Page last updated: 2024-10-24

caffeine and Pain, Postoperative

caffeine has been researched along with Pain, Postoperative in 50 studies

Pain, Postoperative: Pain during the period after surgery.

Research Excerpts

ExcerptRelevanceReference
" The earlier review included 20 studies (7238 participants) in valid comparisons, but because we used different outcomes for some headache studies, the number of participants in the analyses of the effects of caffeine is now 4262 when previously it was 5243."8.90Caffeine as an analgesic adjuvant for acute pain in adults. ( Derry, CJ; Derry, S; Moore, RA, 2014)
" Most studies used paracetamol or ibuprofen, with 100 mg to 130 mg caffeine, and the most common pain conditions studied were postoperative dental pain, postpartum pain, and headache."8.88Caffeine as an analgesic adjuvant for acute pain in adults. ( Derry, CJ; Derry, S; Moore, RA, 2012)
"This appears to be broadly true in postoperative pain and migraine headache across a range of different drug combinations, and when tested in the same and different trials."6.52Single dose oral ibuprofen plus caffeine for acute postoperative pain in adults. ( Derry, S; Moore, RA; Wiffen, PJ, 2015)
"These data do not support the hypothesis that occasional intake of a small dose of caffeine as part of pain medication imposes a health risk due to vital sign changes."5.69Lack of Evidence for Blood Pressure Effects of Caffeine Added to Ibuprofen. ( Lampert, A; Lange, R; Weiser, T, 2023)
"  In this double-blind clinical trial, 100 patients who had anterior or premolar teeth with irreversible pulpitis without any signs and symptoms of acute or chronic apical periodontitis and moderate to severe pain were divided by balanced block random allocation into four groups of 25 each, a control group receiving a placebo medication, and three experimental groups receiving a single dose of either Tramadol (100 mg), Novafen (325 mg of paracetamol, 200 mg ibuprofen and 40 mg caffeine anhydrous) or Naproxen (500 mg) immediately after the first appointment where the pulp was removed, and the canals were fully prepared."5.16Effects of three oral analgesics on postoperative pain following root canal preparation: a controlled clinical trial. ( Abbott, PV; Asgar, K; Delvarani, A; Karamifar, K; Khabazi, H; Kharazifard, MJ; Lotfi, M; Mehrvarzfar, P; Saghiri, MA, 2012)
"A double-blind, cross-over trial was made of three analgesic preparations--paracetamol, paracetamol with caffeine (Finimal) and aspirin in the relief of postoperative pain in 72 orthopedic inpatients and in 144 ambulatory outpatients suffering form common idiopathic headache."5.04A double-blind comparative evaluation of aspirin, paracetamol and paracetamol + caffeine (finimal) for their analgesic effectiveness. ( Lawczyński, L; Olszewska, M; Samochowiec, L; Szwed, G; Wójcicki, J, 1977)
" The earlier review included 20 studies (7238 participants) in valid comparisons, but because we used different outcomes for some headache studies, the number of participants in the analyses of the effects of caffeine is now 4262 when previously it was 5243."4.90Caffeine as an analgesic adjuvant for acute pain in adults. ( Derry, CJ; Derry, S; Moore, RA, 2014)
" Most studies used paracetamol or ibuprofen, with 100 mg to 130 mg caffeine, and the most common pain conditions studied were postoperative dental pain, postpartum pain, and headache."4.88Caffeine as an analgesic adjuvant for acute pain in adults. ( Derry, CJ; Derry, S; Moore, RA, 2012)
"Ibuprofen is an effective analgesic treatment with a ceiling effect at doses above 400 mg."2.87Efficacy and safety of a fixed-dose combination of ibuprofen and caffeine in the management of moderate to severe dental pain after third molar extraction. ( Hegewisch, A; Lange, R; Muse, DD; Richter, E; Weiser, T, 2018)
"Postoperative pain was assessed during the first 8 hours and on the following day using the 101-point numeric rate scale (NRS-101) and the four-point verbal rating scale (VRS-4)."2.74The efficacy of acetaminophen-caffeine compared to Ibuprofen in the control of postoperative pain after periodontal surgery: a crossover pilot study. ( Rashwan, WA, 2009)
" This trial design (crossover with multiple dosing in outpatients) is a sensitive way of testing for analgesia, and is potentially more predictive of adverse effect problems than single-dose studies."2.67A multiple dose comparison of combinations of ibuprofen and codeine and paracetamol, codeine and caffeine after third molar surgery. ( Carroll, D; Guest, P; Juniper, RP; McQuay, HJ; Moore, RA, 1992)
"Three hundred fifty outpatients with postoperative pain after the surgical removal of impacted third molars were randomly assigned, on a double-blind basis, to receive a single oral dose of aspirin 650 or 1000 mg, caffeine 65 mg, a combination of aspirin 650 mg with caffeine 65 mg, or placebo."2.67Evaluation of aspirin, caffeine, and their combination in postoperative oral surgery pain. ( Beaver, WT; Forbes, JA; Gongloff, CM; Jones, KF; Kehm, CJ; Kroesen, M; Smith, JW; Smith, WK; Zeleznock, JR, 1990)
"Ibuprofen was significantly better than ACC-30 and placebo on almost all pain intensity, degree of relief and duration of analgesia parameters."2.65A double-blind comparison of ibuprofen, ASA-codeine-caffeine compound and placebo in the treatment of dental surgery pain. ( Masson, EL; Squires, DJ, 1981)
"This appears to be broadly true in postoperative pain and migraine headache across a range of different drug combinations, and when tested in the same and different trials."2.52Single dose oral ibuprofen plus caffeine for acute postoperative pain in adults. ( Derry, S; Moore, RA; Wiffen, PJ, 2015)
"Caffeine has been an additive in analgesics for many years."2.41A benefit-risk assessment of caffeine as an analgesic adjuvant. ( Zhang, WY, 2001)
"Caffeine did not enhance the analgesic effect of aspirin."2.40Do codeine and caffeine enhance the analgesic effect of aspirin?--A systematic overview. ( Po, AL; Zhang, WY, 1997)
"Ibuprofen is an effective analgesic in post-operative pain."2.40Analgesic efficacy of ibuprofen alone and in combination with codeine or caffeine in post-surgical pain: a meta-analysis. ( Po, AL; Zhang, WY, 1998)
"The objective of this study was to quantify the analgesic efficacy of paracetamol and its combination with codeine or caffeine through a systematic overview and meta-analysis of relevant randomized controlled trials (RCTs)."2.39Analgesic efficacy of paracetamol and its combination with codeine and caffeine in surgical pain--a meta-analysis. ( Li Wan Po, A; Zhang, WY, 1996)
"The adenosinergic system was assessed by systemic (intraperitoneal), central (intrathecal), and peripheral (intraplantar) administration of caffeine."1.39Ankle joint mobilization affects postoperative pain through peripheral and central adenosine A1 receptors. ( Cidral-Filho, FJ; Martins, DF; Mazzardo-Martins, L; Santos, AR; Stramosk, J, 2013)

