Effect of nonsteroidal anti-inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertension

Objective. To safety of NSAlDs concerning their prohypertensive effect and to devise tactics of management of pts with osteoarthritis and concomitant hypertension. Material and Methods. 98 pts with gonarthrosis and coxarthrosis of stage II-III with pain syndrome and concomitant hypertension of stage...

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Main Authors: L B Lasebnik, O B Kotsubinskaya, Y V Konev, V N Drosdov
Format: Article
Language:Russian
Published: IMA PRESS LLC 2004-02-01
Series:Научно-практическая ревматология
Subjects:
Online Access:https://rsp.mediar-press.net/rsp/article/view/1232
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author L B Lasebnik
O B Kotsubinskaya
Y V Konev
V N Drosdov
author_facet L B Lasebnik
O B Kotsubinskaya
Y V Konev
V N Drosdov
author_sort L B Lasebnik
collection DOAJ
description Objective. To safety of NSAlDs concerning their prohypertensive effect and to devise tactics of management of pts with osteoarthritis and concomitant hypertension. Material and Methods. 98 pts with gonarthrosis and coxarthrosis of stage II-III with pain syndrome and concomitant hypertension of stage 1-II.Diclofenac, ketoprofen, arthrotec and meloxicam were administered. Control group pts received tramal in addition to the treatment. Hypertension was conlrolled with enalapril monotherapy. Results. Groups treated with diclofenac, atrhrotec, meloxicam and ketoprofen showed a tendency to deminution of number of pis with normal decrease of blood pressure (BP) in night hours ("Dipper") and increase of number of pts with insufficient BP nighl fall ("Non-dipper"). These changes may be connected with prohypertensive effect of these drogs. This tendency was more prominent in groups treated with diclofenac and arthrotec. Nimesulid inspite of its marked prohypertensive effect did not impair circadian rhythm of BP. Central analgesic tramal did not possess prohypertensive effect and did not increase BP. Conclusion. According to increase of prohypertensive effect study NSAlDs can be arranged as follows: tramadol, ketoprofen. meloxicam. nimesulid, arthrotec, diclofenac.
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institution Kabale University
issn 1995-4484
1995-4492
language Russian
publishDate 2004-02-01
publisher IMA PRESS LLC
record_format Article
series Научно-практическая ревматология
spelling doaj-art-ad1e6ed5d4734c70adbc54311c5f8d512025-08-20T04:00:39ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922004-02-01421283310.14412/1995-4484-2004-13791172Effect of nonsteroidal anti-inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertensionL B LasebnikO B KotsubinskayaY V KonevV N DrosdovObjective. To safety of NSAlDs concerning their prohypertensive effect and to devise tactics of management of pts with osteoarthritis and concomitant hypertension. Material and Methods. 98 pts with gonarthrosis and coxarthrosis of stage II-III with pain syndrome and concomitant hypertension of stage 1-II.Diclofenac, ketoprofen, arthrotec and meloxicam were administered. Control group pts received tramal in addition to the treatment. Hypertension was conlrolled with enalapril monotherapy. Results. Groups treated with diclofenac, atrhrotec, meloxicam and ketoprofen showed a tendency to deminution of number of pis with normal decrease of blood pressure (BP) in night hours ("Dipper") and increase of number of pts with insufficient BP nighl fall ("Non-dipper"). These changes may be connected with prohypertensive effect of these drogs. This tendency was more prominent in groups treated with diclofenac and arthrotec. Nimesulid inspite of its marked prohypertensive effect did not impair circadian rhythm of BP. Central analgesic tramal did not possess prohypertensive effect and did not increase BP. Conclusion. According to increase of prohypertensive effect study NSAlDs can be arranged as follows: tramadol, ketoprofen. meloxicam. nimesulid, arthrotec, diclofenac.https://rsp.mediar-press.net/rsp/article/view/1232osteoarthritisnsajdiruirwlhypertension
spellingShingle L B Lasebnik
O B Kotsubinskaya
Y V Konev
V N Drosdov
Effect of nonsteroidal anti-inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertension
Научно-практическая ревматология
osteoarthritis
nsajd
iruirwl
hypertension
title Effect of nonsteroidal anti-inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertension
title_full Effect of nonsteroidal anti-inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertension
title_fullStr Effect of nonsteroidal anti-inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertension
title_full_unstemmed Effect of nonsteroidal anti-inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertension
title_short Effect of nonsteroidal anti-inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertension
title_sort effect of nonsteroidal anti inflammatory drugs and tramal on blood pressure level during osteoarthritis treatment in patients with hypertension
topic osteoarthritis
nsajd
iruirwl
hypertension
url https://rsp.mediar-press.net/rsp/article/view/1232
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AT obkotsubinskaya effectofnonsteroidalantiinflammatorydrugsandtramalonbloodpressurelevelduringosteoarthritistreatmentinpatientswithhypertension
AT yvkonev effectofnonsteroidalantiinflammatorydrugsandtramalonbloodpressurelevelduringosteoarthritistreatmentinpatientswithhypertension
AT vndrosdov effectofnonsteroidalantiinflammatorydrugsandtramalonbloodpressurelevelduringosteoarthritistreatmentinpatientswithhypertension