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Epidural Nefopam or Tramadol: What Works Better for Pain Relief After Lower Abdominal Surgery?

Comparative Study Of Epidural Nefopam And Tramadol For Post-operative Pain Management In Lower Abdominal Surgeries: A Randomised Comparative Clinical Trial - nil

Status
Active, not recruiting
Phases
Phase 2Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/10/095851
Enrollment
100
Registered
2025-10-09
Start date
Unknown
Completion date
Unknown
Last updated
2025-10-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Group Nefopam: Patients will receive 8 ml of 0.125 percentage of Bupivacaine containing 5 mg of Nefopam epidurally at the end of surgery Control Intervention1: Group Tramadol: Patients

Sponsors

Vinayak Missions Medical College and Hospital
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1) ASA physical status I and II 2) Patients scheduled for lower abdominal surgeries 3) Patients capable of providing informed written consent and understanding pain assessment instruction 4) Body Mass Index less than 35 kg per metre square

Exclusion criteria

Exclusion criteria: 1) Patient refusal 2) Contraindication to neuraxial anaesthesia 3) History of significant cardiovascular, respiratory, hepatic or renal dysfunction 4) Known hypersensitivity to study medications 5) History of chronic pain or regular analgesic medication use 6) Psychiatric disorders or inability to comprehend pain assessment tools 7) Pregnancy or Lactation 8) Body Mass index more than 35 kg per metre square

Design outcomes

Primary

MeasureTime frame
To assess and compare the analgesic efficacy of epidural nefopam versus tramadol in patients undergoing lower abdominal surgeries using Visual Analog Scale (VAS) pain score.Timepoint: 1st, 2nd, 4th, 6th, 12th ,24th hour

Secondary

MeasureTime frame
To compare the incidence and severity of adverse effects associated with epidural nefopam and tramadolTimepoint: upto first 24 hours postoperatively

Countries

India

Contacts

Public ContactDr Mancy ChristabelS

Vinayaka Missions Medical College and Hospital

mansichristabel@gmail.com9790552281

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026