Research

Studies (50)

TimeframeStudies, this research(%)All Research%
pre-199020 (40.00)18.7374
1990's9 (18.00)18.2507
2000's4 (8.00)29.6817
2010's13 (26.00)24.3611
2020's4 (8.00)2.80

Authors

AuthorsStudies
Lampert, A2
Lange, R3
Weiser, T3
Musselman, E1
Stannard, D1
Förderreuther, S1
Hitier, S1
Vlisides, PE1
Li, D1
McKinney, A1
Brooks, J1
Leis, AM1
Mentz, G1
Tsodikov, A1
Zierau, M1
Ragheb, J1
Clauw, DJ1
Avidan, MS1
Vanini, G2
Mashour, GA1
Richter, E1
Hegewisch, A1
Muse, DD1
Samieirad, S1
Afrasiabi, H1
Tohidi, E1
Qolizade, M1
Shaban, B1
Hashemipour, MA1
Doaltian Shirvan, I1
Hambrecht-Wiedbusch, VS1
Gabel, M1
Liu, LJ1
Imperial, JP1
Colmenero, AV1
Brignardello-Petersen, R1
Derry, CJ2
Derry, S3
Moore, RA5
Wiffen, PJ1
Bergese, S1
Castellon-Larios, K1
Rashwan, WA1
Farouk, S1
Aly, A1
Borel, JF1
Deschaumes, C1
Devoize, L1
Huard, C1
Orliaguet, T1
Dubray, C1
Baudet-Pommel, M1
Dallel, R1
Mehrvarzfar, P1
Abbott, PV1
Saghiri, MA1
Delvarani, A1
Asgar, K1
Lotfi, M1
Karamifar, K1
Kharazifard, MJ1
Khabazi, H1
Hunter, BR1
Seupaul, RA1
Mitchell, A2
McCrea, P1
Inglis, K2
Porter, G2
Martins, DF1
Mazzardo-Martins, L1
Cidral-Filho, FJ1
Stramosk, J1
Santos, AR1
van Zanten, SV1
MacKay, IS1
Ananian, V1
Laska, EM2
Sunshine, A2
Mueller, F1
Elvers, WB1
Siegel, C1
Rubin, A1
Buttram, VC1
Gravlee, LC1
Hale, RW1
Lifshitz, S1
Zighelboim, I1
Roure, C1
Marrero, I1
Wanderling, J1
Olson, N1
Ladwa, RA1
White, P1
Strunin, L1
Baird, WM1
Turek, D1
Mehlisch, DR2
Joy, ED2
Moore, TE1
Porter, K1
Stumpf, AJ1
Wolfe, SH1
Messer, RH1
Vaughn, T1
Harbert, G1
Squires, DJ1
Masson, EL1
McQuay, HJ2
Angell, K1
Carroll, D2
Juniper, RP2
Zhang, WY4
Li Wan Po, A1
Po, AL2
Gardos, G1
Hellem, S1
Persson, G1
Freiberg, N1
Nord, PG1
Gustafsson, B1
Huitfeldt, B1
Wójcicki, J1
Samochowiec, L1
Lawczyński, L1
Szwed, G1
Olszewska, M1
Middleton, RA1
Upton, LG1
Le Roux, PA1
Guest, P1
Lyall, JB1
Forbes, JA2
Beaver, WT2
Jones, KF2
Kehm, CJ2
Smith, WK2
Gongloff, CM2
Zeleznock, JR2
Smith, JW2
Habib, S1
Matthews, RW1
Scully, C1
Levers, BG1
Shepherd, JP1
Kroesen, M1
Dupuis, R1
Lemay, H1
Bushnell, MC1
Duncan, GH1
Engelmayer, K1
Bloch, B1
Smythe, E1
Weeks, R1

