Title |
Topical nonsteroidal anti-inflammatory drugs for management of osteoarthritis in long-term care patients
|
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Published in |
Therapeutics and Clinical Risk Management, September 2011
|
DOI | 10.2147/tcrm.s24458 |
Pubmed ID | |
Authors |
Charles E Argoff, F Michael Gloth |
Abstract |
Osteoarthritis is common in patients ≥65 years of age. Although nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed for osteoarthritis pain, they pose age-related cardiovascular, renal, and gastrointestinal risks. Two topical NSAIDs, diclofenac sodium 1% gel (DSG) and diclofenac sodium 1.5% in 45.5% dimethylsulfoxide solution (D-DMSO), are approved in the US for the treatment of osteoarthritis pain. Topical NSAIDs have shown efficacy and safety in knee (DSG, D-DMSO) and hand (DSG) osteoarthritis. Analyses of data from randomized controlled trials of DSG in hand and knee osteoarthritis demonstrate significant improvement of pain and function in both younger patients (<65 years) and older patients (≥65 years) and suggest good safety and tolerability. However, long-term safety data in older patients are limited. Topical NSAIDs can ease medication administration and help address barriers to pain management in older patients, such as taking multiple medications and inability to swallow, and are a valuable option for long-term care providers. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Colombia | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Portugal | 1 | 2% |
Unknown | 61 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 10 | 16% |
Student > Master | 7 | 11% |
Other | 6 | 10% |
Student > Ph. D. Student | 6 | 10% |
Professor > Associate Professor | 4 | 6% |
Other | 9 | 15% |
Unknown | 20 | 32% |
Readers by discipline | Count | As % |
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Pharmacology, Toxicology and Pharmaceutical Science | 13 | 21% |
Medicine and Dentistry | 11 | 18% |
Nursing and Health Professions | 5 | 8% |
Biochemistry, Genetics and Molecular Biology | 3 | 5% |
Chemistry | 2 | 3% |
Other | 5 | 8% |
Unknown | 23 | 37% |