“…Others are considered to have mixed action on COX-1 and -2 (e.g., ibuprofen, naproxen, diclofenac, etodolac, nabumetone, and meloxicam). Other mechanisms that may contribute to NSAID mediated anti-inflammatory activity include the reduction of superoxide radicals, induction of apoptosis, inhibition of adhesion molecule expression, decrease of nitric oxide synthase, decrease of proinflammatory cytokine levels (tumornecrosis factor-α, interleukin-1), modification of lymphocyte activity, and alteration of cellular membrane functions (6). However, long term clinical usages of NSAIDs are associated with significant side effects such as severe gastrointestinal ulceration, bleeding, intolerance and nephrotoxicity (7,8).…”