Clinical Trials (9)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Single-centre, Double-blind, Randomised, Two-stage, Parallel-group Study to Assess the Efficacy and Safety of the Fixed Dose Combination of Ibuprofen 400 mg and Caffeine 100 mg Versus Ibuprofen 400 mg, Caffeine 100 mg and Placebo in Patients With Postop[NCT01929031]Phase 3562 participants (Actual)Interventional2013-08-31Completed
Caffeine and Neurologic Recovery Following Surgery and General Anesthesia[NCT03577730]Early Phase 171 participants (Actual)Interventional2018-07-10Completed
The Caffeine, Postoperative Delirium, and Change in Outcomes After Surgery (CAPACHINOS-2) Study[NCT05574400]Phase 2250 participants (Anticipated)Interventional2023-02-20Recruiting
Demonstration of OTC Naproxen Sodium's (Aleve's) Anti-inflammatory Action in Dental Implant Surgery Patients[NCT04694300]Phase 432 participants (Actual)Interventional2021-02-07Completed
Does Magnesium Sulfate as a Supplement in Adductor Canal Blocks Improve Pain Control After Total Knee Arthroplasty?[NCT02581683]Phase 4130 participants (Actual)Interventional2015-09-30Completed
Comparison of the Efficacy of Prophylactic Intraligamentary Injection of Piroxicam Versus Mepecaine for Management of Post-endodontic Pain in Posterior Teeth[NCT03006107]26 participants (Anticipated)Interventional2016-12-31Not yet recruiting
Post-operative Analgesia in Elective, Soft-tissue Hand Surgery: A Randomized, Double Blind Comparison of Acetaminophen/Ibuprofen Versus Acetaminophen/Hydrocodone[NCT02029235]Phase 472 participants (Actual)Interventional2015-02-10Terminated (stopped due to Early termination due to slower than anticipated recruitment.)
Achieving Peri-Operative Pain Control Without Opioids[NCT04813991]Phase 30 participants (Actual)Interventional2022-03-15Withdrawn (stopped due to Enrollment was never initiated and the PI is leaving the institution so the study is closing.)
A Randomized Trial Comparing Ibuprofen Plus Acetaminophen Versus Oxycodone Alone After Outpatient Soft Tissue Hand Surgery[NCT03111186]Phase 240 participants (Actual)Interventional2017-04-24Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Duration of Pain Relief

Duration of pain relief was defined as the time between the administration of first dose of trial medication and first dose of rescue medication or second dose of trial medication, whichever was first. Duration of pain relief was censored at 8 hours. (NCT01929031)
Timeframe: 8 hours

Interventionhours (Median)
Placebo1.63
Caffeine2.08
Ibuprofen7.11
Ibuprofen/Caffeine7.33

Time to Meaningful Pain Relief

Time to meaningful pain relief was captured by a stopwatch, which was started by the study staff immediately after the administration of the first dose of trial medication and which was to be stopped by the patient as soon as he/she felt meaningful pain relief. Time to meaningful pain relief was censored at 8 hours. (NCT01929031)
Timeframe: 8 hours

Interventionhours (Median)
PlaceboNA
CaffeineNA
Ibuprofen1.78
Ibuprofen/Caffeine1.13

Time-weighted Sum of Pain Relief (PAR) and Pain Intensity Difference (PID) From 0 to 2 Hours (SPRID0-2h)

SPRID0-2h: Time-weighted sum of PAR and PID from 0 to 2 hours, score range: -10 (worst) to 28 (best). PI was assessed on a 0-10 numerical pain rating scale (NPRS), where 0=no pain and 10=worst possible pain, pre-dose and at 0.25,0.5,0.75,1,1.5 and 2 hours; PAR was assessed on a 5-point verbal rating scale (VRS) (0=none to 4=complete) at the same post-dose time points. Time-weights were equal to the elapsed time (hour) between the time point of interest and the preceding time point. All PAR and pain intensity (PI) assessments completed after the patient had taken rescue medication or the second dose of study medication, whichever was first, until hour 2 was considered missing. Last observation carried forward (LOCF) was used with the last completed PI/PAR assessments prior to first rescue/second study medication, whichever was first, to impute missing values up to 2 hours. (NCT01929031)
Timeframe: 0 to 2 hours

Interventionunits on a scale (Least Squares Mean)
Placebo2.059
Caffeine2.612
Ibuprofen6.990
Ibuprofen/Caffeine10.584

Time-weighted Sum of Pain Relief (PAR) and Pain Intensity Difference (PID) From 0 to 8 Hours (SPRID0-8h)

