Medical Articles

Nimesulide

NSAIDs

Description

Nimesulide is a relatively COX-2 selective, non-steroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic properties. Its approved indications are the treatment of acute pain, the symptomatic treatment of osteoarthritis and primary dysmenorrhoea in adolescents and adults above 12 years old.

Mechanism of action

It is a weak inhibitor of prostaglandin synthesis. It appears to act at different stages of the inflammatory reaction and the mechanism by which it exerts its action is complex. It leads to inhibition of super oxide anion generation in vitro by activated neutrophils, inhibition of histamine release from tissue mast cells and basophils, it causes inhibition of platelet activating factor synthesis in stimulated human neutrophils and inhibition of synthesis of metaloproteinase thus preventing breakdown of osteoarthritic human cartilage.

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Mechanism of action

It is a weak inhibitor of prostaglandin synthesis. It appears to act at different stages of the inflammatory reaction and the mechanism by which it exerts its action is complex. It leads to inhibition of super oxide anion generation in vitro by activated neutrophils, inhibition of histamine release from tissue mast cells and basophils, it causes inhibition of platelet activating factor synthesis in stimulated human neutrophils and inhibition of synthesis of metaloproteinase thus preventing breakdown of osteoarthritic human cartilage.

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