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Possible synergic action of non-steroidal anti-inflammatory drugs and glucosamine sulfate for the treatment of knee osteoarthritis: a scoping review
by
Veronese, Nicola
, Ecarnot, Fiona
, Fioravanti, Antonella
, Cheleschi, Sara
, Maggi, Stefania
in
Algorithms
/ Analgesics
/ Anti-inflammatory agents
/ Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
/ Arthritis
/ Cartilage
/ Cartilage diseases
/ Case reports
/ Celecoxib
/ Celecoxib - therapeutic use
/ Chondroprotective effect
/ Clinical trials
/ Cohort analysis
/ Cyclooxygenase 2 inhibitors
/ Dietary supplements
/ Disease
/ Dosage and administration
/ Drug synergism
/ Drug therapy
/ Epidemiology
/ Glucosamine
/ Glucosamine - therapeutic use
/ Glucosamine sulfate
/ Humans
/ Ibuprofen
/ Inflammation
/ Internal Medicine
/ Knee
/ Knee pain
/ Medicine
/ Medicine & Public Health
/ Meloxicam
/ Musculoskeletal diseases
/ Non-steroidal anti-inflammatory drugs
/ Nonsteroidal anti-inflammatory drugs
/ Observational Studies as Topic
/ Orthopedics
/ Osteoarthritis
/ Osteoarthritis, Knee - chemically induced
/ Osteoarthritis, Knee - drug therapy
/ Pain
/ Pain - drug therapy
/ Patients
/ Pharmacology, Experimental
/ Piroxicam
/ Prescription drugs
/ Randomized Controlled Trials as Topic
/ Rehabilitation
/ Rheumatology
/ Sports Medicine
/ Steroids
2022
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Possible synergic action of non-steroidal anti-inflammatory drugs and glucosamine sulfate for the treatment of knee osteoarthritis: a scoping review
by
Veronese, Nicola
, Ecarnot, Fiona
, Fioravanti, Antonella
, Cheleschi, Sara
, Maggi, Stefania
in
Algorithms
/ Analgesics
/ Anti-inflammatory agents
/ Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
/ Arthritis
/ Cartilage
/ Cartilage diseases
/ Case reports
/ Celecoxib
/ Celecoxib - therapeutic use
/ Chondroprotective effect
/ Clinical trials
/ Cohort analysis
/ Cyclooxygenase 2 inhibitors
/ Dietary supplements
/ Disease
/ Dosage and administration
/ Drug synergism
/ Drug therapy
/ Epidemiology
/ Glucosamine
/ Glucosamine - therapeutic use
/ Glucosamine sulfate
/ Humans
/ Ibuprofen
/ Inflammation
/ Internal Medicine
/ Knee
/ Knee pain
/ Medicine
/ Medicine & Public Health
/ Meloxicam
/ Musculoskeletal diseases
/ Non-steroidal anti-inflammatory drugs
/ Nonsteroidal anti-inflammatory drugs
/ Observational Studies as Topic
/ Orthopedics
/ Osteoarthritis
/ Osteoarthritis, Knee - chemically induced
/ Osteoarthritis, Knee - drug therapy
/ Pain
/ Pain - drug therapy
/ Patients
/ Pharmacology, Experimental
/ Piroxicam
/ Prescription drugs
/ Randomized Controlled Trials as Topic
/ Rehabilitation
/ Rheumatology
/ Sports Medicine
/ Steroids
2022
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Possible synergic action of non-steroidal anti-inflammatory drugs and glucosamine sulfate for the treatment of knee osteoarthritis: a scoping review
by
Veronese, Nicola
, Ecarnot, Fiona
, Fioravanti, Antonella
, Cheleschi, Sara
, Maggi, Stefania
in
Algorithms
/ Analgesics
/ Anti-inflammatory agents
/ Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
/ Arthritis
/ Cartilage
/ Cartilage diseases
/ Case reports
/ Celecoxib
/ Celecoxib - therapeutic use
/ Chondroprotective effect
/ Clinical trials
/ Cohort analysis
/ Cyclooxygenase 2 inhibitors
/ Dietary supplements
/ Disease
/ Dosage and administration
/ Drug synergism
/ Drug therapy
/ Epidemiology
/ Glucosamine
/ Glucosamine - therapeutic use
/ Glucosamine sulfate
/ Humans
/ Ibuprofen
/ Inflammation
/ Internal Medicine
/ Knee
/ Knee pain
/ Medicine
/ Medicine & Public Health
/ Meloxicam
/ Musculoskeletal diseases
/ Non-steroidal anti-inflammatory drugs
/ Nonsteroidal anti-inflammatory drugs
/ Observational Studies as Topic
/ Orthopedics
/ Osteoarthritis
/ Osteoarthritis, Knee - chemically induced
/ Osteoarthritis, Knee - drug therapy
/ Pain
/ Pain - drug therapy
/ Patients
/ Pharmacology, Experimental
/ Piroxicam
/ Prescription drugs
/ Randomized Controlled Trials as Topic
/ Rehabilitation
/ Rheumatology
/ Sports Medicine
/ Steroids
2022
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Possible synergic action of non-steroidal anti-inflammatory drugs and glucosamine sulfate for the treatment of knee osteoarthritis: a scoping review
Journal Article
Possible synergic action of non-steroidal anti-inflammatory drugs and glucosamine sulfate for the treatment of knee osteoarthritis: a scoping review
2022
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Overview
Background
Several studies have reported that glucosamine sulfate (GS) can improve knee osteoarthritis (OA) symptomatology. In parallel, the disease-modifying effects of non-steroidal anti-inflammatory drugs (NSAIDs) in knee OA have also been investigated. However, limited literature has reported the combined effect of GS and NSAIDs. The aim of this scoping review is to describe the scope and volume of the literature investigating the potential benefits and synergistic effect of a combination of GS and NSAIDs in patients with knee OA.
Methods
PubMed and Embase were searched for studies published from inception through April 2022, evaluating the effects of the combination of GS and NSAIDs in OA patients, versus either treatment alone. Data are reported narratively.
Results
Five studies were included in this review; 4 were randomized control trials and one was a prospective observational study. The duration of combination treatment was 6 to 12 weeks. The combination was compared to celecoxib in 2 studies, meloxicam in 1, etoricoxib in 1, and a conventional NSAID in 1 (ibuprofen or piroxicam). All 5 studies reported that in patients with knee OA, the combination of GS plus NSAID yielded a significantly greater benefit than single-agent therapy, in terms of outcomes including pain reduction, function, joint stiffness, and markers of inflammatory activity and cartilage degradation.
Conclusion
The 5 studies included in this scoping review all report a significantly greater clinical benefit with a combination of GS plus NSAID compared to either treatment alone. The evidence supports efficacy in reducing pain, improving function, and possibly regulating joint damage. However, further randomized trials with larger sample sizes are warranted to confirm these findings.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
/ Disease
/ Glucosamine - therapeutic use
/ Humans
/ Knee
/ Medicine
/ Non-steroidal anti-inflammatory drugs
/ Nonsteroidal anti-inflammatory drugs
/ Observational Studies as Topic
/ Osteoarthritis, Knee - chemically induced
/ Osteoarthritis, Knee - drug therapy
/ Pain
/ Patients
/ Randomized Controlled Trials as Topic
/ Steroids
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