Ott E, Nussmeier NA, Duke PC 2003 Efficacy and safety of the cyclo-oxygenase 2 inhibitors parecoxib and
valdecoxib in patients undergoing coronary bypass surgery Journal of Thoracic and Cardiovascular Surgery 125 1481-1492
Valdecoxib, a cyclooxygenase-2-specific inhibitor, is effective in treating primary dysmenorrhea.
However, in the years since the voluntary withdrawal of rofecoxib and
valdecoxib from the market, few practitioners aside from rheumatologists prescribe selective COX-2 NSAIDs for children, according to survey results.
Based on increasing reports of thrombotic events associated with rofecoxib, celecoxib, and
valdecoxib, the Food and Drug Administration (FDA) issued a health advisory on December 23, 2004, concerning the use of all COXIBs.
Complications of the COX-2 inhibitors parecoxib and
valdecoxib after cardiac surgery.
Efficacy and tolerability of
valdecoxib in treating the signs and symptoms of severe rheumatoid arthritis: a 12-week multicenter randomized double-blind placebo-controlled study.
In addition, the off-label promotion of the arthritis drug
valdecoxib (Bextra), the epilepsy drug gabapentin (Neurontin), and the schizophrenia drug olanzapine (Zyprexa) resulted in criminal prosecutions, fines and settlements of hundreds of millions of dollars, and a record-setting settlement of US$2.3 billion in the case of
valdecoxib (see Gardiner Harris, "Pfizer Pays $2.3 Billion to Settle Marketing Case", The New York Times (2 September 2009), online: The New York Times <www.nytimes.com>).
(3) The findings of this meeting led to the withdrawal of
valdecoxib from the market and labeling changes for prescription and nonprescription NSAIDs regarding increased risk of CV events and gastrointestinal (GI) bleeding.
Remote NSAID Exposure Indomethacin 1.71 Sulindac 1.41 Meloxicam 1.37 Rofecoxib 1.32 Piroxicam 1.18 Ibuprofen 1.11 Celecoxib 1.09 Naproxen 1.08
Valdecoxib 0.99 Nabumetone 0.83 Source: Dr.
* COX-2 specific inhibitors (cyclooxygenase inhibitors), are a fairly new class of NSAIDs that include celecoxib (Celebrex),
valdecoxib (Bextra) and mobic (Meloxicam).