Table 4.
Incidence of other side effects in studies of selective COX2 inhibitors
| Study (reference) | Drugs | Side effects Renal | Edema | Blood pressure | Hypertension | CHF | Hepatic ALT+AST+ | Cutaneous reactions | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Creat+v | systolic | diastolic | ||||||||
| VIGOR (Bombardier 2000) | Rofecoxib | 1.2% | nr | nr | nr | nr | nr | nr | nr | |
| Naproxen | 0.9% | |||||||||
| CLASS (Silverstein 2000) | Celecoxib | 0.7%* | 2.8% | nr | nr | 1.7%* | nr | 0.6%* | 7.5%* | |
| Diclofenac | 1.2% | 3.5% | 2.3% | 2.3% | 4.1% | |||||
| MEDAL (Cannon 2006; Laine 2007) | Etoricoxib | 0.4%–2.3% | 0.8%–1.9% (**at 90 mg) | nr | nr | 2.2%–2.5% ** | 0.1%–0.7% | 0.3%–0.4% ** | nr | |
| Diclofenac | 0.4 to 1.8% | 0.4%–0.8% | 0.7%–1.6% | 0.1%–0.3% | 1.5%–5.0% | |||||
| TARGET (Schnitzer 2004; Farkouh 2004) | Lumiracoxib | ***0.51% | nr | +0.4 mm§ | −0.1 mm§ | nr | 0.24% | 0.07%$$ | 2.57%$$$ | nr |
| Naproxen/Diclofenac | 0.37% | +2.1 mm | +0.5 mm | 0.34% | 0.03% | 0.63% | ||||
p < 0.05,
p < 0.0001 vs control drug.
p < 0.05 for discontinuations between treatment groups.
major renal events, NS.
serious liver abnormalities (not further specified), NS.
transaminases >× 3 times upper normal limit, p < 0.0001.
Abbreviations: ALT+, elevated alanine aminotransferase; AST+, elevated aspartate aminotransferase; CHF, cardiac heart failure; nr, not reported.