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Ibuprofen not linked with OA progression
Treatment of osteoarthritis (OA) of the hip or knee with ibuprofen is
not associated with disease progression, according to researchers from
The Netherlands, but diclofenac may be (Arthritis Rheum 2005;52:3137-42).
They followed up over 2,300 patients with OA of the hip or knee for an
average of 6.6 years. Disease progression was defined radiographically
or as a joint replacement and data on drug use were obtained from pharmacy
records. Compared with use for up to 31 days, there was no significant
increase in the risk of disease progression with using ibuprofen for 1
- 6 months or for more than 6 months; there were similar findings for
naproxen and piroxicam. The risk of progression of hip OA was significantly
increased 2 - 3-fold for diclofenac after 6 months and, for knee OA, after
both 1 - 6 months and 6 months. The risk with diclofenac remained significant
(though with wide confidence intervals) after adjustment for pain severity.
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