Page last updated: 2024-10-31

metronidazole and Pain, Postoperative

metronidazole has been researched along with Pain, Postoperative in 23 studies

Metronidazole: A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS.
metronidazole : A member of the class of imidazoles substituted at C-1, -2 and -5 with 2-hydroxyethyl, nitro and methyl groups respectively. It has activity against anaerobic bacteria and protozoa, and has a radiosensitising effect on hypoxic tumour cells. It may be given by mouth in tablets, or as the benzoate in an oral suspension. The hydrochloride salt can be used in intravenous infusions. Metronidazole is a prodrug and is selective for anaerobic bacteria due to their ability to intracellularly reduce the nitro group of metronidazole to give nitroso-containing intermediates. These can covalently bind to DNA, disrupting its helical structure, inducing DNA strand breaks and inhibiting bacterial nucleic acid synthesis, ultimately resulting in bacterial cell death.

Pain, Postoperative: Pain during the period after surgery.

Research Excerpts

ExcerptRelevanceReference
"Evaluation of the postoperative signs of alveolar osteitis and infection was made by a dental surgeon five days postoperatively."7.11A Comparison of Pre-Emptive Co-Amoxiclav, Postoperative Amoxicillin, and Metronidazole for Prevention of Postoperative Complications in Dentoalveolar Surgery: A Randomized Controlled Trial. ( Al-Samadani, KH; Alharbi, AM; Alsaidalani, HM; Gazal, G; Karbouji, GA, 2022)
"No statistically significant difference is observed between both the groups and a combination of Ciprofloxacin, Minocycline and Tinidazole antibacterial drugs can be used on teeth pulpally involved with physiologic root resorption."5.16In vivo evaluation of lesion sterilization and tissue repair in primary teeth pulp therapy using two antibiotic drug combinations. ( Anantharaj, A; Jaya, AR; Praveen, P; Rani, PS; Venkataraghavan, K, 2012)
" There is scarce information regarding the prophylactic effects of oral metronidazole on postoperative complications of anal fissure."5.13A randomized clinical trial on the effect of oral metronidazole on wound healing and pain after anal sphincterotomy and fissurectomy. ( Bolandparvaz, S; Hosseini, SV; Nouri Amirkolaee, M; Sabet, B, 2008)
"To compare the effect of metronidazole on post conventional hemorrhoidectomy pain in patients with third and fourth degree hemorrhoids."5.12Post hemorrhoidectomy pain. A randomized controlled trial. ( Al-Masuod, N; Al-Mulhim, AS; Ali, AM; Alwahidi, A, 2006)
"Evaluation of the postoperative signs of alveolar osteitis and infection was made by a dental surgeon five days postoperatively."3.11A Comparison of Pre-Emptive Co-Amoxiclav, Postoperative Amoxicillin, and Metronidazole for Prevention of Postoperative Complications in Dentoalveolar Surgery: A Randomized Controlled Trial. ( Al-Samadani, KH; Alharbi, AM; Alsaidalani, HM; Gazal, G; Karbouji, GA, 2022)
"Metronidazole has been shown to decrease postoperative pain but is not used widely."2.80Efficacy of metronidazole versus placebo in pain control after hemorrhoidectomy. Results of a controlled clinical trial. ( Chávez-Tostado, M; Cortés-Lares, JA; Cuesta-Márquez, LA; Fuentes Orozco, C; García-Rentería, J; González-Ojeda, A; Guerrero-Tarín, JE; Palomares-Chacón, UR; Rendón-Félix, J; Salazar-Parra, M; Solorio-López, S, 2015)
"The occurrence of postoperative pain, swelling, trismus, SSI and AO were compared between the groups."2.76Prophylaxis versus pre-emptive antibiotics in third molar surgery: a randomised control study. ( Akadiri, AO; Arotiba, JT; Fasola, OA; Olusanya, AA, 2011)
"Oral metronidazole has been previously demonstrated to decrease postoperative pain after open diathermy hemorrhoidectomy."2.71Topical metronidazole (10 percent) decreases posthemorrhoidectomy pain and improves healing. ( Armstrong, D; Nicholson, TJ, 2004)
"Metronidazole has been shown to reduce pain after open hemorrhoidectomy."2.70A randomized, double-blind trial of the effect of metronidazole on pain after closed hemorrhoidectomy. ( Balfour, L; Botterill, ID; Burke, DA; Finan, PJ; Sagar, PM; Stojkovic, SG, 2002)
"There was no recurrence of the volvulus at 1 to 6 years follow up but 8 patients (9."2.68Extraperitonealization for sigmoid volvulus: a reappraisal. ( Khanna, AK; Kumar, K; Misra, MK, 1995)
"Metronidazole was more effective in pain control than Arnica (p less than 0."2.65Metronidazole (Flagyl) and Arnica Montana in the prevention of post-surgical complications, a comparative placebo controlled clinical trial. ( Kaziro, GS, 1984)
"Metronidazole is a cheap, safe and effective intervention for reducing postoperative pain following conventional haemorrhoidectomy."2.55Systematic review and meta-analysis of the role of metronidazole in post-haemorrhoidectomy pain relief. ( Charters, P; Cornille, JB; Daniels, IR; Lyons, NJR; Pathak, S; Smart, NJ, 2017)
"Metronidazole use was associated with a significantly shorter time to return to normal activities (standardized mean difference, -0."2.55Systemic Metronidazole May Not Reduce Posthemorrhoidectomy Pain: A Meta-Analysis of Randomized Controlled Trials. ( Coughlin, S; Emmerton-Coughlin, HM; Foley, N; Vinden, C; Wanis, KN, 2017)
"Day-case rate, postoperative pain (measured by a visual analogic scale, 1-10), admissions, re-admissions, early postoperative situation and recurrence were evaluated in the study."1.38Day case stapled anopexy for the treatment of haemorrhoids and rectal mucosal prolapse. ( Carbonell Roure, J; Estrada Ferrer, O; García Torralbo, E; Heredia Budó, A; Hidalgo Grau, LA; Llorca Cardeñosa, S; Suñol Sala, X, 2012)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.35)18.7374
1990's3 (13.04)18.2507
2000's7 (30.43)29.6817
2010's8 (34.78)24.3611
2020's4 (17.39)2.80

