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University
of Pennsylvania researchers say etoricoxib, the investigational
COX-2 inhibitor, is an effective treatment for acute gouty arthritis,
and could offer an alternative to indometacin, the standard treatment
for the disease.
A multi-center,
randomized, double-blind trial included 150 adults who had been
diagnosed with acute gouty arthritis of no more than 48 hours'
duration. Half
of the patients received a once-daily dose of etoricoxib, while
the other half received indometacin three times daily.
Reporting
in the British Medical Journal, researchers said that based on
assessments of pain, tenderness and inflammation, etoricoxib was
comparable to indometacin for speed of relief and reduction in
pain, with patients reporting significant relief four hours after
the first treatment.
The frequency
of adverse effects for both treatment groups was similar, as well.
"Etoricoxib
was generally safe and well-tolerated in this study (and) is an
effective treatment alternative to indometacin," the researchers
concluded.
Other
sources: British Medical Journal
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