Tropisetron and paracetamol association in post-operative patients.

Abstract:

:Studies in animals and in healthy volunteers have demonstrated the central serotonergic analgesic mechanism of action of paracetamol involving the inhibition of this analgesia by tropisetron, a 5-HT3 antagonist. This randomized, double-blind, controlled study aims at studying this interaction in post-operative patients after ear surgery. Thirty-six patients are included in two parallel groups with intravenous paracetamol (1 g) and either tropisetron (T, 5 mg/mL) or placebo (c, NaCl 0.9%) administered at the end of surgery. Numerical pain evaluations are performed every 30 min, six times after awakening. The difference between the sums of numerical scales of both groups [9 ± 10 (T) vs. 6 ± 7 (c)] is not significant, but the tropisetron group displays higher pain scores despite additional rescue analgesia. The limits of this trial call for a much larger study to investigate further this pharmacodynamic interaction.

journal_name

Fundam Clin Pharmacol

authors

Pickering G,Faure M,Commun F,de Boissy EC,Roche G,Mom T,Simen E,Dubray C,Eschalier A,Gilain L

doi

10.1111/j.1472-8206.2011.00933.x

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

432-7

issue

3

eissn

0767-3981

issn

1472-8206

journal_volume

26

pub_type

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