SPRID0-8h: Time-weighted sum of PAR and PID from 0 to 8 hours, score range: -40 (worst) to 112 (best). PI was assessed on a 0-10 numerical pain rating scale (NPRS), where 0=no pain and 10=worst possible pain, pre-dose and at 0.25,0.5,0.75,1,1.5,2,3,4,5, 6,7 and 8 hours; PAR was assessed on a 5-point verbal rating scale (VRS) (0=none to 4=complete) at the same post-dose time points. Time-weights were equal to the elapsed time (hour) between the time point of interest and the preceding time point. All PAR and pain intensity (PI) assessments completed after the patient had taken rescue medication or the second dose of study medication, whichever was first, until hour 8 were considered missing. Last observation carried forward (LOCF) was used with the last completed PI/PAR assessments prior to first rescue/second study medication, whichever was first, to impute missing values up to 8 hours. (NCT01929031)
Timeframe: 0 to 8 hours

Interventionunits on a scale (Least Squares Mean)
Placebo10.554
Caffeine15.824
Ibuprofen40.165
Ibuprofen/Caffeine52.291

Acute Pain (Observer-reported) as Assessed by Behavioral Pain Scale

Behavioral Pain Scale, on a scale ranging from 3 to 12 when 3 is no pain and 12 is maximum pain (NCT03577730)
Timeframe: Data gathered from postoperative day 0-3. Final results were based on all values combined over this time period, per protocol.

Interventionscore on a scale (Median)
Experimental3
Control3

Acute Pain (Patient-reported) as Assessed by Visual Analogue Scale

Visual Analogue Scale (mm, 0-100, 0 = no pain, 100 = worst pain imaginable) (NCT03577730)
Timeframe: Data gathered from postoperative day 0-3. Final results were based on all values combined over this time period, per protocol.

Interventionscore on a scale (Median)
Experimental40
Control39

Cognitive Function as Assessed by Trail Making Test

Trail Making Test scores (seconds, 10-300,10 = fastest reported completion, 300 = maximum time allowed for completion). The change was calculated from the value at post anesthesia minus value at baseline. Higher values are considered to be worse outcomes. (NCT03577730)
Timeframe: morning of surgery baseline compared to postanesthesia care unit. Postanesthesia care unit measurement approximately 60 minutes after end of surgery

Interventionscore on a scale (Median)
Experimental10
Control16

Cumulative Opioid Consumption: Postoperative Opioid Consumption, Oral Morphine Equivalents (mg)

Postoperative opioid consumption, oral morphine equivalents (mg) (NCT03577730)
Timeframe: through postoperative day 3

Interventionoral morphine equivalents (mg) (Median)
Experimental77
Control51

Negative Affect as Assessed by PANAS (Positive and Negative Affect Schedule)

Negative Affect Score (n, 10-50, 10 = least negative affect, 50 = most negative affect) via PANAS (Positive and Negative Affect Schedule) (NCT03577730)
Timeframe: postoperative day 3

Interventionscore on a scale (Median)
Experimental12
Control12

Number of Participants With Anxiety as Assessed by the Hospitalized Anxiety and Depression Scale (HADS-A)

Number (n) of participants with positive screens (score ≥8) using the Hospitalized Anxiety and Depression Scale (HADS-A) (n, 0-21, 0 = normal, 21 = presence of severe anxiety symptoms) (NCT03577730)
Timeframe: baseline through postoperative day 3

InterventionParticipants (Count of Participants)
Experimental2
Control2

Number of Participants With Depression as Assessed by the Hospitalized Anxiety and Depression Scale (HADS-D)

Number (n) of participants with positive screens (score ≥8) using the Hospitalized Anxiety and Depression Scale (HADS-D) (n, 0-21, 0 = normal, 21 = presence of severe depression symptoms) (NCT03577730)
Timeframe: baseline through postoperative day 3

InterventionParticipants (Count of Participants)
Experimental2
Control1

Percentage of Delirious Patients Per Group

Number (n) of participants who has experienced at least one episode of delirium by the postoperative day 3 time point, as determined by daily Confusion Assessment Method (CAM). (NCT03577730)
Timeframe: By afternoon of postoperative day (POD) 3

InterventionParticipants (Count of Participants)
Experimental7
Control14

Positive Affect as Assessed by PANAS (Positive and Negative Affect Schedule)

Positive Affect Score (n, 10-50, 10 = least positive affect, 50 = most positive affect) via PANAS (Positive and Negative Affect Schedule) (NCT03577730)
Timeframe: postoperative day 3

Interventionscore on a scale (Median)
Experimental35
Control35

Richards Campbell Sleep Questionnaire (RCSQ)

Self-report instrument for measuring sleep quality. Visual Analogue Scale (mm, 0-100, 0 =Deep sleep , 100 =Light sleep) (NCT03577730)
Timeframe: Preoperative (once before surgery on day of surgery)

Interventionscore on a scale (Mean)
Experimental58
Control56

Time Until Anesthetic Emergence

Time from surgical dressing on to anesthetic emergence (min) (NCT03577730)
Timeframe: Duration of time from surgical dressing completion to anesthetic emergence (min); generally expected to be between 10 and 60 minutes

