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Rheumatology 2001; 40: 945
© 2001 British Society for Rheumatology

Letters to the Editor

Re: NSAIDS and simple analgesics

A. S. M. Jawad

The Royal London Hospital, Bancroft Road, London E1 4DG, UK

SIR, Freemantle stated ‘there is good evidence that, in the management of pain, NSAIDs have some advantages over simple analgesics such as paracetamol (acetaminophen)’, without giving a reference to justify his statement [1]. A recent article examined three systematic reviews of randomized controlled trials evaluating analgesic and anti-inflammatory treatment in osteoarthritis of the hip and found no clear evidence for the superiority of NSAIDs over simple analgesics [2]. Comparative studies of newer NSAIDs and simple analgesics are required [3].

References

  1. Freemantle N. Cost-effectiveness of non-steroidal anti- inflammatory drugs (NSAIDs)—What makes a NSAID good value for money? Rheumatology2000;39:232–4.[Free Full Text]
  2. Dieppe P, Chard J, Faulkner A, Lohmander S. Osteoarthritis. Clin Evidence1999;2:437–48.
  3. Dieppe P. An evidence based EULAR meeting? Ann Rheum Dis2000;59:319.[Free Full Text]
Accepted 25 October 2000


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