Pharmacotherapy and osteoarthritis

被引:10
作者
Brady, SJ [1 ]
Brooks, P
Conaghan, P
Kenyon, LM
机构
[1] St Vincents Hosp, Dept Rheumatol, Darlinghurst, NSW 2010, Australia
[2] St Vincents Hosp, Med Professorial Unit, Darlinghurst, NSW 2010, Australia
来源
BAILLIERES CLINICAL RHEUMATOLOGY | 1997年 / 11卷 / 04期
关键词
osteoarthritis; management; pharmacotherapy;
D O I
10.1016/S0950-3579(97)80008-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Therapy for osteoarthritis (OA) is aimed at relieving symptoms and at maximizing function. Therapies can be considered as either symptom modifying OA drugs (SMOADs) or as disease modifying OA drugs (DMOADs). Currently available agents fall into the category of SMOADs. Analgesic medications, particularly paracetamol and capsaicin, have proven efficacy in OA and are recommended first line therapies. Non-steroidal anti-inflammatory drugs (NSAIDs) do appear to provide extra symptomatic benefit for some patients but have greater toxicity. Newer generation NSAIDs may have safety advantages which remain to be confirmed in practice. Further therapies are being developed which aim to prevent cartilage damage and/or aid cartilage restoration, but these DMOADs remain in the experimental stage.
引用
收藏
页码:749 / 768
页数:20
相关论文
共 63 条
[1]  
ALTMAN RD, 1994, SEMINARS ARTHRITI S3, V2, pS25
[2]  
AMADIO P, 1983, CURR THER RES CLIN E, V34, P59
[3]  
[Anonymous], POSTGRADUATE MED
[4]  
BALAZS EA, 1993, J RHEUMATOLOGY S39, V20, pS3
[5]  
Benison H., 1987, SCAND J GASTROENTERO, V22, P701
[6]   Ro 15-8081 in osteoarthritis of hip and knee: A double-blind placebo-controlled multicentre dose-ranging study on analgesia [J].
BolnotDelmas, D ;
Buch, JP ;
Zeidler, H ;
Dougados, M .
PAIN, 1996, 64 (01) :99-105
[7]   COMPARISON OF AN ANTIINFLAMMATORY DOSE OF IBUPROFEN, AN ANALGESIC DOSE OF IBUPROFEN, AND ACETAMINOPHEN IN THE TREATMENT OF PATIENTS WITH OSTEOARTHRITIS OF THE KNEE [J].
BRADLEY, JD ;
BRANDT, KD ;
KATZ, BP ;
KALASINSKI, LA ;
RYAN, SI .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (02) :87-91
[8]   TOWARD PHARMACOLOGICAL MODIFICATION OF JOINT DAMAGE IN OSTEOARTHRITIS [J].
BRANDT, KD .
ANNALS OF INTERNAL MEDICINE, 1995, 122 (11) :874-875
[9]  
BRYANT LR, 1995, J RHEUMATOL, V22, P1527
[10]  
CERINIC MM, 1995, J RHEUMATOL, V22, P1447