Efficacy of Intrauterine Lidocaine and Naproxen for Pain Control With Intrauterine Device Insertion

NCT ID: NCT02769247

Last Updated: 2018-11-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2016-12-31

Brief Summary

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To compare the efficacy of intrauterine lidocaine and oral naproxen sodium on discomfort and pain of patients undergoing intrauterine device insertion.

Detailed Description

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This is a randomized, double-blind, placebo-controlled study with women that will be recruited from our outpatient obstetrics and gynecology clinic. Women desiring intrauterine device insertion will be invited to participate.

The investigators plan to recruit women desiring intrauterine device insertion into one of four groups: A: placebo/normal saline infusion; B: placebo/lidocaine infusion; C: Saline infusion/ naproxen; D: lidocaine infusion/ naproxen.

Conditions

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Contraception Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Patient will receive placebo oral medication and intrauterine normal saline prior to IUD insertion

Group Type EXPERIMENTAL

placebo

Intervention Type DRUG

either normal saline or empty oral capsule

Naproxen/Normal saline

Patient will receive naproxen and intrauterine normal saline prior to IUD insertion

Group Type EXPERIMENTAL

Naproxen

Intervention Type DRUG

Oral naproxen vs placebo

placebo

Intervention Type DRUG

either normal saline or empty oral capsule

Placebo oral medication/Lidocaine

Patient will receive placebo oral medication and intrauterine lidocaine prior to IUD insertion

Group Type EXPERIMENTAL

Lidocaine

Intervention Type DRUG

Intrauterine lidocaine vs normal saline

placebo

Intervention Type DRUG

either normal saline or empty oral capsule

Naproxen/Lidocaine

Patient will receive naproxen and intrauterine lidocaine prior to IUD insertion

Group Type EXPERIMENTAL

Naproxen

Intervention Type DRUG

Oral naproxen vs placebo

Lidocaine

Intervention Type DRUG

Intrauterine lidocaine vs normal saline

Interventions

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Naproxen

Oral naproxen vs placebo

Intervention Type DRUG

Lidocaine

Intrauterine lidocaine vs normal saline

Intervention Type DRUG

placebo

either normal saline or empty oral capsule

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* DEERS-eligible reproductive age women (i.e. Tricare beneficiaries)
* age 18 years and older
* desiring Paragard or Mirena intrauterine device insertion

Exclusion Criteria

* Current pregnancy
* cervical stenosis
* severe medical illness
* known allergy or sensitivity to lidocaine or naproxen
* peptic ulcer disease
* current pelvic inflammatory disease
* patients with known renal insufficiency
* patients using chronic NSAIDs or on chronic pain medication
* women desiring Skyla IUD insertion will also be excluded due to infrequency of insertions at WRNMMC
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Walter Reed National Military Medical Center

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Susan Dunlow, MD

Role: PRINCIPAL_INVESTIGATOR

WRNMMC

Locations

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Walter Reed National Military Medical Center

Bethesda, Maryland, United States

Site Status

Countries

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United States

References

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Miles SM, Shvartsman K, Dunlow S. Intrauterine lidocaine and naproxen for analgesia during intrauterine device insertion: randomized controlled trial. Contracept Reprod Med. 2019 Sep 10;4:13. doi: 10.1186/s40834-019-0094-0. eCollection 2019.

Reference Type DERIVED
PMID: 31516731 (View on PubMed)

Other Identifiers

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384645-5

Identifier Type: -

Identifier Source: org_study_id

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