Comparison of post-tonsillectomy analgesic drugs (Paracetamol,Diclofenac sodium, and Tramadol)

Mohammed Shinawa, Rehaim; Salih Aljbori, Amer; Mohammed Alwam, Ammar

	Comparison of post-tonsillectomy analgesic drugs (Paracetamol,Diclofenac sodium, and Tramadol)
Tikret Journal of Pharmaceutical Sciences
Article 1, Volume 5, Issue 2, 2009, Pages 156-159
Authors
Rehaim Mohammed Shinawa; Amer Salih Aljbori; Ammar Mohammed Alwam
Abstract
To compare the effectiveness of using paracetamol, diclofenac sodium, and tramadol incontrolling post tonsillectomy pain in immediate post-operative period. Sixty patients from 10 to30 years old undergoing tonsillectomy by classical cold steei method and homeostasis done byligation r,vith or without electrocauterization. We divided them into three groups according to thetype of analgesic drug received in the immediate post operative period:Group A (20 patients) received paracetamol injection 15mg/kg/dose.Group B. (20 patients) received diclofenac sodium injection l.25mglkg lday.Group C (20 patients) received tramadol injectionlmg/kg/dose.Post-operative pain assessed clinically and according to visual analogue scales during rest anddeglutition. 8 patients (40%) of group A have good response VAS less than 30 mm with milddiscomfort, 15 patients (75%) of group B have good response and in group C 17 patients (85%)have VAS less than 30 mm with mild discomfort. There was significant difference betweengroup B and C in comparison with group A (p:0.039), but there was no significant differencebetween group'B and group C (p >0.05). Tramadol and diclofenac sodium are most effective incontrolling post tonsillectomy pain even in those patients who have tonsillectomy withe lectrocauterization.

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