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Major bleeding episodes were not more frequent among patients receiving aspirin plus warfarin than among those receiving warfarin alone, but the incidence of minor bleeding episodes was higher in the combined therapy group. Tell your healthcare provider if you take any of these medicines. Ask your healthcare provider if you are not sure if your medicine is one listed above.

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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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