Cover image of the article: The Randomized Clinical Trial of Safety and Efficacy of Oral Tramadol in Patients Undergoing Colonoscopy

Image Credit:J Rep Pharm Sci

The Randomized Clinical Trial of Safety and Efficacy of Oral Tramadol in Patients Undergoing Colonoscopy

Authors

Mehdi ZobeiriMehdi Zobeiri ORCID1, Teimour Kamari1, Mansour Rezaei2, MohammadHossein FarzaeiMohammadHossein Farzaei ORCID3,*
1Department of Internal Medicine, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
2Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
3Pharmaceutical Sciences Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
*Corresponding Author: Corresponding author: Pharmaceutical Sciences Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. Email:mh.farzaei@gmail.com

Journal of Reports in Pharmaceutical Sciences:Vol. 10, issue 2; 261-4
Published online:Dec 17, 2021
Article type:Research Article
Received:Jan 20, 2021
Accepted:Apr 12, 2021
How to Cite:Zobeiri M, Kamari T, Rezaei M, Farzaei M. The Randomized Clinical Trial of Safety and Efficacy of Oral Tramadol in Patients Undergoing Colonoscopy. J Rep Pharm Sci. 2021;10(2):e146962. doi: https://doi.org/10.4103/jrptps.JRPTPS_9_21

Abstract

Background and Study Aims: Colonoscopy is a wide-spreading procedure with pain as a habitual challenge for the therapeutic team. The aim of this study is to evaluate safety and efficacy of oral tramadol in patients undergoing colonoscopy. 
Patients and Methods: This randomized controlled trial was performed in 124 consecutive patients who completed total colonoscopy, which is randomly divided into two groups, receiving either 100 mg single dose oral tramadol or placebo. Pain intensity during colonoscopy is evaluated by numerical rating scale (NRS) criteria in four levels: no pain, mild, moderate, and severe pain. This study was registered in www.IRCT.ir, number: IRCT2015010820610N1. 
Results: Two groups were matched in age, sex, and colonoscopy indication. The pain intensity in patients receiving tramadol was significantly lower than that in patients receiving placebo (P <0.05). Nausea, sweating, moaning, and palpitation during colonoscopy were significantly lower, and desire to do a colonoscopy without sedation was significantly higher in the tramadol group. 
Conclusion: Oral tramadol in patients undergoing colonoscopy is effective in reducing pain and symptoms. 
 

Highlights

Copyright

© 2021, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

Similar Articles

21
Nov
2018
Analgesic Effect and Hemodynamic Changes Due to Dexmedetomidine Versus Fentanyl During Elective Colonoscopy: A Double-Blind Randomized Clinical Trial

Analgesic Effect and Hemodynamic Changes Due to Dexmedetomidine Versus Fentanyl During Elective Colonoscopy: A Double-Blind Randomized Clinical Trial

Parviz Amri,
Sheyda Nahrini,
Karimollah Hajian-Tilaki,
Mohammadtaghi Hamidian,
Seyedeh Fatemeh Alipour,
Seyed Hossein Hamidi
,et al.

Amri P, Nahrini S, Hajian-Tilaki K, Hamidian M, Alipour SF, et al. Analgesic Effect and Hemodynamic Changes Due to Dexmedetomidine Versus Fentanyl During Elective Colonoscopy: A Double-Blind Randomized Clinical Trial. Anesth Pain Med. 2018;8(6):e81077. doi: https://doi.org/10.5812/aapm.81077

23
Dec
2023
Comparing the Effect of Dexmedetomidine Versus Intravenous Lidocaine on Colonoscopy Candidates Under Sedation with Propofol-Fentanyl: A Clinical Trial

Comparing the Effect of Dexmedetomidine Versus Intravenous Lidocaine on Colonoscopy Candidates Under Sedation with Propofol-Fentanyl: A Clinical Trial

Fatemeh Moftakhar,
Reza Akhondzadeh,
Fatemeh Hosseininejad,
Sarina Alizade Ahvazi

Moftakhar F, Akhondzadeh R, Hosseininejad F, Alizade Ahvazi S. Comparing the Effect of Dexmedetomidine Versus Intravenous Lidocaine on Colonoscopy Candidates Under Sedation with Propofol-Fentanyl: A Clinical Trial. Anesth Pain Med. 2023;13(6):e138929. doi: https://doi.org/10.5812/aapm-138929

22
Apr
2015
The Effect of Local Tramadol Injection in Post Appendectomy Pain

The Effect of Local Tramadol Injection in Post Appendectomy Pain

Alireza Khazaei,
Farshid Arbabi Kalati,
Soheil Borumand,
Reza Rooshanravan

Khazaei A, Arbabi Kalati F, Borumand S, Rooshanravan R. The Effect of Local Tramadol Injection in Post Appendectomy Pain. Zahedan J Res Med Sci. 2015;17(4):-. doi: https://doi.org/10.17795/zjrms973

26
Sep
2021
Postoperative Pain Management: Efficacy of Caudal Tramadol in Pediatric Lower Abdominal Surgery: A Randomized Clinical Study

Postoperative Pain Management: Efficacy of Caudal Tramadol in Pediatric Lower Abdominal Surgery: A Randomized Clinical Study

Reza Farahmand Rad,
Farnad Imani,
Azadeh Emami,
Reza Salehi,
Ali Reza Ghavamy,
Ali Nima Shariat

Farahmand Rad R, Imani F, Emami A, Salehi R, Ghavamy AR, et al. Postoperative Pain Management: Efficacy of Caudal Tramadol in Pediatric Lower Abdominal Surgery: A Randomized Clinical Study. Anesth Pain Med. 2021;11(4):e119346. doi: https://doi.org/10.5812/aapm.119346

17
Jan
2016
Postoperative Pain After Abdominal Hysterectomy: A Randomized, Double-Blind, Controlled Trial Comparing the Effects of Tramadol and Gabapentin as Premedication

Postoperative Pain After Abdominal Hysterectomy: A Randomized, Double-Blind, Controlled Trial Comparing the Effects of Tramadol and Gabapentin as Premedication

Farnoush Farzi,
Bahram Naderi Nabi,
Ali Mirmansouri,
Fereshteh Fakoor,
Zahra Atrkar Roshan,
Gelareh Biazar
,et al.

Farzi F, Naderi Nabi B, Mirmansouri A, Fakoor F, Atrkar Roshan Z, et al. Postoperative Pain After Abdominal Hysterectomy: A Randomized, Double-Blind, Controlled Trial Comparing the Effects of Tramadol and Gabapentin as Premedication. Anesth Pain Med. 2016;6(1):e32360. doi: https://doi.org/10.5812/aapm.32360

More by these authors

Mehdi ZobeiriPubMedScholar
Teimour KamariPubMedScholar
Mansour RezaeiPubMedScholar
MohammadHossein FarzaeiPubMedScholar
Share
Cited by
Metrics