NSAIDs · Pharmacology

A patient with a history of peptic ulcer disease requires an anti-inflammatory for osteoarthritis. Which of the following is a selective COX-2 inhibitor that carries a lower risk of GI bleeds?

  1. Celecoxib
  2. Piroxicam
  3. Meloxicam
  4. Naproxen
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Correct answer: Celecoxib

Celecoxib is a selective COX-2 inhibitor. By sparing the COX-1 enzyme, which is responsible for producing protective prostaglandins in the gastric mucosa, it reduces the risk of gastrointestinal ulceration compared to non-selective agents.

Difficulty: Medium Question 3 of 20

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