Comparison of safety and analgesic efficacy of diclofenac sodium with etodolac after surgical extraction of third molars: a randomized, double-blind, double-dummy, parallel-group study
Vaghela Jitendra H., Shah Jigna H., Patel Jaladhi H., Purohit Bhargav M.,
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( Vaghela Jitendra H. ) - NAMO Medical College and Research Institute Department of Pharmacology
( Shah Jigna H. ) - Sir Takhtasinhji General Hospital and Government Medical College Department of Dentistry
( Patel Jaladhi H. ) - Sir Takhtasinhji General Hospital and Government Medical College Department of Dentistry
( Purohit Bhargav M. ) - Government Medical College Department of Pharmacology
Abstract
Background: Surgical extraction of third molars is associated with postoperative pain and swelling at the extraction site. Pain is commonly managed using non-steroidal anti-inflammatory drugs (NSAIDs). Postoperative pain is usually moderate to severe in the first 12 h postoperatively and lasts for 3?5 days. However, with NSAIDs, these symptoms usually subside within 24 h. Diclofenac sodium and etodolac are NSAIDs, more selectively cyclooxygenase-2 inhibitors, with good analgesic efficacies.
Methods: We compared the safety and analgesic efficacy of diclofenac sodium with etodolac peroral after surgical extraction of third molars in a double-blind, double-dummy, parallel-group study. The subjective pain improvement and pain relief after 2, 6, 24, 48, and 72 h using the visual analogue scale were measured as the study outcome.
Results: Etodolac was equivalent to diclofenac sodium in pain alleviation at all postoperative time periods. No significant differences were found between diclofenac sodium and etodolac groups (P > 0.05). Both study medications were well tolerated and safe with mild adverse effects in only a few participants.
Conclusion: Diclofenac sodium and etodolac are comparable in terms of analgesic efficacy and safety after surgical removal of third molars.
키워드
Diclofenac; Etodolac; Pain; Third Molar; Tooth Extraction; Visual Analog Scale
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