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Correspondence
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Volume 340:2005-2006 June 24, 1999 Number 25
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Gastropathy Due to Celecoxib, a Cyclooxygenase-2 Inhibitor

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To the Editor: Celecoxib (Celebrex), a cyclooxygenase (COX)-2–specific nonsteroidal antiinflammatory drug (NSAID), was recently introduced in the U.S. market. COX-2 is induced in inflammation, whereas COX-1 produces protective prostaglandins in the stomach. Because of its specificity for COX-2, celecoxib is less likely to cause gastric injury. A one-week endoscopic study of gastrointestinal mucosal effects in phase 2 trials showed that gastric ulcers developed in 19 percent of the subjects receiving naproxen, whereas no ulcers developed in the subjects receiving celecoxib or placebo.1 We describe a patient in whom NSAID-induced gastropathy developed while she was taking celecoxib.

A 69-year-old woman presented . . . [Full Text of this Article]

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