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Analgesic Adverse Reaction clinical trials

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NCT ID: NCT05924412 Recruiting - Knee Osteoarthritis Clinical Trials

Parecoxib in Total Knee Arthroplasty

Start date: July 6, 2023
Phase: Phase 4
Study type: Interventional

Early mobilization and rehabilitation can be difficult after total knee arthroplasty (TKA) due to a high incidence of moderate to severe postoperative pain. Non-steroidal anti-inflammatory drugs (NSAIDs) are important to multimodal analgesic protocols. Parecoxib is an NSAID that selectively inhibits the enzyme cyclooxygenase-2 (COX-2). Clinical trials have shown that it does not alter platelet function or gastric mucosa. A recent study, after comparing ketorolac and parecoxib used at the same time in infiltration and systemically, found no differences in perioperative analgesia with a tendency to less bleeding in the parecoxib group. This randomized study will compare the effectiveness of adding a COX-2 inhibitor in the pain management of patients undergoing TKA as part of a multimodal analgesia regimen. The morphine consumption was selected as the primary outcome. The study hypothesis is that patients receiving parecoxib would have a lower opioid consumption.

NCT ID: NCT05575700 Recruiting - Postoperative Pain Clinical Trials

Safety of Ibuprofen After Major Orthopaedic Surgeries

PERISAFE
Start date: April 17, 2023
Phase: Phase 4
Study type: Interventional

Safety of an eight-day treatment with ibuprofen after primary hip and knee arthroplasties.

NCT ID: NCT04369222 Recruiting - Clinical trials for Analgesic Adverse Reaction

The Copenhagen Analgesic Study

COPANA
Start date: March 1, 2020
Phase:
Study type: Observational

Fundamental aspects of reproductive function are established in fetal life and there is a present increased awareness of the potential effects of fetal exposures on reproductive health of offspring. Experimental studies strongly suggest detrimental effects of prenatal exposure to mild analgesics such as acetaminophen (e.g. paracetamol) and non-steroidal anti-inflammatory drugs, NSAIDs (e.g. ibuprofen and acetylsalicylic acid) on male as well as female gonadal development. Declining fertility has become a growing problem in developing countries, potentially resulting in severe socioeconomic challenges, and fetal exposure of mild analgesics causes part of these alarming observations.This is the first prospective human study designed primarily to assess the effect of fetal exposure of mild analgesics on male and female reproductive function.

NCT ID: NCT03453541 Recruiting - Clinical trials for Analgesic Adverse Reaction

Ketorolac Use in Pediatric Patients Undergoing Tonsillectomy

Start date: November 21, 2017
Phase: Phase 4
Study type: Interventional

This prospective, randomized, double blinded study is designed to compare the bleeding rates of ketorolac vs. placebo when used for post tonsillectomy pain control in pediatric patients ages 2-18.