InterventionMinutes (Median)
Experimental8
Control10

Efficacy Comparison of Pain Intensity Level

"Subjects asked to fill out a patient diary recording their pain intensity level (on 100mm Visual Analog Scale) prior to taking study medication every 4 hours.~The daily average pain intensity levels are reported as a score on a scale of 0-100, with higher score meaning worse outcome.~The daily average pain levels were assessed daily for 1 week post-operatively, then compared between the 2 groups using a two-group Student's t-test." (NCT02029235)
Timeframe: 1 week post-operatively

,
Interventionscore on a scale (0-100, higher = worse) (Mean)
Daily average pain intensity level on PostOp Day 1Daily average pain intensity level on PostOp Day 2Daily average pain intensity level on PostOp Day 3Daily average pain intensity levelon PostOp Day 4Daily average pain intensity level on PostOp Day 5Daily average pain intensity level on PostOp Day 6Daily average pain intensity level on PostOp Day 7
Acetaminophen/Hydrocodone (AH) Group24.0730.1622.1118.5316.6113.5813.00
Acetaminophen/Ibuprofen (AIBU) Group22.1722.2215.6713.1714.0313.4412.67

Efficacy Comparison of Pain Relief

"Subjects asked to fill out a patient diary recording their pain relief (on a Likert scale) one hour after taking study medication every 4 hours.~Daily average pain relief scores are reported as a score on a scale of 0-3, with higher score meaning better outcome.~The daily average pain relief scores were assessed daily for 1 week post-operatively, then compared using generalized linear mixed-effects models" (NCT02029235)
Timeframe: 1 week postoperatively

,
Interventionscore on a scale (0-3, higher = better) (Mean)
Daily average pain relief on PostOp Day 1Daily average pain relief on PostOp Day 2Daily average pain relief on PostOp Day 3Daily average pain relief on PostOp Day 4Daily average pain relief on PostOp Day 5Daily average pain relief on PostOp Day 6Daily average pain relief on PostOp Day 7
Acetaminophen/Hydrocodone (AH) Group1.531.762.332.462.542.842.88
Acetaminophen/Ibuprofen (AIBU) Group1.842.272.632.912.882.872.96

Reviews

8 reviews available for caffeine and Pain, Postoperative

ArticleYear
Caffeine as an analgesic adjuvant for acute pain in adults.
    The Cochrane database of systematic reviews, 2014, Dec-11, Issue:12

    Topics: Acetaminophen; Acute Pain; Adolescent; Adult; Aged; Analgesics; Caffeine; Chemotherapy, Adjuvant; Di

2014
Single dose oral ibuprofen plus caffeine for acute postoperative pain in adults.
    The Cochrane database of systematic reviews, 2015, Jul-14, Issue:7

    Topics: Acute Pain; Adult; Analgesics, Non-Narcotic; Caffeine; Drug Combinations; Humans; Ibuprofen; Numbers

2015
Caffeine as an analgesic adjuvant for acute pain in adults.
    The Cochrane database of systematic reviews, 2012, Mar-14, Issue:3

    Topics: Acetaminophen; Acute Pain; Adult; Analgesics; Caffeine; Chemotherapy, Adjuvant; Female; Headache; Hu

2012
Are there pharmacologic agents that safely and effectively treat post-lumbar puncture headache?
    Annals of emergency medicine, 2013, Volume: 61, Issue:1

    Topics: Adrenocorticotropic Hormone; Caffeine; Central Nervous System Stimulants; Headache; Humans; Injectio

2013
Analgesic efficacy of paracetamol and its combination with codeine and caffeine in surgical pain--a meta-analysis.
    Journal of clinical pharmacy and therapeutics, 1996, Volume: 21, Issue:4

    Topics: Acetaminophen; Administration, Oral; Analgesics, Non-Narcotic; Analgesics, Opioid; Caffeine; Codeine

1996
Do codeine and caffeine enhance the analgesic effect of aspirin?--A systematic overview.
    Journal of clinical pharmacy and therapeutics, 1997, Volume: 22, Issue:2

    Topics: Analgesia; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Caffeine; Central N

1997
Analgesic efficacy of ibuprofen alone and in combination with codeine or caffeine in post-surgical pain: a meta-analysis.
    European journal of clinical pharmacology, 1998, Volume: 53, Issue:5

    Topics: Adult; Anesthetics, Combined; Caffeine; Codeine; Dose-Response Relationship, Drug; Drug Synergism; H

1998
A benefit-risk assessment of caffeine as an analgesic adjuvant.
    Drug safety, 2001, Volume: 24, Issue:15

    Topics: Adjuvants, Pharmaceutic; Analgesics; Animals; Caffeine; Drug Antagonism; Female; Headache; Headache

2001

Trials

33 trials available for caffeine and Pain, Postoperative

ArticleYear
Lack of Evidence for Blood Pressure Effects of Caffeine Added to Ibuprofen.
    Current drug safety, 2023, Volume: 18, Issue:1

    Topics: Analgesics, Non-Narcotic; Blood Pressure; Caffeine; Double-Blind Method; Humans; Ibuprofen; Pain; Pa

