Safety of celecoxib in patients with cutaneous reactions due to ASA-NSAIDs intolerance.

Abstract:

BACKGROUND:Pseudo-allergic reactions against aspirin (ASA) and non-steroidal anti-inflammatory drugs (NSAIDs) are quite frequent. OBJECTIVE:Our aim was to determine tolerance of Celecoxib, a selective inhibitor of cyclooxygenase-2 (Cox-2), by oral challenge test in patients who showed skin reactions (diffuse erythema or urticaria/angioedema) after taking ASA and/or NSAIDs. METHODS:The oral challenge test was carried out in single-blind on 86 patients treated with a 200 mg cumulative dose of Celebrex, administered in 3 or 4 visits at 48-72 hours interval. RESULTS:Only 4 patients showed mild skin reactions. In addition, we observed 37 patients with osteoarthrosis taking a 200-400 mg/day dose of Celebrex 5-6 times a week, over a period of 75 days. At day 36, we observed in a single patient urticarial phenomena appeared on the chest and the back. CONCLUSIONS:Our study proves therefore Celecoxib safety on a 72-hour observation period.

authors

Andri L,Falagiani P

doi

10.1157/13108222

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

126-9

issue

4

eissn

0301-0546

issn

1578-1267

pii

13108222

journal_volume

35

pub_type

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