Comparison of Dexketoprofen, Paracetamol and Ibuprofen in the Treatment of Primary Dysmenorrhea

NCT ID: NCT03697746

Last Updated: 2018-10-05

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-01

Study Completion Date

2019-04-01

Brief Summary

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Our study will be performed on 300 patients who meet the criteria for joining the emergency service with primary dysmenorrhea.

3 drugs we will use: 1000 mg vial of paracetamol, dexketoprofen trometamol will be 50 mg ampoule and ibuprofen 400 mg vial

According to the visual analog scale and visual visual scale, we will ask the patient to rate her pain between 0 (no pain) and 10 (the most severe pain of her life).

We aim to determine the superiority of the drugs in passing the pain randomly by giving the 3 drugs that we mentioned to patients with pain above 5.

Detailed Description

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Our research will be carried out in Pamukkale University Faculty of Medicine Department of Emergency Medicine in 12 months period. There will be a research assistant and / or a faculty member who will control the research for 24 hours in our emergency department with approximately 110000 adult patients / year.

Study criteria: Female patients with primary dysmenorrhea (abdomino-pelvic pain) in the 18-45 age range. The onset of symptoms should usually be a few hours - 1 day before the onset of visible vaginal bleeding. Possible systemic symptoms such as nausea, vomiting, diarrhea, headache, fatigue, irritability, and dizziness are also questioned and recorded in the data form. Patients with a Visual Analog Scale \> 5 and those who require or are recommended nonsteroid antiinflammatory treatment.Patients who come with dysmenorrhea will be randomly selected and will be divided into three groups according to the pre-planned drug administration.

Group 1; Paracetamol 1000 mg Group 2; Dexketoprofen Trometamol 50mg Group 3; Ibuprofen 400 mg In the form of group to be administered intravenously. In case of unresponsiveness to treatment, intravenous Tramadol hcl 100mg will be administered after 45 minutes.

Pain scores of patients will be recorded using the Visual Analog Scale, 0-10 cm Visual Analog Scale, to score the degree of pain.During the process, O2 saturation monitorization, automatic manometer (blood pressure), rhythm monitorization (speed and rhythm) will be provided and all other medications during the operation will be recorded.

Pain scores will be recorded at 0, 15, 30, 45 and 60 minutes. In addition, heart rate, systolic blood pressure, diastolic blood pressure, respiration rate and O2 saturation (SPO2) will be recorded at 0, 15, 30, 60 minutes.

In addition, any side effects that may occur are recorded in the data sheet. If side effects are necessary, treatment will be applied. All information will be saved to the created work form

Conditions

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Dysmenorrhea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Paracetamol

1000 mg Paracetamol vial intravenously

Group Type ACTIVE_COMPARATOR

paracetamol

Intervention Type DRUG

paracetamol 1000 mg vial

Dexketoprofen Trometamol

50 mg Dexketoprofen Trometamol vial intravenously

Group Type ACTIVE_COMPARATOR

Dexketoprofen Trometamol

Intervention Type DRUG

dexketoprofen trometamol 50 mg bulb

Ibuprofen

400 mg Ibuprofen vial intravenously

Group Type ACTIVE_COMPARATOR

Ibuprofen

Intervention Type DRUG

ıbuprofen 400 mg vial

Interventions

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paracetamol

paracetamol 1000 mg vial

Intervention Type DRUG

Dexketoprofen Trometamol

dexketoprofen trometamol 50 mg bulb

Intervention Type DRUG

Ibuprofen

ıbuprofen 400 mg vial

Intervention Type DRUG

Other Intervention Names

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Parol 1000 mg vial--Mefar medicine-İstanbul Dexiren 50 mg bulb-İlko medicine-İdol İntrafen 400mg/4ml flakon-Gen medicine- Ankara

Eligibility Criteria

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Inclusion Criteria

* Female patients with primary dysmenorrhea (abdomino-pelvic pain) between the ages of 18-45.
* The onset of symptoms should usually be a few hours - 1 day before the onset of visible vaginal bleeding.
* Possible systemic symptoms such as nausea, vomiting, diarrhea, headache, fatigue, irritability, and dizziness are also questioned and recorded in the data form.
* Patients with visual analogue scale score\> 5 and those who need or need nonsteroidal anti-inflammatory treatment.

Exclusion Criteria

* Severe liver, kidney and heart failure; asthma, nasal polyp, angioedema and urticaria against aspirin or other nonsteroidal antiinflammatory drugs;
* Active peptic ulcer, bleeding or perforation; to have a history of upper gastrointestinal disease;
* Patients with phenylketonuria;
* During pregnancy and lactation;
* Have asthma;
* Have taken analgesics in the last 4 hours;
* The age of pregnancy and not using birth control method; digoxin, lithium, furosemide and other diuretics, acetylsalicylic acid and coumarin group using anticoagulants and physical examination of the suspicion of acute abdomen and signs of peritoneal irritation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Pamukkale University

OTHER

Sponsor Role lead

Responsible Party

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seçkin çiftçioğlu

Emergency Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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SEÇKİN ÇİFTÇİOĞLU

Role: PRINCIPAL_INVESTIGATOR

PAMUKKALE UNİVERSİTY HOSPİTAL EMERGENCY MEDİCİNE

Locations

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Pamukkale University

Denizli, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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SEÇKİN ÇİFTÇİOĞLU

Role: CONTACT

05550619591

BÜLENT ERDUR

Role: CONTACT

296-6312 ext. 258

Facility Contacts

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SEÇKİN ÇİFTÇİOĞLU

Role: primary

05550619591

BÜLENT ERDUR

Role: backup

296-6312 ext. 258

References

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Letzel H, Megard Y, Lamarca R, Raber A, Fortea J. The efficacy and safety of aceclofenac versus placebo and naproxen in women with primary dysmenorrhoea. Eur J Obstet Gynecol Reprod Biol. 2006 Dec;129(2):162-8. doi: 10.1016/j.ejogrb.2006.01.004. Epub 2006 May 3.

Reference Type BACKGROUND
PMID: 16675091 (View on PubMed)

Ayan M, Tas U, Sogut E, Arici S, Karaman S, Esen M, Demirturk F. [Comparing efficiencies of diclofenac sodium and paracetamol in patients with primary dysmenorrhea pain by using Visual Analog Scale]. Agri. 2013;25(2):78-82. doi: 10.5505/agri.2013.42103. Turkish.

Reference Type BACKGROUND
PMID: 23720082 (View on PubMed)

Iacovides S, Baker FC, Avidon I. The 24-h progression of menstrual pain in women with primary dysmenorrhea when given diclofenac potassium: a randomized, double-blinded, placebo-controlled crossover study. Arch Gynecol Obstet. 2014 May;289(5):993-1002. doi: 10.1007/s00404-013-3073-8. Epub 2013 Nov 5.

Reference Type BACKGROUND
PMID: 24190696 (View on PubMed)

Other Identifiers

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Pamukkkale University

Identifier Type: -

Identifier Source: org_study_id

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