Efficacy of celecoxib, meloxicam and paracetamol in elderly Kashin-Beck disease (KBD) patients.

Abstract

The objective of this study was to compare the efficacy and tolerability of celecoxib, meloxicam and paracetamol in late Kashin-Beck disease. Adults (n = 168) with Kashin-Beck disease were randomised in clusters to receive six week courses of celecoxib 200 mg once daily, meloxicam 7.5 mg once daily or paracetamol 300 mg three times daily. Efficacy assessments included overall joint pain intensity and Western Ontario and McMaster Universities Osteoarthritis Index subscales; tolerability was evaluated by adverse event and physician reporting. Celecoxib and meloxicam were efficacious in relieving pain and improving stiffness, but unable to improve physical function after six weeks. Paracetamol was efficacious in relieving pain, but unable to improve morning stiffness and physical function after six weeks. Celecoxib and meloxicam provide predictable and sustained relief from pain and stiffness. Paracetamol can relieve the pain. None of the treatments improved impaired physical function in Kashin-Beck disease.

• Authors: Rui Luo, Gang Liu, Wei Liu, Fuxing Pei, Zongke Zhou, Jian Li, Bin Shen, Pengde Kang, Qibing Xie, Xin Ma
• Journal: International orthopaedics (Int Orthop) Vol. 35 Issue 9 Pg. 1409-14 (Sep 2011) ISSN: 1432-5195 [Electronic] Germany
• PMID: 20549501 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Anti-Inflammatory Agents, Non-Steroidal
• Pyrazoles
• Sulfonamides
• Thiazines
• Thiazoles
• Acetaminophen
• Celecoxib
• Meloxicam

Topics

• Acetaminophen (therapeutic use)
• Adolescent
• Adult
• Aged
• Anti-Inflammatory Agents, Non-Steroidal (therapeutic use)
• Celecoxib
• Female
• Health Status
• Humans
• Joints (drug effects, physiopathology)
• Kashin-Beck Disease (complications, drug therapy, physiopathology)
• Male
• Meloxicam
• Middle Aged
• Pain (drug therapy, etiology, physiopathology)
• Pain Measurement
• Pyrazoles (therapeutic use)
• Sulfonamides (therapeutic use)
• Thiazines (therapeutic use)
• Thiazoles (therapeutic use)
• Treatment Outcome
• Young Adult