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The role of traditional NSAIDs and selective COX-2 inhibitors on COVID-19 outcomes: a real-world data study.

Authors :
Mallah, Narmeen
Visos-Varela, Irene
Takkouche, Bahi
Bugarín-González, Rosendo
Piñeiro-Lamas, María
Herdeiro, Teresa
Zapata-Cachafeiro, Maruxa
Rodríguez-Fernández, Almudena
Salgado-Barreira, Angel
Figueiras, Adolfo
COVIDrug Group
Carracedo-Martínez, Eduardo
García-Álvarez, Rosa M.
González-Barcala, Francisco J.
Herdeiro, Teresa M
Lema-Oreiro, Martina
Pintos-Rodríguez, Samuel
Piñeiro-Lamas, Maria
Portela-Romero, Manuel
Prieto-Campo, Angela
Source :
Inflammopharmacology; Dec2024, Vol. 32 Issue 6, p3697-3705, 9p
Publication Year :
2024

Abstract

The relation between use of nonsteroidal anti-inflammatory drugs (NSAIDs) and severity of COVID-19 has been the subject to debate since the outbreak of the pandemic. Despite speculations about the possible harmful or protective effects, the position currently most supported by the scientific community is that there is no association between use of NSAIDs and COVID-19 outcomes. With the aim of contributing to increase the body of evidence on this issue, we conducted a case–control study using real-world data to investigate the association between prior use of NSAIDs, by active ingredient and type (traditional NSAIDs and selective COX-2 inhibitors), and important COVID-19-related outcomes, including susceptibility, PCR + patient progression, and hospitalisation. Our findings suggest that, in general, the use of traditional NSAIDs is not associated with any adverse COVID-19 outcome. However, we observed a possible association between diclofenac and a higher risk of PCR + patient progression. Our results also suggest that selective COX-2 inhibitors might be related with a reduction in the risk of PCR + patient progression. These results suggest that, with the possible exception of diclofenac, the use of NSAIDs should not be advised against for relief of symptoms in patients with COVID-19. In addition, they support the importance of continue to investigate the treatment potential of selective COX-2 inhibitors in the management of COVID-19, something that could have significant implications for the treatment of this disease and other viral infections. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09254692
Volume :
32
Issue :
6
Database :
Complementary Index
Journal :
Inflammopharmacology
Publication Type :
Academic Journal
Accession number :
180804979
Full Text :
https://doi.org/10.1007/s10787-024-01568-y