GPs carry the can for sloppy discharge notes
Although there has been a lot of anxiety recently about the safety of cox-2 inhibitors (News, January 15) I have not seen anything about their efficacy. Like Dr Mark Burgin (Letters, January 15) I am concerned that we may be overreacting.
I am troubled with occasional but quite unpleasant ankle pain. I have tried a variety of analgesics including simple paracetamol and various NSAIDS in varying doses.
None has been as effective as etoricoxib which will make me comfortable within a few hours and invariably settles the problem after one or two doses.
I am then free of pain for many weeks. Many patients have told me it is also much more effective than NSAIDs they have used in the past.
In patients at low risk of heart disease or stroke it may well be that the benefits of effective analgesia will greatly outweigh any small risk.
Dr Michael Blackmore