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Toxicity of non-steroidal anti-inflammatory drugs: a review of melatonin and diclofenac sodium association.

Histology and histopathology
April 1, 2012
D Aygün et al. (5 authors)
Journal ArticleReviewMolecular Study
Study Details

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.

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AnimalsAnti-Inflammatory Agents, Non-SteroidalApoptosisBrainDiclofenacDrug AntagonismFree Radical ScavengersFree RadicalsHumansMelatoninNeuroprotective AgentsOxidative Stress
Study Links
Quality Scores
Safety85
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations37
Citations/Year2.8
Relative Citation Ratio1.52
NIH Percentile65.5%
Research Impact Scores
APT Score0.25
Weight Score0.69
Normalized Score0.78
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