alex3619
Senior Member
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- Logan, Queensland, Australia
The "toxicity" you're referring to, is that gastritis (etc.) ???
Toxicity from NSAIDs primarily, but not only, (and it varies with the type of NSAIDs, as COX-2 inhibitors are still toxic) slow gut healing. The gut takes damage all the time. If healing cannot keep up with damage you get ulcers. Other drugs have other toxic effects. The point is many drugs work on specific pathways, and pushing or suppressing those can push things out of balance. That can have consequences. Very often we do not understand those consequences, or their specific causes, and things just get written up as "side effects".
This is complicated by drug activation and clearance rates. A big dose can have no effect, and a small dose can be dangerous, with just alterations in drug activation and clearance.