2005
DOI: 10.1002/chin.200529266
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Adverse Cardiovascular Effects of the Coxibs

Abstract: Organic chemistry Z 0200 Conformational Rigidity and Flexibility of the Paracyclophane Skeleton in Substituted [2.2]Paracyclophanes -[81 refs.]. -(STARIKOVA*, Z. A.; FEDYANIN, I. V.; ANTIPIN, M. Y.; Russ.

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Cited by 34 publications
(42 citation statements)
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“…A less selective inhibition may lead to a more favorable balance between these opposing effects. [213] In addition to its oxygenation of arachidonic acid (5.98, Scheme 5.17), COX-2 is also responsible for oxygenation of the endocannabinoids, which exert analgesic and antiinflammatory effects at cannabinoid receptors CB1 and CB2; oxygenation of endocannabinoids turns off their painrelieving effects. Therefore, inhibition of the oxygenation of endocannabinoids should be a treatment for neuropathic pain.…”
Section: Aspirinmentioning
confidence: 99%
“…A less selective inhibition may lead to a more favorable balance between these opposing effects. [213] In addition to its oxygenation of arachidonic acid (5.98, Scheme 5.17), COX-2 is also responsible for oxygenation of the endocannabinoids, which exert analgesic and antiinflammatory effects at cannabinoid receptors CB1 and CB2; oxygenation of endocannabinoids turns off their painrelieving effects. Therefore, inhibition of the oxygenation of endocannabinoids should be a treatment for neuropathic pain.…”
Section: Aspirinmentioning
confidence: 99%
“…Since prostaglandins are cytoprotective, long term administration of NSAID may induce gastro-intestinal ulcers, bleeding, and renal disorders due to their non-selective inhibition of both isoforms of the COX enzyme, the constitutive (COX-1) and the inducible (COX-2) isoforms [3]. On the other hand, fully selective and reversible COX-2 inhibitors with reduced gastro-intestinal toxicity have been associated with adverse cardiovascular effects [4]. Furthermore, the use of steroidal drugs as antiinflammatory agents is also becoming highly controversial due to their multiple side effects [5,6].…”
Section: Introductionmentioning
confidence: 98%
“…As a result, a number of selective COX-II inhibitors, including Celecoxib and Rofecoxib have been introduced for clinical use with exceptional antiinflammatory properties with reduced gastric toxicity (Xie et al, 1992;Hawkey, 1999). But initial enthusiasm for selective COX-II inhibitors as safer NSAIDs has faded due to emergence of serious cardiovascular side effects on long term use and need for design and development of safer agents still remain (Dogne et al, 2005;Schnitzer, 2001).…”
Section: Introductionmentioning
confidence: 99%