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. 2018 Jan 27;12(6):677–686. doi: 10.1093/ecco-jcc/jjy008

Table 2.

Average cumulative dispensing of agents used in the treatment of inflammatory bowel disease in disease-modifying medication in defined daily dose [DDD] in Norwegian patients with ulcerative colitis 2 years before and after first dispense of low-dose naltrexone [LDN]. Three groups based on number of LDN dispenses: LDN ×1 [N = 189] collected LDN once, LDN ×2–3 [N = 137] two or three times and LDN ×4+ [N = 256] four or more times. Other systemic immunosuppressants include azathioprine, mercaptopurine, methotrexate cyclosporine and tacrolimus.

Average DDD per patient Difference of mean
Before LDN After LDN DDD [95% CI] p
All drugs being studied LDN ×1 525.4 536.6 11.2 [–73.0 to 95.4] 0.793
LDN ×2–3 487.9 469.4 –18.5 [–81.0 to 44.1] 0.560
LDN ×4+ 589.7 538.0 –51.8 [–111.4 to7.9] 0.089
Systemic immunosuppressants LDN ×1 222.5 238.0 15.4 [–32.5 to 63.4] 0.526
LDN ×2–3 177.8 188.9 11.1 [–28.5 to 50.7] 0.581
LDN ×4+ 221.9 198.7 –23.2 [–55.5 to 9.0] 0.158
Systemic corticosteroids LDN ×1 104.4 93.7 –10.7 [–36.0 to 14.6] 0.404
LDN ×2–3 82.0 95.9 14.0 [–15.7 to 26.8] 0.354
LDN ×4+ 126.5 107.3 –19.3 [–46.0 to 7.5] 0.157
TNF-α inhibitors LDN ×1 61.4 88.3 26.9 [–7.6 to 61.3] 0.126
LDN ×2–3 50.9 54.6 3.7 [–26.8 to 34.1] 0.812
LDN ×4+ 47.1 41.1 –5.9 [–21.4 to 9.6] 0.451
Other systemic immunosuppressants LDN ×1 56.7 56.0 –0.7 [–19.3 to 18.0] 0.943
LDN ×2–3 44.9 38.4 –6.5 [–20.3 to 7.3] 0.351
LDN ×4+ 48.3.8 50.3 2.0 [–13.3 to 17.2] 0.799
Intestinal anti-inflammatory agents LDN ×1 302.9 298.6 –4.2 [–60.7 to 52.3] 0.883
LDN ×2–3 310.1 280.5 –29.5 [–71.5 to 12.4] 0.166
LDN ×4+ 367.8 339.3 –28.5 [–77.7 to 20.0] 0.248
Intestinal corticosteroids LDN ×1 30.6 32.8 2.2 [–9.7 to 14.1] 0.716
LDN ×2–3 40.4 33.9 –6.6 [–20.1 to 7.0] 0.339
LDN ×4+ 33.7 21.7 –12.0 [–25.4 to 1.4] 0.079
Aminosalicylates LDN ×1 272.3 265.8 –6.4 [–60.9 to 48.0] 0.816
LDN ×2–3 269.6 246.7 –23.0 [–65.0 to 19.0] 0.281
LDN ×4+ 334.1 317.5 –16.5 [–59.6 to 26.5] 0.449