Toxicity of non-steroidal anti-inflammatory drugs: a review of melatonin and diclofenac sodium association.
Study Goal
The researchers aimed to evaluate the potential neuroprotective effects of melatonin against diclofenac sodium-induced neurotoxicity.
Results Summary
The study suggests melatonin has neuroprotective properties due to its antioxidant and free-radical scavenging activities, potentially counteracting the adverse cerebral and cerebellar effects of diclofenac sodium. It highlights melatonin's ability to cross the blood-brain barrier and protect against free-radical damage in the CNS.
Population
Not specified (general CNS-related conditions).
Effective Dosage
Not specified.
Duration
Not specified.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Nonsteroidal anti-inflammatory drugs (NSAIDs) | neutral | anti-inflammation, antipyretic, and analgesia | - | - | are widely used for the purpose of | #1 |
Nonsteroidal anti-inflammatory drugs (NSAIDs) | neutral | pain, fever, and inflammation associated with rheumatoid arthritis, sports injuries, and temporary pain | - | - | are used for the alleviation of | #2 |
treatment with NSAIDs | increase | adverse effects such as gastrointestinal damage and platelet dysfunction | - | - | may be accompanied by | #3 |
diclofenac sodium (DS) | neutral | anti-inflammatory, analgesic, and antipyretic effects | - | - | has potent | #4 |
treatment with DS | increase | some adverse cerebral and cerebellar effects such as convulsions, disorientation, hallucination, and loss of consciousness | - | - | may cause | #5 |
Melatonin (MLT) | neutral | free-radical scavenger and possesses antioxidant properties | - | - | is a | #6 |
Melatonin (MLT) | neutral | the blood-brain barrier | - | - | has been reported to easily cross | #7 |
Melatonin (MLT) | increase | the brain after exogenous administration | - | high concentrations | is found in high concentrations in | #8 |
Melatonin (MLT) | neutral | neuroprotector in a wide range of conditions affecting the central nervous system CNS | - | - | is also a | #9 |
Neuroprotective actions of MLT | neutral | in vitro and in vivo | in vitro and in vivo | - | have been discovered in both | #10 |
Melatonin (MLT) | neutral | oxygen and nitrogen free radicals | - | - | is a powerful scavenger of | #11 |
Melatonin (MLT) | neutral | the cell membrane, organelles, and core against free-radical damage | - | - | can protect | #12 |
exogenous MLT | decrease | DS neurotoxicity | - | - | acts as a neuroprotector contrary to | #13 |
Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used for the purpose of anti-inflammation, antipyretic, and analgesia. For this aim, they are used for the alleviation of pain, fever, and inflammation associated with rheumatoid arthritis, sports injuries, and temporary pain. However, treatment with NSAIDs may be accompanied by adverse effects such as gastrointestinal damage and platelet dysfunction. As with the other NSAIDs, diclofenac sodium (sodium-(o-((2,6-dichlorophenyl)-amino)-phenyl)-acetate) (DS), an NSAID, has potent anti-inflammatory, analgesic, and antipyretic effects. However, treatment with DS may cause some adverse cerebral and cerebellar effects such as convulsions, disorientation, hallucination, and loss of consciousness. Melatonin (MLT) is a free-radical scavenger and possesses antioxidant properties. It has been reported to easily cross the blood-brain barrier, and is found in high concentrations in the brain after exogenous administration. It is also a neuroprotector in a wide range of conditions affecting the central nervous system CNS due to its free-radical scavenging activities and lipophilic-hydrophilic properties. Neuroprotective actions of MLT have been discovered in both in vitro and in vivo, and are a powerful scavenger of oxygen and nitrogen free radicals. Thus, MLT can protect the cell membrane, organelles, and core against free-radical damage. Therefore, it has been postulated that exogenous MLT acts as a neuroprotector contrary to DS neurotoxicity. In this review, we aimed to discuss the possible neuroprotective effects of MLT on DS toxicity.