Drugs called COX-2 inhibitors (e.g., Vioxx, Bextra, and | StudySoup

Textbook Solutions for Chemistry: The Molecular Nature of Matter and Change

Chapter 1 Problem 1.80

Question

Drugs called COX-2 inhibitors (e.g., Vioxx, Bextra, and Celebrex) were thought to relieve the pain and inflammation of osteoarthritis without the stomach bleeding and ulcers nonsteroidal anti-inflammatory drugs (NSAIDs) cause. In a 12- month trial, Vioxx caused fewer gastrointestinal side effects than the NSAID ibuprofen. However, a study of the recurrence of colon polyps after three years of Vioxx found an increased risk for heart attack and stroke beginning after 18 months of treatment. As a result, Vioxx was withdrawn from the market, and an FDA panel concluded that COX-2 inhibitors as a class have increased cardiovascular risk that varies by drug and dose. The FDA then caused the withdrawal of Bextra and required a warning label on Celebrex. Based on this information, list (a) an observation, (b) a hypothesis, (c) an experiment, and (d) a theory.

Solution

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The first step in solving 1 problem number 80 trying to solve the problem we have to refer to the textbook question: Drugs called COX-2 inhibitors (e.g., Vioxx, Bextra, and Celebrex) were thought to relieve the pain and inflammation of osteoarthritis without the stomach bleeding and ulcers nonsteroidal anti-inflammatory drugs (NSAIDs) cause. In a 12- month trial, Vioxx caused fewer gastrointestinal side effects than the NSAID ibuprofen. However, a study of the recurrence of colon polyps after three years of Vioxx found an increased risk for heart attack and stroke beginning after 18 months of treatment. As a result, Vioxx was withdrawn from the market, and an FDA panel concluded that COX-2 inhibitors as a class have increased cardiovascular risk that varies by drug and dose. The FDA then caused the withdrawal of Bextra and required a warning label on Celebrex. Based on this information, list (a) an observation, (b) a hypothesis, (c) an experiment, and (d) a theory.
From the textbook chapter Keys to the Study of Chemistry you will find a few key concepts needed to solve this.

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Title Chemistry: The Molecular Nature of Matter and Change 5 
Author Martin S. Silberberg
ISBN 9780077216504

Drugs called COX-2 inhibitors (e.g., Vioxx, Bextra, and

Chapter 1 textbook questions

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