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Gabapentin and Pregabalin for the Acute Post-operative Pain Management. A Systematic-narrative Review of the Recent Clinical Evidences
Current Drug Targets, 08/27/09
Dauri M et al. – An overall of 22 gabapentin (1640 patients), 8 pregabalin (707 patients) RCTs and seven meta–analysis were involved in this review. Gabapentin provided better post–operative analgesia and rescue analgesics sparing than placebo in 6 of the 10 RCTs that administered only pre–emptive analgesia. Fourteen RCTs suggested that gabapentin did not reduce PONV when compared with placebo, clonidine or lornoxicam. Pregabalin provided better post–operative analgesia and rescue analgesics sparing than placebo in two of the three RCTs that evaluated the effects of pregabalin alone vs placebo. Four studies reported no pregabalin effects on preventing the PONV. Gabapentin and pregabalin reduce pain and opioid consumption after surgery in confront with placebo, but comparisons with other standard post–operative regimens are not sufficient. Gabapentin and pregabalin seem not to have any influence on the prevention of PONV.
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