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Blood pressure was measured by semi-automatic ultrasound sphygmomanometer both 24 h and 6 h trough and peak after the last dose. During the crossover part of the study there was a significant additional blood pressure-lowering effect at trough of the combination compared with either amlodipine or lisinopril alone. Similar results were observed for the blood pressures at peak.
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There were slight differences in the profile of cardiovascular events with etoricoxib versus diclofenac eg, 26 versus 19 cardiac events ; however, the numbers were too small to draw firm conclusions Baraf et al b ; Merck and any potential difference appeared to be ameliorated in patients receiving concomitant aspirin therapy FDA c. This program is the first noninferiority comparison of thrombotic cardiovascular events between a traditional NSAID diclofenac and a selective COX-2 inhibitor etoricoxib, and it will provide further insight into the long-term cardiovascular safety of etoricoxib and diclofenac.
These warnings highlight the need for careful patient selection based on evaluation of the benefits and risks of therapy.
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