RT Journal A1 Peterson WL, Cryer B T1 COx-1–sparing nsaids—is the enthusiasm justified? JF JAMA JO JAMA YR 1999 FD November 24 VO 282 IS 20 SP 1961 OP 1963 DO 10.1001/jama.282.20.1961 UL http://dx.doi.org/10.1001/jama.282.20.1961 AB Nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most widely used therapeutic agents today, with nearly $2 billion spent in the United States yearly on prescription NSAIDs alone.1 By inhibiting the enzyme cyclooxygenase (COX) and decreasing prostaglandin synthesis, these agents provide effective analgesia and suppress inflammation. Most NSAIDs (nonselective) inhibit not only prostaglandins at sites of inflammation but also prostaglandins that serve important functions in other parts of the body. This inhibition may be beneficial when, for example, these drugs are prescribed to impair normal platelet function to prevent cardiovascular events.