2023
The Impact of Baseline Pain Intensity on the Analgesic Efficacy of Ibuprofen/Caffeine in Patients with Acute Postoperative Dental Pain: Post Hoc Subgroup Analysis of a Randomised Controlled Trial.
    Advances in therapy, 2020, Volume: 37, Issue:6

    Topics: Acute Pain; Adolescent; Adult; Analgesics; Caffeine; Dose-Response Relationship, Drug; Double-Blind

2020
The Effects of Intraoperative Caffeine on Postoperative Opioid Consumption and Related Outcomes After Laparoscopic Surgery: A Randomized Controlled Trial.
    Anesthesia and analgesia, 2021, 07-01, Volume: 133, Issue:1

    Topics: Adult; Aged; Analgesics, Opioid; Caffeine; Central Nervous System Stimulants; Double-Blind Method; F

2021
The Effects of Intraoperative Caffeine on Postoperative Opioid Consumption and Related Outcomes After Laparoscopic Surgery: A Randomized Controlled Trial.
    Anesthesia and analgesia, 2021, 07-01, Volume: 133, Issue:1

    Topics: Adult; Aged; Analgesics, Opioid; Caffeine; Central Nervous System Stimulants; Double-Blind Method; F

2021
The Effects of Intraoperative Caffeine on Postoperative Opioid Consumption and Related Outcomes After Laparoscopic Surgery: A Randomized Controlled Trial.
    Anesthesia and analgesia, 2021, 07-01, Volume: 133, Issue:1

    Topics: Adult; Aged; Analgesics, Opioid; Caffeine; Central Nervous System Stimulants; Double-Blind Method; F

2021
The Effects of Intraoperative Caffeine on Postoperative Opioid Consumption and Related Outcomes After Laparoscopic Surgery: A Randomized Controlled Trial.
    Anesthesia and analgesia, 2021, 07-01, Volume: 133, Issue:1

    Topics: Adult; Aged; Analgesics, Opioid; Caffeine; Central Nervous System Stimulants; Double-Blind Method; F

2021
Efficacy and safety of a fixed-dose combination of ibuprofen and caffeine in the management of moderate to severe dental pain after third molar extraction.
    European journal of pain (London, England), 2018, Volume: 22, Issue:1

    Topics: Adolescent; Adult; Analgesics; Caffeine; Double-Blind Method; Drug Combinations; Female; Humans; Ibu

2018
Evaluation of caffeine versus codeine for pain and swelling management after implant surgeries: A triple blind clinical trial.
    Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 2017, Volume: 45, Issue:10

    Topics: Adult; Analgesics, Opioid; Caffeine; Codeine; Dental Implantation; Double-Blind Method; Edema; Femal

2017
The efficacy of acetaminophen-caffeine compared to Ibuprofen in the control of postoperative pain after periodontal surgery: a crossover pilot study.
    Journal of periodontology, 2009, Volume: 80, Issue:6

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Caffeine; C

2009
A comparison of intra-articular magnesium and/or morphine with bupivacaine for postoperative analgesia after arthroscopic knee surgery.
    Journal of anesthesia, 2009, Volume: 23, Issue:4

    Topics: Acetaminophen; Adult; Analgesics, Opioid; Anesthetics, Local; Arthroscopy; Bupivacaine; Caffeine; Co

2009
[Treating pain after dental surgery: a randomised, controlled, double-blind trial to assess a new formulation of paracetamol, opium powder and caffeine versus tramadol or placebo].
    Presse medicale (Paris, France : 1983), 2010, Volume: 39, Issue:5

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Caffeine; Central Nervous System Stimul

2010
Effects of three oral analgesics on postoperative pain following root canal preparation: a controlled clinical trial.
    International endodontic journal, 2012, Volume: 45, Issue:1

    Topics: Acetaminophen; Administration, Oral; Adult; Analgesics; Analgesics, Non-Narcotic; Analgesics, Opioid

2012
A randomized, controlled trial comparing acetaminophen plus ibuprofen versus acetaminophen plus codeine plus caffeine (Tylenol 3) after outpatient breast surgery.
    Annals of surgical oncology, 2012, Volume: 19, Issue:12

    Topics: Acetaminophen; Adult; Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Breast Neoplasms; Ca

2012
A randomized controlled trial comparing acetaminophen plus ibuprofen versus acetaminophen plus codeine plus caffeine after outpatient general surgery.
    Journal of the American College of Surgeons, 2008, Volume: 206, Issue:3

    Topics: Acetaminophen; Adolescent; Adult; Aged; Ambulatory Surgical Procedures; Analgesics; Caffeine; Centra

2008
A randomized controlled trial comparing acetaminophen plus ibuprofen versus acetaminophen plus codeine plus caffeine after outpatient general surgery.
    Journal of the American College of Surgeons, 2008, Volume: 206, Issue:3

    Topics: Acetaminophen; Adolescent; Adult; Aged; Ambulatory Surgical Procedures; Analgesics; Caffeine; Centra

2008
A randomized controlled trial comparing acetaminophen plus ibuprofen versus acetaminophen plus codeine plus caffeine after outpatient general surgery.
    Journal of the American College of Surgeons, 2008, Volume: 206, Issue:3

    Topics: Acetaminophen; Adolescent; Adult; Aged; Ambulatory Surgical Procedures; Analgesics; Caffeine; Centra

