
*Voltaren (Dicolfenac Sodium)

Arthritis

Arthritis

COX-2 Inhibitors include:

*Celebrex (Celecoxib)
*Vioxx (Rofecoxib) – no longer on market
*Bextra (Valdecoxib) – no longer on market

DMARDs

DMARDs (Disease-Modifying Anti-Rheumatic Drugs) have also been labeled “slow-acting anti-rheumatic drugs” (because they take weeks or months to work) and “second-line agents”. However, research has shown the effectiveness of DMARDs in the treatment of rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis and the importance of early, aggressive treatment with these drugs. For some, these drugs can stop disease progression and halt joint damage.


DMARDs include:

*Arava (Leflunomide)
*Auranofin (Ridaura, Oral Gold)
*Azulfidine (Sulfasalazine)
*Mycophenolate (CellCept)
*Myochrysine (Injectable Gold)
*Cyclosporine (Neoral,Sandimmune)
*Cytoxan (Cyclophosphamide)
*Imuran (Azathioprine)
*Leukeran (Chlorambucil)
*Methotrexate (Rheumatrex, Trexall)
*Minocin (Minocycline)
*Penicillamine (Cuprimine, Depen)
*Plaquenil (Hydroxychloroquine)

Corticosteroids (Steroids)

Corticosteroids or glucocorticoids, often called “steroids”, are potent drugs which can reduce swelling and inflammation quickly. These drugs are closely related to cortisol, a hormone produced on the cortex of the adrenal glands. They are prescribed in widely varying doses depending on the condition and goal of treatment. Used to control inflammation of the joints and organs in diseases such as rheumatoid arthritis, lupus, polymyalgia rheumatica, vasculitis, it has been determined that the potential for serious side effects increases at high doses or with longterm use. Doctors can prescribe short-term, high-dose intravenous steroids in some situations, or give shots or injections with drugs such as Triamcinolone (Kenalog) locally into a specific joint for relief.

Corticosteroids include:

*Betamethasone (Celestone)
*Cortisone (Cortone)
*Dexamethasone (Decadron)
*Hydrocortisone (Cortef)
*Methylprednisolone (Medrol)
*Prednisolone (Prelone)
*Prednisone (Deltasone)

Go to part two…..