{"id":17468,"date":"2015-01-13T09:09:42","date_gmt":"2015-01-13T14:09:42","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=17468"},"modified":"2015-01-13T14:57:26","modified_gmt":"2015-01-13T19:57:26","slug":"more-evidence-arthritispain-relieving-drugs-may-contribute-to-stroke-death","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2015\/01\/more-evidence-arthritispain-relieving-drugs-may-contribute-to-stroke-death\/","title":{"rendered":"More evidence arthritis\/pain relieving drugs may contribute to stroke death"},"content":{"rendered":"<p>From the American Academy of Neurology media release:<\/p>\n<blockquote><p><strong><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/vitamins_pills.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-9629\" alt=\"drugs\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/vitamins_pills.jpg\" width=\"300\" height=\"199\" \/><\/a>Commonly prescribed, older drugs for arthritis and pain may increase the risk of death from stroke<\/strong>, according to a study published in the November 5, 2014, online issue of <em>Neurology<\/em>\u00ae, the medical journal of the American Academy of Neurology. Stroke is the fourth leading cause of death in the United States, according to the Centers for Disease Control and Prevention.<\/p>\n<p>The drugs examined in the study, called COX-2 inhibitors, include older drugs diclofenac, etodolac, nabumeton and meloxicam, as well as newer drugs called coxibs, including celecoxib and rofecoxib. COX-2 inhibitors are selective nonsteroidal anti-inflammatory drugs (NSAIDs). The study also looked at non-selective NSAIDs, which include common pain relievers such as ibuprofen and naproxen.<\/p>\n<p>&#8220;While newer versions of these COX-2 inhibitors drugs have been pulled off shelves, older ones are still frequently prescribed,&#8221; said study author Morten Schmidt, MD, of Aarhus University Hospital in Aarhus, Denmark. &#8220;<strong>Our study provides further important evidence solidifying the risks of certain arthritic pain relievers and death from stroke<\/strong>.&#8221;<\/p>\n<p>For the study, researchers looked at records of 100,243 people hospitalized for a first stroke in Denmark between 2004 and 2012 and deaths within one month after the stroke. <strong>Researchers looked at whether participants were current, former, or non-users of these drugs within two months of the stroke<\/strong>. If they were current users, researchers noted whether people were new users who had just started taking the drug for the first time or were long-term users. They looked at newer generation COX-2 inhibitors, older generation COX-2 inhibitors, and non-selective NSAIDS.<\/p>\n<p>Overall, <strong>people who were current users of COX-2 inhibitors were 19 percent more likely to die after stroke<\/strong> than people who did not take the drugs (10.4 percent versus 8.7 percent). New users of the older COX-2 drugs were 42 percent more likely to die from stroke than those who were not taking the drugs. Those taking etodolac were 53 percent more likely to die from stroke.<\/p>\n<p><strong>The researchers found no link between the non-selective NSAIDs and increased stroke death<\/strong>. Also, the study found no link between chronic use of any of the drugs and stroke mortality.<\/p>\n<p>A total of 10,835 of the participants, or 11 percent, were NSAID users; 8,402, or 8 percent, were former users; and 80,806, or 81 percent, were non-users. Of the current NSAID users 51 percent used ibuprofen, 27 percent used diclofenac, 11 percent used etodolac, 3 percent naproxen, 1 percent celecoxib and 0.5 percent rofecoxib.<\/p>\n<p>&#8220;<strong>Our study supports stepping up efforts to make sure people with a higher risk of stroke are not prescribed these medications when other options are available<\/strong>,&#8221; said Schmidt.<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the American Academy of Neurology media release: Commonly prescribed, older drugs for arthritis and pain may increase the risk of death from stroke, according to a study published in&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2015\/01\/more-evidence-arthritispain-relieving-drugs-may-contribute-to-stroke-death\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[321,10,358],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17468"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=17468"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17468\/revisions"}],"predecessor-version":[{"id":17472,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/17468\/revisions\/17472"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=17468"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=17468"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=17468"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}