Comparison of the adverse renal effects of different types of NSAID based on COX inhibition in patients with headaches

Yzeiri Havziu, Drita and Gjorgjeska, Biljana and Miftari, Visar and Alili Idrizi, Edita and Alija, Gjylaj and Haxhiu-Zaimi, Arlinda (2020) Comparison of the adverse renal effects of different types of NSAID based on COX inhibition in patients with headaches. Macedonian pharmaceutical bulletin. ISSN 1409 - 8695

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Migraine is a common headache disorder that causes significant disabilities. Non-selective COX inhibitors (Piroxicam, Ketoprofen and Ibuprofen) are most widely-prescribed NSAIDs treatment of headaches. Celecoxib is another NSAID therapy that has been approved in the last several years, with different mechanisms of action. The purpose of the study is to follow the renal function and comparisons of nephrotoxicity of different types of NSAID based on COX inhibition, in patients with cefalea-migraine that has been treated for a long period.
Besides conventional markers of renal function (serum/urine creatinin determined by Jaffe's methods of enzymatic assay for urea in serum), we used nephelometry by β2 Microglobulin (β2 M) and photoelectric colorimetry for microalbuminuria in urine, to monitor glomerular and tubular functioning. Any history of kidney diseases was an exclusion criteria to enter the study.
The results show that the greatest deviations are observed in β2 microglobulin in terms of its increase in all patients treated with Piroxicam and Ketoprofen, in 91.7% patients treated with Ibuprofen, and in 50% of patients treated with Celecoxib. The most frequent decrease was shown in creatinine values in urine, in 50% of patients of Piroxicam-treated group, 66.7% of the group treated with Ketoprofen and Ibuprofen, and 75% of the patients treated with Celecoxib.
Following the levels of specific biomarkers in urine we can recommend constant monitoring of renal functions during usage of different groups of NSAIDs and be careful while using analgesic -anti-inflammatory drugs.

Item Type: Article
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Divisions: Faculty of Medical Science
Depositing User: Biljana Gorgeska
Date Deposited: 09 Apr 2020 12:45
Last Modified: 09 Apr 2020 12:45

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