Ketorolac tromethamine improves the analgesic effect of hyoscine butylbromide in patients with intense cramping pain from gastrointestinal or genitourinary origin

© Georg Thieme Verlag KG Stuttgart · New York..

The symptomatic treatment of pain associated with spasm of gastrointestinal or genitourinary origin can include the use of spasmolytic agents and/or non-steroidal anti-inflammatory drugs. However, the evidence of a superior effectiveness of combination in comparison with individual drugs is scarce and controversial. A double-blind, randomised, clinical trial study was designed to characterize the analgesic effect and safety of ketorolac and hyoscine butylbromide against hyoscine butylbromide alone in patients with ambulatory acute cramping pain of gastrointestinal and genitourinary origin. 160 patients with a pain level ≥4 in a 1-10 cm visual analogue scale were allocated to receive a fixed dose of ketorolac/hyoscine butylbromide (10 mg/20 mg) or hyoscine butylbromide (20 mg) alone at 6 h intervals, during a 48 h period. Both treatments were similarly effective when compared as a whole or when groups were classified by pain origin. Conversely, when treatments were grouped by pain intensity, ketorolac/hyoscine butylbromide combination showed a significant better pain relief profile than hyoscine butylbromide alone in pain intensity ≥7, but not <7. Data indicate that the oral ketorolac/hyoscine butylbromide mixture could be a better option than hyoscine butylbromide alone in the treatment of some acute intense cramping painful conditions.

Medienart:

E-Artikel

Erscheinungsjahr:

2012

Erschienen:

2012

Enthalten in:

Zur Gesamtaufnahme - volume:62

Enthalten in:

Arzneimittel-Forschung - 62(2012), 12 vom: 14. Dez., Seite 603-8

Sprache:

Englisch

Beteiligte Personen:

del Valle-Laisequilla, C F [VerfasserIn]
Flores-Murrieta, F J [VerfasserIn]
Granados-Soto, V [VerfasserIn]
Rocha-González, H I [VerfasserIn]
Reyes-García, G [VerfasserIn]

Links:

Volltext

Themen:

4EVE5946BQ
Anti-Inflammatory Agents, Non-Steroidal
Cholinergic Antagonists
DL48G20X8X
Drug Combinations
Journal Article
Ketorolac Tromethamine
Randomized Controlled Trial
Scopolamine

Anmerkungen:

Date Completed 11.02.2013

Date Revised 02.12.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1055/s-0032-1327678

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM222064102