Dysmenorrhea
Conditions
Brief summary
Patients presented with primary dysmenorrhea composed the study population. One gram paracetamol and 100 mg tramadol in 100 ml saline with a slow infusion were compared in ceasing dysmenorrhea in the emergency department
Detailed description
Patients over 18 years old who presented with dysmenorrhea composed the study population. Patients received painkiller within the last six hours, physical findings consistent with peritoneal irritation, allergy to the study drugs, renal or liver failure, drug addiction, pregnancy or woman with lactation and denied to give inform consent were the exclusion criteria. The pain of the study patients is measured with the visual analogue scale at baseline, 15th and 30th minutes and 1 hour after study drug administration. At the end of the 60 minutes, rescue drug need is also recorded.
Interventions
100 mg tramadol in 100 ml saline with slow infusion
Intravenous 1 gm paracetamol in 100 ml saline with slow infusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with moderate to severe primary dysmenorrhea and visual analog scale (VAS) pain scores ≥40 * Patients over 18 years old
Exclusion criteria
* denied to give inform consent, irregular menstrual cycles, known or suspected secondary dysmenorrhea * Renal or liver failure * Allergy to the study drugs * Receiving pain killer within the last 6 hours. * Physical examination findings consistent with peritoneal irritation * Pregnancy or patients with lactation * Drug or Alcohol Abuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| acute pain of dysmenorrhea measured by visual analogue scale | 15 minutes | Change in visual analogue scale at 15th minutes from baseline |
| pain of dysmenorrhea measured by visual analogue scale | 30 minutes | Change in visual analogue scale at 30th minutes from baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rescue drug need | 30 minutes. | the need for additional analgesic drug |
| adverse effects. | 60 minutes | nausea, Vomiting, epigastric pain |
Countries
Egypt