Abstract:
:Tramadol, a central analgesic acting on serotonin neurotransmission, is often co-used with ondansetron, a 5-HT(3) antagonist, for the management of postoperative pain to decrease nausea and vomiting. The aim of the study is to test the hypothesis that this drug combination raises tramadol requirement by patient-controlled analgesia (PCA). Forty patients undergoing hernioplasty or thyroidectomy were enrolled in a randomized, controlled study and allocated to receive ondansetron 4 mg i.v. (n = 20) or saline (n = 20). At 0, 1, 2, 4 and 24 h of PCA, tramadol consumption was evaluated. Tramadol consumption (mg × kg(-1) × h(-1)) was higher in the ondansetron group at the 2-hour time point compared to the control group (0.24 ± 0.1 vs. 0.17 ± 0.16; p = 0.01). Our study suggests that ondansetron acutely reduces the analgesic efficacy of tramadol.
journal_name
Pharmacologyjournal_title
Pharmacologyauthors
Vale C,Oliveira F,Assunção J,Fontes-Ribeiro C,Pereira Fdoi
10.1159/000330740subject
Has Abstractpub_date
2011-01-01 00:00:00pages
182-7issue
3-4eissn
0031-7012issn
1423-0313pii
000330740journal_volume
88pub_type
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