Comparison of the analgesic efficacy of tramadol and diclofenac sodium rectal suppository in patients undergoing laproscopic tubal ligation.

Dr. Neha Panse; Dr. Kavita Udaykumar Adate

Volume : VII, Issue : II, February - 2017

Comparison of the analgesic efficacy of tramadol and diclofenac sodium rectal suppository in patients undergoing laproscopic tubal ligation.

Dr. Neha Panse, Dr. Kavita Udaykumar Adate

Abstract :

Background: The aim of our study was to compare the analgesic efficacy of tramadol and diclofenac sodium used as rectal suppository in patients undergoing laproscopic tubal ligation and also to compare their side effects if any. Materials and methods: We had designed a prospective, randomized, double blind and hospital based study. Sixty patients of ASA I and II posted for laparoscopic tubal ligation were randomized to receive rectal suppository of either tramadol 100 mg or diclofenac 100 mg in group A and B respectively .Postoperative Pain was measured using visual analogue scale (VAS). VAS score was assessed at regular intervals of 1, 2, 4, 6, 8, 10, 12 hrs. Inj Diclofenac sodium 75 mg was administered intramuscularly as rescue analgesic when VAS >3 in the postoperative period. Side effects such as nausea and vomiting were noted. Results: We observed that diclofenac suppository provides longer duration of analgesia without any nausea and vomiting and using tramadol via rectal route avoids the side effects of nausea and vomiting. Conclusion: We conclude that analgesic efficacy of tramadol and diclofenac sodium suppositories equivalent. Rectal administration of tramadol reduces the incidence of nausea and vomiting. Hence tramadol suppository is a good alternative to diclofenac suppository.