Oxaprozin

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Oxaprozin

Chemical structure of Oxaprozin

Oxaprozin is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and inflammation in conditions such as arthritis. It is part of the propionic acid class of NSAIDs, which also includes drugs like ibuprofen and naproxen.

Pharmacology

Oxaprozin works by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins. Prostaglandins are mediators of inflammation and pain, and by reducing their production, oxaprozin helps alleviate these symptoms.

Mechanism of Action

The primary mechanism of action of oxaprozin is the inhibition of the COX-1 and COX-2 enzymes. This inhibition leads to a decrease in the formation of prostaglandins, which are compounds that contribute to inflammation, pain, and fever.

Pharmacokinetics

Oxaprozin is well absorbed from the gastrointestinal tract after oral administration. It has a long half-life, which allows for once-daily dosing. The drug is extensively metabolized in the liver and excreted in the urine.

Clinical Uses

Oxaprozin is primarily used for the treatment of rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis. It helps reduce joint pain, swelling, and stiffness, improving the quality of life for patients with these chronic conditions.

Side Effects

Common side effects of oxaprozin include gastrointestinal issues such as nausea, vomiting, diarrhea, and dyspepsia. Like other NSAIDs, it can also increase the risk of gastrointestinal bleeding, ulcers, and renal impairment.

Contraindications

Oxaprozin should not be used in individuals with known hypersensitivity to the drug or other NSAIDs. It is also contraindicated in patients with a history of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs.

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Contributors: Prab R. Tumpati, MD