Page last updated: 2024-10-26

diclofenac and Anesthesia

diclofenac has been researched along with Anesthesia in 10 studies

Diclofenac: A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.
diclofenac : A monocarboxylic acid consisting of phenylacetic acid having a (2,6-dichlorophenyl)amino group at the 2-position.

Anesthesia: A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.

Research Excerpts

ExcerptRelevanceReference
" Additional measures included NPRS scores at predefined times over 48 hours, the summed pain intensity difference over 48 hours (SPID48), the time-weighted sum of pain relief scores over the first 8 hours, the mean dosing interval (the time from dosing to the time rescue medication or the next dose of study medication was administered, whichever was less), the proportion of patients requiring rescue medication, and the onset of perceptible and meaningful pain relief (2-stopwatch method)."2.74Diclofenac potassium liquid-filled soft gelatin capsules in the management of patients with postbunionectomy pain: a Phase III, multicenter, randomized, double-blind, placebo-controlled study conducted over 5 days. ( Boesing, SE; Diamond, E; Duckor, S; Gottlieb, I; Raymond, G; Riff, DS; Soulier, S, 2009)
"With fentanyl, pain scores were reduced also, but the effect was not statistically significant."2.67Diclofenac for day-care arthroscopy surgery: comparison with a standard opioid therapy. ( Boules, Z; Fee, JP; McKinney, MS; McLoughlin, C, 1990)
" Vt and total plasma clearance were higher than in adults but the elimination half-life was similar."1.28Pharmacokinetics of intravenous diclofenac sodium in children. ( Korpela, R; Olkkola, KT, 1990)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's5 (50.00)18.2507
2000's4 (40.00)29.6817
2010's0 (0.00)24.3611
2020's1 (10.00)2.80

Authors

AuthorsStudies
Zeiner, S1
Haider, T1
Zotti, O1
Thüringer, K1
Höbart, P1
Kimberger, O1
Knolle, E1
Riff, DS1
Duckor, S1
Gottlieb, I1
Diamond, E1
Soulier, S1
Raymond, G1
Boesing, SE1
Ericsson, E1
Wadsby, M1
Hultcrantz, E1
van den Berg, AA1
Bamber, MJ1
Tweedie, IE1
Breeze, C1
Williams, NE1
Fang, JY1
Sung, KC1
Lin, HH1
Fang, CL1
Seymour, RA1
Moore, U1
Hawkesford, J1
Coulthard, P1
Jackson-Leech, D1
Thomas, D1
Hill, M1
Combs, ML1
Renton, T1
McGurk, M1
Schmidt, A1
Björkman, S1
Akeson, J1
McLoughlin, C1
McKinney, MS1
Fee, JP1
Boules, Z1
Korpela, R1
Olkkola, KT1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Multicenter Study to Evaluate the Analgesic Efficacy of XP21L in Subjects With Pain Following Bunionectomy Surgery[NCT00366444]Phase 3201 participants (Actual)Interventional2006-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Average Numeric Pain Rating Score (NPRS) Over 48 Hours After Bunionectomy

Pain intensity scores were measured using an 11-point numerical pain rating scale (NPRS) with 0=no pain to 10=worst possible pain (NCT00366444)
Timeframe: Over 48 hours after bunionectomy

Interventionunits on a scale (Mean)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule2.5
Placebo5.6

Median Time to Onset of Pain Relief in Patients With Meaningful Pain Relief on Day 1

(NCT00366444)
Timeframe: 8 hours post single dose

Interventionminutes (Median)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule70.2

Median Time to Onset of Pain Relief in Patients With Perceptible Pain Relief on Day 1

(NCT00366444)
Timeframe: 8 hours post single dose

Interventionminutes (Median)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule26.0
Placebo22.2

Number of Patients Who Required Rescue Medication on Day 1

(NCT00366444)
Timeframe: Day 1

Interventionparticipants (Number)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule40
Placebo87

Number of Patients Who Required Rescue Medication on Day 2

(NCT00366444)
Timeframe: Day 2

Interventionparticipants (Number)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule22
Placebo64

Number of Patients Who Required Rescue Medication on Day 3

Day 3 data reflect the use of rescue medication only up to the time of discharge (NCT00366444)
Timeframe: Day 3

Interventionparticipants (Number)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule5
Placebo29

Number of Patients With at Least 30% Reduction in Pain Intensity After First Dose of Study Drug

(NCT00366444)
Timeframe: 8 hours post single dose

Interventionparticipants (Number)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule62
Placebo40

Number of Patients With Meaningful Pain Relief on Day 1

Times to onset of Perceptible and Meaningful Relief were determined using the double-stopwatch method. (NCT00366444)
Timeframe: 8 hours post single dose

