Gabapentin to Reduce Postoperative Nausea and Vomiting

NCT ID: NCT02944981

Last Updated: 2017-05-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2017-02-28

Brief Summary

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The intrathecal administration of morphine is gaining popularity. It is easy to do and can reduce the pain after surgery up to 24 hours. However, it causes postoperative nausea and vomiting more than other methods providing postoperative analgesia. Patients suffering from these side effects have to spend a longer period of time recovering in the hospital with high cost of medical treatment.

Detailed Description

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Objective: to study the efficacy of oral administrating of gabapentin 600 mg before surgery to reduce the postoperative nausea and vomiting in patients receiving intrathecal morphine.

Methods: Eighty patients undergoing orthopedic surgery and receiving intrathecal morphine will be randomized into 2 groups. The first group will receive oral gabapentin 600 mg and the second group will receive a placebo tablet. Both groups will receive a standard prophylactic medication for postoperative nausea and vomiting. The degrees of nausea and vomiting in both groups will be assessed over 24 hours postoperatively.

Conditions

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Postoperative Nausea and Vomiting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Gabapentin

Patient receiving oral gabapentin 600 mg preoperatively

Group Type EXPERIMENTAL

Gabapentin

Intervention Type DRUG

Single oral dose

Placebo

Patient receiving oral placebo tablet preoperatively

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Single oral dose

Interventions

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Gabapentin

Single oral dose

Intervention Type DRUG

Placebo

Single oral dose

Intervention Type DRUG

Other Intervention Names

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Neurontin Sugar pill

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing general or regional anesthesia receiving spinal morphine
* ASA physical status I-III

Exclusion Criteria

* Patients with allergy to morphine or gabapentin
* Chronic use of narcotics
* Psychotic
* Bleeding disorder
* Cardiovascular disorder
* Liver or renal failure
* Pregnancy or breast feeding
* Neurologic disorder
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Khon Kaen University

OTHER

Sponsor Role lead

Responsible Party

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Thepakorn Sathitkarnmanee

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sirirat Tribuddharat, MD

Role: PRINCIPAL_INVESTIGATOR

Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

Locations

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Faculty of Medicine, Khon Kaen University

Khon Kaen, , Thailand

Site Status

Countries

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Thailand

References

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Dahl JB, Jeppesen IS, Jorgensen H, Wetterslev J, Moiniche S. Intraoperative and postoperative analgesic efficacy and adverse effects of intrathecal opioids in patients undergoing cesarean section with spinal anesthesia: a qualitative and quantitative systematic review of randomized controlled trials. Anesthesiology. 1999 Dec;91(6):1919-27. doi: 10.1097/00000542-199912000-00045. No abstract available.

Reference Type RESULT
PMID: 10598635 (View on PubMed)

Devys JM, Mora A, Plaud B, Jayr C, Laplanche A, Raynard B, Lasser P, Debaene B. Intrathecal + PCA morphine improves analgesia during the first 24 hr after major abdominal surgery compared to PCA alone. Can J Anaesth. 2003 Apr;50(4):355-61. doi: 10.1007/BF03021032. English, French.

Reference Type RESULT
PMID: 12670812 (View on PubMed)

Pandey CK, Priye S, Ambesh SP, Singh S, Singh U, Singh PK. Prophylactic gabapentin for prevention of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy: a randomized, double-blind, placebo-controlled study. J Postgrad Med. 2006 Apr-Jun;52(2):97-100.

Reference Type RESULT
PMID: 16679671 (View on PubMed)

Rorarius MG, Mennander S, Suominen P, Rintala S, Puura A, Pirhonen R, Salmelin R, Haanpaa M, Kujansuu E, Yli-Hankala A. Gabapentin for the prevention of postoperative pain after vaginal hysterectomy. Pain. 2004 Jul;110(1-2):175-81. doi: 10.1016/j.pain.2004.03.023.

Reference Type RESULT
PMID: 15275765 (View on PubMed)

Other Identifiers

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HE571129

Identifier Type: -

Identifier Source: org_study_id

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