Evaluation of the Role of Tramadol 50mg as an Analgesic During Outpatient Hysteroscopy
Information source: Cairo University
ClinicalTrials.gov processed this data on August 23, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Pain
Intervention: Tramadol (Drug); Placebo (Drug)
Phase: Phase 2
Status: Completed
Sponsored by: Cairo University Official(s) and/or principal investigator(s): AbdelGany MA Hassan, MRCOG, MD, Principal Investigator, Affiliation: Cairo University
Summary
The purpose of this study is to evaluate the role of Tramadol 50mg in reducing pain during
outpatient hysteroscopy.
Clinical Details
Official title: Role of Tramadol 50mg in Reducing Pain Associated With Outpatient Hysteroscopy: A Randomized Double Blind Placebo Controlled Trial.
Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Supportive Care
Primary outcome: Pain perceived by the patient during the procedure
Secondary outcome: Pain perceived by the patient 30 minutes after the procedure.
Detailed description:
This study is a prospective double blinded randomised controlled trial. 140 women will be
recruited from the office hysteroscopy clinic in Cairo university hospitals.
All patients attending the outpatient hysteroscopy clinic will be invited to participate in
the study. The invitation will include a clear full explanation of the study and patients
will provide written consents. Only patients consenting to participate will be included in
the trial.
Tramadol and placebo will be enclosed in sealed envelopes which will be numbered using a
computer generated random table. Neither the patient nor the physician will be aware of the
drug used. Patients will be categorized into 2 groups: Group I who will receive Tramadol
50mg (Tramadol, October Pharma, Giza, Egypt) 1 hour before the procedure, group II who will
received a placebo acting as the control group.
Full history will be taken followed by general and local examination. The procedure will be
done in the lithotomy position. Hysteroscopy will be done using a 5mm outer diameter
continuous flow hysteroscope with a French working channel and a 30 degrees direction of
view provided by Techno GmbH and CO. The hysteroscope will be introduced using the
vaginoscopy technique, in which no speculum will be used. The cervix will be detected and
the external os will be identified using the hysteroscope. The hysteroscope will be
introduced in the uterine cavity. Saline will be used as the distension medium and the
pressure will be set at 100mm Hg. The anterior wall, posterior wall and tubal ostea will be
visualized, any polyps, adhesions septa, congenital malformations or submucous fibroids will
be noted.
Base line characteristics will be compared and the main outcome measure will be patients'
pain perception during the procedure and 30 minutes later, this will be determined using a
visual analogue scale.
Eligibility
Minimum age: 18 Years.
Maximum age: N/A.
Gender(s): Female.
Criteria:
Inclusion Criteria:
- Patients referred for outpatient hysteroscopy
- Consent to the procedure
Exclusion Criteria:
- Premenstrual patients
- Known cardiac disease
- Known allergy to Tramadol
Locations and Contacts
Cairo University Hospitals, Cairo, Egypt
Additional Information
Related publications: Floris S, Piras B, OrrĂ¹ M, Silvetti E, Tusconi A, Melis F, Tuveri M, Piga M, Paoletti AM, Melis GB. Efficacy of intravenous tramadol treatment for reducing pain during office diagnostic hysteroscopy. Fertil Steril. 2007 Jan;87(1):147-51. Epub 2006 Nov 1. Sharma JB, Aruna J, Kumar P, Roy KK, Malhotra N, Kumar S. Comparison of efficacy of oral drotaverine plus mefenamic acid with paracervical block and with intravenous sedation for pain relief during hysteroscopy and endometrial biopsy. Indian J Med Sci. 2009 Jun;63(6):244-52. doi: 10.4103/0019-5359.53394. van Dongen H, de Kroon CD, Jacobi CE, Trimbos JB, Jansen FW. Diagnostic hysteroscopy in abnormal uterine bleeding: a systematic review and meta-analysis. BJOG. 2007 Jun;114(6):664-75. Review. O'Flynn H, Murphy LL, Ahmad G, Watson AJ. Pain relief in outpatient hysteroscopy: a survey of current UK clinical practice. Eur J Obstet Gynecol Reprod Biol. 2011 Jan;154(1):9-15. doi: 10.1016/j.ejogrb.2010.08.015. Review. Modi H, Mazumdar B, Bhatt J. Study of interaction of tramadol with amlodipine in mice. Indian J Pharmacol. 2013 Jan-Feb;45(1):76-9. doi: 10.4103/0253-7613.106440.
Starting date: May 2014
Last updated: April 3, 2015
|