Article: COX-2 inhibitors may up adverse effects of aspirin. (Study of 8,000 People).

SAN FRANCISCO -- Selective cyclooxygenase-2 inhibitors can increase the gastric-damaging effects of aspirin, even at low doses, John L. Wallace, Ph.D., said at the annual meeting of the American College of Clinical Pharmacology.

In the Celecoxib Long-Term Arthritis Safety Study (CLASS), which involved almost 8,000 people, those taking NSAIDs were almost three times as likely to have ulcer complications as were those on celecoxib. The finding confirmed the gastrointestinal advantages of the cyclooxygenase (COX)-2 inhibitor. But if the analysis was restricted to patients in both groups who were also raking aspirin, even at low doses, there were no differences in ...

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