2008
A randomized controlled trial comparing acetaminophen plus ibuprofen versus acetaminophen plus codeine plus caffeine after outpatient general surgery.
    Journal of the American College of Surgeons, 2008, Volume: 206, Issue:3

    Topics: Acetaminophen; Adolescent; Adult; Aged; Ambulatory Surgical Procedures; Analgesics; Caffeine; Centra

2008
Analgesia following adult tonsillectomy: a comparative study of solpadeine and a soluble form of dextropropoxyphene napsylate and paracetamol.
    The Journal of international medical research, 1982, Volume: 10, Issue:2

    Topics: Acetaminophen; Adult; Aged; Analgesics; Caffeine; Codeine; Dextropropoxyphene; Drug Combinations; Dr

1982
Caffeine as an analgesic adjuvant.
    JAMA, 1984, Apr-06, Volume: 251, Issue:13

    Topics: Acetaminophen; Adjuvants, Pharmaceutic; Analgesics; Aspirin; Caffeine; Clinical Trials as Topic; Dou

1984
Naproxen sodium vs. a combination of aspirin, phenacetin, caffeine and codeine phosphate for pain after major gynecologic surgery. A multicenter comparison.
    The Journal of reproductive medicine, 1984, Volume: 29, Issue:3

    Topics: Aspirin; Caffeine; Clinical Trials as Topic; Codeine; Double-Blind Method; Drug Combinations; Female

1984
Effect of caffeine on acetaminophen analgesia.
    Clinical pharmacology and therapeutics, 1983, Volume: 33, Issue:4

    Topics: Acetaminophen; Analgesia; Analysis of Variance; Caffeine; Dose-Response Relationship, Drug; Drug Com

1983
Comparison of zomepirac, APC with codeine, codeine and placebo in the treatment of moderate and severe postoperative pain.
    Journal of clinical pharmacology, 1980, Volume: 20, Issue:4

    Topics: Adult; Analgesics; Aspirin; Caffeine; Clinical Trials as Topic; Codeine; Drug Combinations; Female;

1980
Clinical comparison of zomepirac with APC/codeine combination in the treatment of pain following oral surgery.
    Journal of clinical pharmacology, 1980, Volume: 20, Issue:4

    Topics: Adult; Analgesics; Aspirin; Caffeine; Clinical Trials as Topic; Codeine; Drug Combinations; Female;

1980
Clinical evaluation of zomepirac and APC with codeine in the treatment of postpartum episiotomy pain.
    Journal of clinical pharmacology, 1980, Volume: 20, Issue:4

    Topics: Adult; Analgesics; Aspirin; Caffeine; Clinical Trials as Topic; Codeine; Drug Combinations; Episioto

1980
Zomepirac sodium vs APC with codeine for oral surgery pain.
    Journal of oral surgery (American Dental Association : 1965), 1981, Volume: 39, Issue:6

    Topics: Aspirin; Caffeine; Clinical Trials as Topic; Codeine; Double-Blind Method; Drug Combinations; Humans

1981
A double-blind comparison of ibuprofen, ASA-codeine-caffeine compound and placebo in the treatment of dental surgery pain.
    The Journal of international medical research, 1981, Volume: 9, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Caffeine; Clinical Trials as Topic; Codeine

1981
Ibuprofen compared with ibuprofen plus caffeine after third molar surgery.
    Pain, 1996, Volume: 66, Issue:2-3

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Caffeine; Central Nervous System Stimulants; Double-

1996
A model for evaluating the analgesic effect of a new fixed ratio combination analgesic in patients undergoing oral surgery.
    International journal of oral surgery, 1979, Volume: 8, Issue:6

    Topics: Adult; Analgesics; Antipyrine; Aspirin; Caffeine; Dextropropoxyphene; Drug Combinations; Drug Evalua

1979
A double-blind comparative evaluation of aspirin, paracetamol and paracetamol + caffeine (finimal) for their analgesic effectiveness.
    Archivum immunologiae et therapiae experimentalis, 1977, Volume: 25, Issue:2

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aspirin; Caffeine; Clinical Trials as Topic; Drug Therapy, C

1977
Postoperative evaluation of combined analgesic/sedative.
    Dental survey, 1978, Volume: 54, Issue:2

    Topics: Anxiety; Aspirin; Caffeine; Clinical Trials as Topic; Codeine; Drug Combinations; Humans; Pain, Post

1978
Evaluation of sedative/analgesic combination for postoperative pain.
    Oral surgery, oral medicine, and oral pathology, 1979, Volume: 47, Issue:6

    Topics: Anxiety; Aspirin; Caffeine; Clinical Trials as Topic; Double-Blind Method; Drug Combinations; Drug E

1979
The analgesic effect of Syndol following neurosurgery and neurosurgical procedures.
    Current therapeutic research, clinical and experimental, 1975, Volume: 18, Issue:5

    Topics: Acetaminophen; Adult; Caffeine; Clinical Trials as Topic; Codeine; Doxylamine; Drug Combinations; Fe

1975
A multiple dose comparison of combinations of ibuprofen and codeine and paracetamol, codeine and caffeine after third molar surgery.
    Anaesthesia, 1992, Volume: 47, Issue:8

