The coxibs are a subclass of nonsteroidal antiinflammatory drugs(NSAIDs) designed to inhibit selectively cyclooxygenase-2 (COX-2).1Their development was based on the hypothesis that COX-2 wasthe source of prostaglandins E2 and I2, which mediate inflammation,and that cyclooxygenase-1 (COX-1) was the source of the sameprostaglandins in gastric epithelium, where they afford cytoprotection.Three coxibs celecoxib, rofecoxib, and valdecoxib have been approved for use by the Food and Drug Administration(FDA); a fourth, etoricoxib, has been approved by the Europeanregulatory authority, and it and a fifth, lumiracoxib, are currentlyunder consideration for FDA approval.
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