“…These apparent qualitative similarities have no doubt contributed to the wide acceptance of the unifying hypothesis that the biological activities of these agents result from their common ability to inhibit prostaglandin biosynthesis [1][2][3]. Whilst this hypothesis has been seriously questioned from several quarters [4][5][6], it is still generally believed that their activities result from the same combination of mechanisms, if not solely from their effects on prostaglandins. Thus, by extrapolation, it might be expected that, in terms of clinical efficacy (as opposed to potency), none of these NSAAIAs is likely to have any significant advantage over any other in the same class, all having merely a palliative action in rheumatic diseases.…”