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NSAID er sjaeldent indiceret ved reumatoid artritis - gennemgang af et Cochranereview
Engelsk titel: Use of NSAIDs in rheumatoid arthritis should be limited Läs online Författare: Lindberg, Mats Språk: Dan Antal referenser: 10 Dokumenttyp: Kommentar UI-nummer: 13067428

Tidskrift

Ugeskrift for Laeger 2013;175(15)1039-41 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

In a Cochrane review the safety of non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin in people receiving methotrexate (MTX) for rheumatoid arthritis was evaluated. A total of 17 publications were analyzed. Concurrent use anti-inflammatory doses of aspirin with MTX were associated with renal and hepatic side effects, whereas NSAIDs appeared to be safe. Nevertheless there are well-known gastrointestinal, cardiovascular and renal side effects from NSAIDs. In my opinion, use of NSAIDs in rheumatoid arthritis should be limited, as there are better and less risky alternatives.