MOJ Toxicology Case Report Open Access Overview of non-steroidal anti-inflammatory drugs (nsaids) in resource limited countries Abstract Volume 4 Issue 1 - 2018 The non–steroidal anti-inflammatory drugs (NSAIDs) is a drug class that groups together Charles Ntungwen Fokunang,1 Estella Tembe drugs that provide analgesic (pain-killing) and antipyretic (fever-reducing) effects, and, in 1 2 higher doses, anti-inflammatory effects. The analgesic and anti-inflammatory properties Fokunang, Kechia Frederick, Bathelemy 3 3 acts by inhibiting two recognized isoenzymes of prostaglandin G/H synthase also known Ngameni, Bonaventure Ngadjui as cycl-oxygenase (COX), which are COX 1 and COX 2.The pharmacodynamic action 1Department of Pharmacotoxicology and Pharmacokinentics, of these drugs is mostly mediated by inhibition of COX2, while the adverse reactions are University of Yaoundé, Cameroon 2 largely due to COX1 inhibition.. The NSAID selectively inhibiting COX2 were developed Department of Microbiology, University of Yaoundé, Cameroon 3Department of Phytochemistry and Pharmacognosy, University in the 90s to reduce the risk of gastrointestinal toxicity. NSAID use has been found to be of Yaoundé, Cameroon associated with an increased risk of heart failure in several randomized clinical trials and observational studies. Nevertheless, there is still limited information on the risk of heart Correspondence: Charles Fokunang, Department of failure associated with the use of individual NSAIDs (both COX 2 inhibitors and traditional Pharmacotoxicology and Pharmacokinentics, Faculty of Medicine NSAIDs) in clinical practice in resource poor communities, and especially on their dose- and Biomedical Sciences, University of Yaoundé, Cameroon, Tel response associations. The most prominent members of this group of drugs, are aspirin, +237 670902446, Email
[email protected] ibuprofen, naproxen, that are all available over the counter in most countries.