A Clinical Study on Glucosamine Sulfate versus Combination of Glucosamine Sulfate and NSAIDs in Mild to Moderate Knee Osteoarthritis

Background. Glucosamine may be effective in treating and possibly slowing the progression of Osteoarthritis (OA). It is believed Glucosamine supplements may help to stop cartilage breakdown, build cartilage and decrease swelling. Objective. The objective of this study was glucosamine sulfate versus...

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Main Authors: Tamil Selvan, Kingston Rajiah, M. Sundara-Moorthi Nainar, Elizabeth M. Mathew
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/902676
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author Tamil Selvan
Kingston Rajiah
M. Sundara-Moorthi Nainar
Elizabeth M. Mathew
author_facet Tamil Selvan
Kingston Rajiah
M. Sundara-Moorthi Nainar
Elizabeth M. Mathew
author_sort Tamil Selvan
collection DOAJ
description Background. Glucosamine may be effective in treating and possibly slowing the progression of Osteoarthritis (OA). It is believed Glucosamine supplements may help to stop cartilage breakdown, build cartilage and decrease swelling. Objective. The objective of this study was glucosamine sulfate versus combination of glucosamine sulfate and Non-Steroidal anti-inflammatory drugs (NSAID) in mild to moderate knee osteoarthritis. Methods. Subjects were randomly recruited from Rheumatology outpatient department after a diagnosis of mild or moderate Osteoarthritis. Study tools like patient data collection form, Western Ontario McMaster Universities Arthritis index (WOMAC) of Osteoarthritis questionnaires and Visual Analog Scale (VAS) were used. Results. After 12 weeks, WOMAC total score the result showed that the significant mean difference between the group A and Group B treatment (𝑃<0.01), with a combination of GS and NSAIDs reducing VAS pain scores. Thus, it is found that Group B treatments over 4 and 12 weeks produced improved WOMAC and VAS grades. Conclusions. Study results may suggest that the Glucosamine Sulfate has a carryover effect like Disease modifying agents. Long-term treatment of Glucosamine Sulfate may reduce the dependence of NSAIDs usage and delay the disease progression. Thereby we can reduce the NSAIDs side effects and improve the patient's quality of life.
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spelling doaj-art-b1da47cef8874679b7ba4cc33ea8dee52025-08-20T02:23:19ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/902676902676A Clinical Study on Glucosamine Sulfate versus Combination of Glucosamine Sulfate and NSAIDs in Mild to Moderate Knee OsteoarthritisTamil Selvan0Kingston Rajiah1M. Sundara-Moorthi Nainar2Elizabeth M. Mathew3Department of Pharmacy Practice, Chalapathi Institute of Pharmaceutical Sicences, Guntur-522034, IndiaDepartment of Pharmacy Practice, International Medical University, no. 126, Jalan Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur-57000, MalaysiaDepartment of Pharmacokinetics, Lupin Bioresearch Center, Pune-411021, IndiaDepartment of Pharmacy Practice, Mallige College of Pharmacy, Bangalore-560090, IndiaBackground. Glucosamine may be effective in treating and possibly slowing the progression of Osteoarthritis (OA). It is believed Glucosamine supplements may help to stop cartilage breakdown, build cartilage and decrease swelling. Objective. The objective of this study was glucosamine sulfate versus combination of glucosamine sulfate and Non-Steroidal anti-inflammatory drugs (NSAID) in mild to moderate knee osteoarthritis. Methods. Subjects were randomly recruited from Rheumatology outpatient department after a diagnosis of mild or moderate Osteoarthritis. Study tools like patient data collection form, Western Ontario McMaster Universities Arthritis index (WOMAC) of Osteoarthritis questionnaires and Visual Analog Scale (VAS) were used. Results. After 12 weeks, WOMAC total score the result showed that the significant mean difference between the group A and Group B treatment (𝑃<0.01), with a combination of GS and NSAIDs reducing VAS pain scores. Thus, it is found that Group B treatments over 4 and 12 weeks produced improved WOMAC and VAS grades. Conclusions. Study results may suggest that the Glucosamine Sulfate has a carryover effect like Disease modifying agents. Long-term treatment of Glucosamine Sulfate may reduce the dependence of NSAIDs usage and delay the disease progression. Thereby we can reduce the NSAIDs side effects and improve the patient's quality of life.http://dx.doi.org/10.1100/2012/902676
spellingShingle Tamil Selvan
Kingston Rajiah
M. Sundara-Moorthi Nainar
Elizabeth M. Mathew
A Clinical Study on Glucosamine Sulfate versus Combination of Glucosamine Sulfate and NSAIDs in Mild to Moderate Knee Osteoarthritis
The Scientific World Journal
title A Clinical Study on Glucosamine Sulfate versus Combination of Glucosamine Sulfate and NSAIDs in Mild to Moderate Knee Osteoarthritis
title_full A Clinical Study on Glucosamine Sulfate versus Combination of Glucosamine Sulfate and NSAIDs in Mild to Moderate Knee Osteoarthritis
title_fullStr A Clinical Study on Glucosamine Sulfate versus Combination of Glucosamine Sulfate and NSAIDs in Mild to Moderate Knee Osteoarthritis
title_full_unstemmed A Clinical Study on Glucosamine Sulfate versus Combination of Glucosamine Sulfate and NSAIDs in Mild to Moderate Knee Osteoarthritis
title_short A Clinical Study on Glucosamine Sulfate versus Combination of Glucosamine Sulfate and NSAIDs in Mild to Moderate Knee Osteoarthritis
title_sort clinical study on glucosamine sulfate versus combination of glucosamine sulfate and nsaids in mild to moderate knee osteoarthritis
url http://dx.doi.org/10.1100/2012/902676
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