Table 3.

Systemic adverse events among RCT.

Treatment Group/Drug Administration (range, %)
Adverse EffectsTopicalPOVehicle*Placebo
Upper GI NOS810.38.5
GI NOS8,112.6–4.80.8–13.47.3
Abdominal pain1.4–123–220.9–3.10.6–2.4
Dyspepsia0.7–153–260.9–50.8–6
Gastritis0.9–2.2000–2.4
Nausea0–82–130.6–5.60
Diarrhea0–91.5–170–20–4
Constipation0.9–80–100.6–11
GI bleed**0–10–20–1.20
Halitosis0–50.30–1.20
Liver function abnormality0–6.97.9–19.61.3–5.30.6–4.2
Renal abnormality0–7.67.2–1060–5.7
Change in hemoglobin0–2.15.8–103.34.9
Respiratory disorder††0–3.22–5.30.5–2.53.8
CNS NOS8,116–9.56.8–7.34.9
Dizziness0.6–1.240
Vertigo0–1
Headache5–17.56–17.24.3–1311.5
  • * Vehicle contains DMSO, pluronic lecithin organogel base, or isopropyl alcohol, propylene glycol, cocoyl caprylocaprate, mineral oil, ammonia solution, perfume cream 45/3, carbomer 980, polyoxyl 20 cetostearyl ether, and purified water.

  • ** GI bleed includes melena and rectal hemorrhage.

  • Percentage of patients changing from normal to abnormal creatinine clearance (ml/min).

  • †† Respiratory disorder includes asthma, cough, and dyspnea. GI: gastrointestinal; NOS: not otherwise specified; CNS: central nervous system.