RT Journal Article SR Electronic T1 COX 2-selective NSAIDs: Biology, promises, and concerns JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 285 OP 292 VO 66 IS 5 A2 Vidt, Donald G. A1 Mandell, Brian F. YR 1999 UL http://www.ccjm.org/content/66/5/285.abstract AB Celecoxib (Celebrex) is the first of a new family of nonsteroidal anti-inflammatory drugs (NSAIDs) that selectively inhibit cydooxygenase 2 (COX 2) while sparing COX 1. Clinical trials indicate that it is approximately as effective in relieving the pain of osteoarthritis and the pain and inflammation of rheumatoid arthritis as nonselective NSAIDs, but causes less gastrointestinal ulceration and bleeding. This paper reviews the pharmacology and possible clinical role of celecoxib and other COX 2-selective NSAIDs.