Pain and ketoprofen: what is its role in clinical practice?
Ketoprofen is a drug belonging to the family of non-steroidal anti-inflammatory drugs (NSAIDs). The present review examines the main available clinical evidence of ketoprofen in the treatment of acute and chronic pain, of both rheumatic and traumatic origin, as well as postoperative pain. Ketoprofen has shown to be an excellent choice of drug for the treatment of chronic pain in patients with osteoarthritis, rheumatoid arthritis or gout, demonstrating a high level of efficacy with good tolerability also in elderly patients. Even in the treatment of acute forms of pain such as bursitis, tendinitis and back pain, ketoprofen compares favourably to other NSAIDs (e.g., ibuprofen and diclofenac) in terms of efficacy. Ketoprofen has been shown to be effective also for the treatment of post-operative pain, particularly in the orthopaedic field, with an efficacy similar to opioids in some studies. In this setting, some evidence indicates that ketoprofen exhibits additional important benefits, showing to be effective in the prophylaxis of heterotopic calcification following hip or pelvic major intervention, without affecting the bone healing process. Moreover, the use of ketoprofen in elastomeric pump in combination with opioids or other NSAIDs has proven to be effective and safe. In conclusion, available data confirm that ketoprofen is effective and well tolerated, through different administration routes, for the treatment of various forms of rheumatic, traumatic and post-surgical pain, and may therefore be considered as a valid therapeutic option for these patients.
Rheumatology Unit, L. Sacco University Hospital, Milan, Italy. sarzi@tiscali.it
P
P
Sarzi-Puttini
F
F
Atzeni
L
L
Lanata
M
M
Bagnasco
M
M
Colombo
F
F
Fischer
M
M
D'Imporzano
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects / Q000493:pharmacokinetics / Q000627:therapeutic use*; D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D002114:Calcinosis / Q000517:prevention & control; D002318:Cardiovascular Diseases / Q000139:chemically induced / Q000453:epidemiology; D002908:Chronic Disease; D002986:Clinical Trials as Topic; D004333:Drug Administration Routes; D006073:Gout / Q000188:drug therapy; D006801:Humans; D006930:Hyperalgesia / Q000188:drug therapy / Q000503:physiopathology; D007660:Ketoprofen / Q000008:administration & dosage / Q000009:adverse effects / Q000493:pharmacokinetics / Q000627:therapeutic use*; D010003:Osteoarthritis / Q000188:drug therapy; D010146:Pain / Q000145:classification / Q000188:drug therapy* / Q000453:epidemiology / Q000503:physiopathology; D058748:Pain Perception / Q000187:drug effects / Q000502:physiology; D010149:Postoperative Pain / Q000188:drug therapy; D011183:Postoperative Complications / Q000517:prevention & control; D017695:Soft Tissue Injuries / Q000188:drug therapy
D000894:Anti-Inflammatory Agents, Non-Steroidal; D007660:Ketoprofen