Arthritis Digest Autumn 2013 100000 | Page 15

AD3_AUT13_p15-16_Drugs and ads_Layout 1 17/09/2013 19:37 Page 15 digestdrugs THE DRUG DEN Autumn 2013 A summary of the latest drugs being tried, tested and brought to market Rosehip powder may reduce arthritis pain The future: artificial bones made from umbilical cord stem cells A new biomaterial that enables bone tissue to be generated from umbilical cord stem cells has been patented by a team in Spain. The material comprises an activated carbon cloth support for cells that differentiate giving rise to a product that can promote bone growth. Lab results are promising but the method hasn’t yet been tried in animals. It is hoped that in the future the biomaterial could help repair bone and replace lost cartilage. Rosehip powder – Rosa L Canina – can reduce inflammation and pain in people with arthritis and help protect the joints of active people, according to two new studies. Rosehip’s powerful anti-inflammatory action was thrust into the spotlight at The Centre of Sport & Exercise Science at Sheffield Hallam University, where scientists found that it helped decrease joint pain and joint resistance in the knee. “More than two thirds of the men who took standardised Rosehip powder experienced an improvement in passive joint flexion and more than 90% recorded improvements in knee extension,” says Prof Marc Cohen who was involved in the study. New prescription powers for physios and podiatrists Physiotherapists and podiatrists are to receive prescription powers in the UK for the first time, meaning easier access to treatment for people with arthritis. The UK is the first country in the world where physios and podiatrists can prescribe medication to their patients, without consulting GPs – from summer 2014 – but first they’ll have to complete a training course approved by the Health and Care Professions Council. Ketoprofen vs ibuprofen and diclofenac Ketoprofen, a non-steroidal anti-inflammatory drug (NSAID) seems to be more effective than ibuprofen or diclofenac in easing pain and reducing inflammation in people with muscle and joint conditions. Published in Clinical & Experimental Rheumatology, a large review of the literature by Italian scientists identified 13 randomised controlled trials involving 898 people who had rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, low back pain or shoulder pain. A close look at the research showed that ketoprofen seemed to be significantly more effective than ibuprofen or diclofenac. “The efficacy of orally administered ketoprofen in relieving moderate-to-severe pain and improving functional status and general condition was significantly better than that of ibuprofen and/or diclofenac,” say the researchers. ARTHRITIS Another study, this time in Denmark, found that high levels of Rosehip seeds helped reduce inflammation in people (and animals) with inflammatory arthritis. The team found that a 50:50 ratio of Rosehip shells and lipid-rich seeds was the most effective at reducing inflammation levels. Over 30 scientific studies now support Rosehip as a natural anti-inflammatory that could help relieve arthritis pain and increase joint mobility. It is hoped that the changes will improve access to medicines and allow more self-management of conditions such as arthritis. “Physiotherapists and podiatrists are highly skilled professionals and these changes will allow them to give better care to the millions of people with acute and long-term conditions,” says Norman Lamb, care and support minister. Painkiller increases heart attack in people with heart conditions A common painkiller increases the risk of heart attack and stroke in people with serious underlying heart conditions. Those with circulatory problems, heart disease, heart failure, or a previous stroke or heart attack should stop using diclofenac, says the Medicines and Healthcare Products Regulatory Agency (MHRA). Trade names that diclofenac is known under include Defenac, Diclofex, Diclomax, Dyloject, Econac, Enstar, Flamrase, Flamatak, Motifene, Rheumatac, Rhumalgan, Volsaid and Voltarol. The drug is a non-steroidal anti-inflammatory drug (NSAID) and alleviates pain and lowers inflammation so is commonly used to treat arthritis and pain after surgery. “Those with underlying heart conditions currently taking diclofenac should speak to their GP or pharmacist at their next routine visit to consider an alternative pain relief treatment,” says Dr Sarah Branch from the MHRA. “Patients with certain cardiovascular risk factors such as high blood pressure, raised cholesterol, diabetes and smoking should only use diclofenac after careful consideration with their GP or pharmacist.” www.arthritisdigest.co.uk 15