| The analgesic effect of intravenous tenoxicam in symptomatic treatment of biliary colic: a comparison with hyoscine N-butylbromide. | |
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MedLine Citation:
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PMID: 9753705 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This was conducted to evaluate the analgesic effect of intravenous tenoxicam (non-steroidal anti-inflammatory drug) in the treatment of biliary colic pain and compared with spasmolytics. Thirtytwo patients (26 women, 6 men, mean age 47, range 38-55 years) with acute biliary colic were entered for study. They were allocated randomly to receive either tenoxicam 20 mg i.v. or hyoscine N-butylbromide 20 mg i.v. The patients recorded their pain severity on 5 point scale. The results showed that tenoxicam caused significant pain relief in 10 out of 16 patients at 30 min (mean pain score decreased from 2.75 +/- 0.93 to 0.49 +/- 0.51, p < 0.05) and in other 4 patients at 60 min (mean pain score decreased to 0.58 + 5.7, p < 0.05). None of these patients developed acute cholecystitis or pain relapse over a period of 24 h follow up. With use of hyoscine N-butylbromide, 7 out 16 patients had significant pain relief at 30 min (mean pain score decreased from 2.62 +/- 1.01 to 0.57 +/- 0.53, p < 0.05) and 3 other patients relieved at 60 min (mean pain score decreased to 0.66 +/- 0.57, p < 0.05). Four patients showed pain relapse within 24 h and needed pethidine-rescue treatment, two of them developed acute cholecystitis. Three out of 6 patients who showed no response to hyoscine N-butylbropmide and treated with 100 mg pethidine progressed to acute cholecystitis. We concluded that intravenous tenoxicam has rapid and prolong analgesic effects in the treatment of acute biliary colic as compared to hyoscine N-butylbroimde and it prevents the progression to acute cholecystitis. |
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Authors:
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N Al-Waili; K Y Saloom |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: European journal of medical research Volume: 3 ISSN: 0949-2321 ISO Abbreviation: Eur. J. Med. Res. Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1998-12-17 Completed Date: 1998-12-17 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9517857 Medline TA: Eur J Med Res Country: GERMANY |
Other Details:
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Languages: eng Pagination: 475-9 Citation Subset: IM |
Affiliation:
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Dubai Medical College and Dubai Medical Center for Treatment and Research, Islamic Establishment for Education, P.O. Box 19964, Dubai, United Arab Emirates. waili2000@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Analgesics, Non-Narcotic / administration & dosage, therapeutic use* Anti-Inflammatory Agents, Non-Steroidal / administration & dosage, therapeutic use Biliary Tract Diseases / drug therapy*, physiopathology Butylscopolammonium Bromide / administration & dosage, therapeutic use* Cholecystitis / prevention & control Cholelithiasis / drug therapy, physiopathology Colic / drug therapy*, physiopathology Double-Blind Method Female Humans Injections, Intravenous Male Middle Aged Pain / drug therapy, physiopathology Parasympatholytics / administration & dosage, therapeutic use Piroxicam / administration & dosage, analogs & derivatives*, therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Non-Narcotic; 0/Anti-Inflammatory Agents, Non-Steroidal; 0/Parasympatholytics; 149-64-4/Butylscopolammonium Bromide; 36322-90-4/Piroxicam; 59804-37-4/tenoxicam |
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