Interventionparticipants (Number)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule58
Placebo35

Number of Patients With Perceptible Pain Relief on Day 1

Times to onset of Perceptible and Meaningful Relief were determined using the double-stopwatch method. (NCT00366444)
Timeframe: 8 hours post single dose

Interventionparticipants (Number)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule84
Placebo69

Time to Onset of at Least 30% Reduction in Pain Intensity After First Dose of Study Drug

(NCT00366444)
Timeframe: 8 hours post single dose

Interventionminutes (Median)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule60

Total Pain Relief (TOTPAR) Scores 8 Hours Post Initial Dose of Study Drug

Pain relief was rated using a 5-point categorial scale (0=none, 1=a little, 2=some, 3=a lot, and 4=complete) at time of dose (time=0) and over 15 time points afterwards (10, 15, 20, 30, 45, and 60 minutes and at 1.5, 2, 2.5, 3, 4, 5, 6, 7, and 8 hours after the initial dose on Day 1 or until time of re-medication). A score of 0 across all time points would be the lowest (worst) and a score of 60 (4 X 15 time points) would be the highest (best) possible score. (NCT00366444)
Timeframe: 8 hours post single dose

Interventionunits on a scale (Mean)
Zipsor (Diclofenac Potassium) Liquid Filled Capsule8.2
Placebo2.6

Trials

7 trials available for diclofenac and Anesthesia

ArticleYear
Intravenous diclofenac and orphenadrine for the treatment of postoperative pain after remifentanil-based anesthesia : A double-blinded, randomized, placebo-controlled study.
    Wiener klinische Wochenschrift, 2023, Volume: 135, Issue:3-4

    Topics: Analgesics; Analgesics, Opioid; Anesthesia; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Dou

2023
Diclofenac potassium liquid-filled soft gelatin capsules in the management of patients with postbunionectomy pain: a Phase III, multicenter, randomized, double-blind, placebo-controlled study conducted over 5 days.
    Clinical therapeutics, 2009, Volume: 31, Issue:10

    Topics: Acetaminophen; Adolescent; Adult; Aged; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia; An

2009
Pre-surgical child behavior ratings and pain management after two different techniques of tonsil surgery.
    International journal of pediatric otorhinolaryngology, 2006, Volume: 70, Issue:10

    Topics: Acetaminophen; Adolescent; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthesia; Anti-Inflammato

2006
Premedication with controlled release diclofenac sodium reduces post-operative pain after minor gynaecological surgery.
    European journal of anaesthesiology, 1997, Volume: 14, Issue:4

    Topics: Analgesics, Non-Narcotic; Anesthesia; Delayed-Action Preparations; Diclofenac; Double-Blind Method;

1997
An investigation into the efficacy of intravenous diclofenac in post-operative dental pain.
    European journal of clinical pharmacology, 2000, Volume: 56, Issue:6-7

    Topics: Adult; Anesthesia; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Female;

2000
Preoperative rectal diclofenac versus paracetamol for tonsillectomy: effects on pain and blood loss.
    Acta anaesthesiologica Scandinavica, 2001, Volume: 45, Issue:1

    Topics: Acetaminophen; Administration, Rectal; Adult; Analgesics, Non-Narcotic; Anesthesia; Anti-Inflammator

2001
Diclofenac for day-care arthroscopy surgery: comparison with a standard opioid therapy.
    British journal of anaesthesia, 1990, Volume: 65, Issue:5

    Topics: Adolescent; Adult; Aged; Ambulatory Surgical Procedures; Analgesia; Anesthesia; Anesthesia Recovery

1990

Other Studies

3 other studies available for diclofenac and Anesthesia

ArticleYear
Nonsteroidal antiinflammatory drugs, opioids, and routine anesthesia.
    Anesthesia and analgesia, 1995, Volume: 81, Issue:5

    Topics: Anesthesia; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Fentanyl; Humans; Nalbuphine; Narco

1995
Transdermal iontophoretic delivery of diclofenac sodium from various polymer formulations: in vitro and in vivo studies.
    International journal of pharmaceutics, 1999, Feb-01, Volume: 178, Issue:1

    Topics: Administration, Cutaneous; Anesthesia; Animals; Cellulose; Chemistry, Pharmaceutical; Diclofenac; Dr

1999
Pharmacokinetics of intravenous diclofenac sodium in children.
    European journal of clinical pharmacology, 1990, Volume: 38, Issue:3

    Topics: Anesthesia; Child, Preschool; Diclofenac; Half-Life; Humans; Infusions, Intravenous; Premedication

1990