    Topics: Acetaminophen; Administration, Oral; Adult; Caffeine; Codeine; Double-Blind Method; Drug Combination

1992
Third molar surgery: the effect of primary closure, wound dressing and metronidazole on postoperative recovery.
    Journal of the Royal Army Medical Corps, 1991, Volume: 137, Issue:2

    Topics: Acetaminophen; Adult; Analgesics; Bandages; Bismuth; Caffeine; Codeine; Drug Combinations; Female; H

1991
Effect of caffeine on ibuprofen analgesia in postoperative oral surgery pain.
    Clinical pharmacology and therapeutics, 1991, Volume: 49, Issue:6

    Topics: Adolescent; Adult; Analgesia; Analysis of Variance; Caffeine; Dentistry, Operative; Drug Therapy, Co

1991
A study of the comparative efficacy of four common analgesics in the control of postsurgical dental pain.
    Oral surgery, oral medicine, and oral pathology, 1990, Volume: 70, Issue:5

    Topics: Acetaminophen; Adult; Analgesics; Analysis of Variance; Aspirin; Caffeine; Codeine; Drug Combination

1990
Evaluation of aspirin, caffeine, and their combination in postoperative oral surgery pain.
    Pharmacotherapy, 1990, Volume: 10, Issue:6

    Topics: Administration, Oral; Adolescent; Adult; Aspirin; Caffeine; Double-Blind Method; Drug Therapy, Combi

1990
Preoperative flurbiprofen in oral surgery: a method of choice in controlling postoperative pain.
    Pharmacotherapy, 1988, Volume: 8, Issue:3

    Topics: Adult; Aspirin; Caffeine; Clinical Trials as Topic; Codeine; Drug Combinations; Female; Flurbiprofen

1988
Analgesics for pain relief after gynaecological surgery. A two-phase study.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1985, Mar-02, Volume: 67, Issue:9

    Topics: Acetaminophen; Administration, Oral; Adult; Analgesics; Benzophenones; Caffeine; Clinical Trials as

1985

Other Studies

9 other studies available for caffeine and Pain, Postoperative

ArticleYear
Single-Dose Oral Ibuprofen Plus Caffeine for Acute Postoperative Pain in Adults.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2020, Volume: 35, Issue:1

    Topics: Administration, Oral; Adult; Anti-Inflammatory Agents, Non-Steroidal; Caffeine; Central Nervous Syst

2020
Preemptive Caffeine Administration Blocks the Increase in Postoperative Pain Caused by Previous Sleep Loss in the Rat: A Potential Role for Preoptic Adenosine A2A Receptors in Sleep-Pain Interactions.
    Sleep, 2017, 09-01, Volume: 40, Issue:9

    Topics: Adenosine A2 Receptor Antagonists; Animals; Caffeine; Female; Hyperalgesia; Male; Pain, Postoperativ

2017
Acetaminophen plus caffeine or plus codeine probably results in less pain but more swelling in patients undergoing placement of a single implant without bone grafting in the posterior zone.
    Journal of the American Dental Association (1939), 2018, Volume: 149, Issue:1

    Topics: Acetaminophen; Bone Transplantation; Caffeine; Codeine; Humans; Pain, Postoperative

2018
The effectiveness of a single dose of oral ibuprofen plus caffeine in acute postoperative pain in adults.
    Evidence-based medicine, 2016, Volume: 21, Issue:1

    Topics: Acute Pain; Analgesics, Non-Narcotic; Caffeine; Humans; Ibuprofen; Pain, Postoperative

2016
Ankle joint mobilization affects postoperative pain through peripheral and central adenosine A1 receptors.
    Physical therapy, 2013, Volume: 93, Issue:3

    Topics: Adenosine; Analysis of Variance; Animals; Ankle Joint; Caffeine; Clonidine; Disease Models, Animal;

2013
Comparison of Syndol and paracetamol in the relief of dental pain.
    British dental journal, 1981, Apr-07, Volume: 150, Issue:7

    Topics: Acetaminophen; Adolescent; Adult; Aged; Caffeine; Codeine; Double-Blind Method; Doxylamine; Drug Com

1981
Post-anaesthetic dental extraction analgesia: a comparison of paracetamol, codeine, caffeine (Solpadeine) and diflunisal (Dolobid).
    The British journal of oral surgery, 1982, Volume: 20, Issue:4

    Topics: Acetaminophen; Adolescent; Adult; Aged; Anesthesia, Dental; Anesthesia, General; Caffeine; Codeine;

1982
Dyskinesia after discountinuation of compound analgesic containing oxycodone.
    Lancet (London, England), 1977, Apr-02, Volume: 1, Issue:8014

    Topics: Aspirin; Caffeine; Codeine; Drug Combinations; Female; Humans; Middle Aged; Movement Disorders; Oxyc

1977
[Efficacy of Dolomo T/N in practical use].
    Zahnarztliche Praxis, 1985, Jul-12, Volume: 36, Issue:7

    Topics: Adult; Aged; Analgesics; Aspirin; Barbiturates; Caffeine; Drug Combinations; Humans; Middle Aged; Pa

1985