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Correspondence
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Volume 345:1708-1709 December 6, 2001 Number 23
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The Coxibs, Selective Inhibitors of Cyclooxygenase-2

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To the Editor: The review article by FitzGerald and Patrono (Aug. 9 issue)1 on the coxibs, selective inhibitors of cyclooxygenase-2 (COX-2), included a table listing pharmacokinetic and metabolic features as well as drug interactions. According to the table, in patients taking warfarin, rofecoxib causes a 10 percent increase in the international normalized ratio (INR), but there is no interaction between celecoxib and warfarin.

Since the introduction of celecoxib in Australia in October 1999, the Adverse Drug Reactions Advisory Committee has received 2218 reports of suspected adverse drug reactions. Of these, 21 involved an increase in INR values in patients treated . . . [Full Text of this Article]

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