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Rofecoxib
(Vioxx) offers better pain relief for patients suffering from
knee osteoarthritis than other drugs, according to researchers
at the Arthritis Center of Nebraska and Northwestern University.
Researchers
developed a study to assess the effectiveness of rofecoxib, celecoxib
(Celebrex) and acetaminophen in adults with knee osteoarthritis.
The double-blind,
randomized study was conducted from June 1999 to February 2000
in 29 U.S. clinical centers consisting of 382 patients age 40
and older. Patients were randomly assigned to receive rofecoxib
(12.5 mg per day), rofecoxib (25 mg per day), celecoxib (200 mg
per day) or acetaminophen (4000 mg per day) for 6 weeks.
Measurements
were taken of pain on walking, night pain, pain at rest and morning
stiffness, according to the study published in the Journal of
the American Medical Association.
Thirty-one
percent of the participants who were given acetaminophen quit
the study due to lack of effectiveness of their treatment, compared
with about 18 percent in the other groups. Effectiveness assessed
during the first six months of the study showed the greatest response
was seen in the group given rofecoxib (25 mg), followed by rofecoxib
(12.5 mg), celecoxib and acetaminophen.
"All treatments
were generally safe and well tolerated," said the researchers.
Other
sources: Journal of the American Medical Association
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