Cochrane · systematic review · CD008872

Safety of non‐steroidal anti‐inflammatory drugs, including aspirin and paracetamol (acetaminophen) in people receiving methotrexate for inflammatory arthritis (rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, other spondyloarthritis)

Colebatch, AN, Marks, JL, Edwards, CJ · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 50%Moderate 3 · 50%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

NSAIDs including aspirin and/or paracetamol for patients with inflammatory arthritis on methotrexate

Population: patients with inflammatory arthritis on methotrexate
6 questions
OutcomeEffectEvidenceStatus / GRADE
Pulmonary Methotrexate pneumonitis
no estimate extracted2 studies · 27 participantsModerate
Hepatic Liver histology/hepatic enzyme abnormalities2
no estimate extracted2 studies · 272 participantsLow
Renal Glomerular and tubular injury
no estimate extracted2 studies · 30 participantsLow
Haematological Thrombocytopenia
no estimate extracted0 studies · 1 participantsModerate
Withdrawal due to adverse events Methotrexate discontinuation
no estimate extracted3 studies · 632 participantsLow
All adverse events
no estimate extracted7 studies · 283 participantsModerate