Abstract | PURPOSE: METHODS: In this randomized clinical trial, 150 subjects undergoing PRK were allocated into 3 groups. In addition to the routine regimen, pregabalin 75 mg, gabapentin 300 mg, and placebo were administered 3 times daily for 3 days, in groups 1, 2, and 3, respectively. Subjects could take acetaminophen-codeine 300/10 mg tablets every 4 hours as needed. Patients completed a pain assessment survey (visual analogue scale ranging from 0 = no pain to 10 = most severe pain) 7 times in the first 3 days following PRK and also recorded the number of consumed acetaminophen-codeine tablets. RESULTS: Age, sex, refractive error, ablation depth, and mitomycin-C (MMC) application were similar in the 3 study groups (all p values>0.05). Overall pain scores in the placebo group were 0.9 and 1 unit higher than the pregabalin (p=0.029) and gabapentin (p=0.023) groups, respectively. Severe pain (score >7) was more frequent in the placebo group on the morning of the first postoperative day (p=0.043). The difference in the number of consumed acetaminophen-codeine tablets was statistically borderline (p=0.061) and less in the pregabalin (7.9 ± 5.2) and gabapentin (9.0 ± 4.1) groups in comparison to the placebo group (10.3 ± 5.6). CONCLUSIONS:
Pregabalin and gabapentin seem to be helpful in alleviating post-PRK pain when combined with other measures. Depending on availability, either compound can be used as an adjuvant for pain control in this setting.
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Authors | Mohammad Pakravan, Maryam Roshani, Shahin Yazdani, Amir Faramazi, Mehdi Yaseri |
Journal | European journal of ophthalmology
(Eur J Ophthalmol)
Vol. 22 Suppl 7
Pg. S106-13
( 2012)
ISSN: 1724-6016 [Electronic] United States |
PMID | 22577038
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Amines
- Analgesics
- Cyclohexanecarboxylic Acids
- Drug Combinations
- acetaminophen, codeine drug combination
- Acetaminophen
- Pregabalin
- gamma-Aminobutyric Acid
- Gabapentin
- Codeine
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Topics |
- Acetaminophen
(therapeutic use)
- Administration, Oral
- Adult
- Amines
(therapeutic use)
- Analgesics
(therapeutic use)
- Codeine
(therapeutic use)
- Cyclohexanecarboxylic Acids
(therapeutic use)
- Double-Blind Method
- Drug Combinations
- Drug Therapy, Combination
- Eye Pain
(prevention & control)
- Female
- Gabapentin
- Humans
- Male
- Pain Measurement
- Pain, Postoperative
(prevention & control)
- Photorefractive Keratectomy
- Pregabalin
- Prospective Studies
- Treatment Outcome
- Young Adult
- gamma-Aminobutyric Acid
(analogs & derivatives, therapeutic use)
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