Eh. Kramer et al., Effects of lysine clonixinate on platelet function. Comparison with other non-steroid anti-inflammatory drugs., MEDICINA, 61(3), 2001, pp. 301-307
One of the mechanisms of action of non steroid antiinflammatory drugs (NSAI
Ds) consists of inhibition of prostaglandin synthesis. This explains many o
f the pharmacological effects and adverse events observed in medical practi
ce. Administration of NSAIDs to patients with hemostatic disorders or perio
perative conditions entails the risk of bleeding due to inhibition of plate
let function. This study deals with platelet changes induced by lysine clon
ixinate vs diclofenac, ibuprofen and aspirin in classical tests such as pla
telet count, platelet factor 3 (PF3) activity and platelet aggregation with
various inductors and more recent procedures such as P-selectin measuremen
t by flow cytometry. Unlike control drugs, lysine clonixinate did not induc
e changes in platelet count or function when administered to healthy volunt
eers at the commonly used therapeutic doses.