Authors

AuthorsStudies
Gazal, G1
Al-Samadani, KH1
Alsaidalani, HM1
Karbouji, GA1
Alharbi, AM1
Wilkie, BD1
Chandra, R1
Chua, J1
Lam, DCS1
Paratz, ED1
An, V1
Keck, JO1
Gao, H1
Cheng, X1
Liu, R1
Wang, X1
Wang, W1
Gong, F1
Pan, R1
Hu, J1
Rabelo, FEF1
Lacerda-Filho, A1
Mansur, ES1
de Oliveira, FH1
de Queiroz, FL1
França-Neto, PR1
Misson, N1
Lyons, NJR1
Cornille, JB1
Pathak, S1
Charters, P1
Daniels, IR1
Smart, NJ1
Li, HZ1
Cheng, YS1
Liu, XF1
Zhu, XN1
Xia, W1
Manning, JPR1
Barazanchi, AWH1
Su'a, B1
Hill, AG1
Jaya, AR1
Praveen, P1
Anantharaj, A1
Venkataraghavan, K1
Rani, PS1
Solorio-López, S1
Palomares-Chacón, UR1
Guerrero-Tarín, JE1
González-Ojeda, A1
Cortés-Lares, JA1
Rendón-Félix, J1
García-Rentería, J1
Chávez-Tostado, M1
Cuesta-Márquez, LA1
Salazar-Parra, M1
Fuentes Orozco, C1
Wanis, KN1
Emmerton-Coughlin, HM1
Coughlin, S1
Foley, N1
Vinden, C1
Hosseini, SV1
Sabet, B1
Nouri Amirkolaee, M1
Bolandparvaz, S1
Olusanya, AA1
Arotiba, JT1
Fasola, OA1
Akadiri, AO1
Hidalgo Grau, LA1
Heredia Budó, A1
Llorca Cardeñosa, S1
Carbonell Roure, J1
Estrada Ferrer, O1
García Torralbo, E1
Suñol Sala, X1
Balfour, L1
Stojkovic, SG1
Botterill, ID1
Burke, DA1
Finan, PJ1
Sagar, PM1
La Torre, F1
Nicolai, AP1
Nicholson, TJ1
Armstrong, D1
Al-Mulhim, AS1
Ali, AM1
Al-Masuod, N1
Alwahidi, A1
Uraiqat, A1
Ala, S1
Saeedi, M1
Eshghi, F1
Mirzabeygi, P1
Kaziro, GS1
Khanna, AK1
Misra, MK1
Kumar, K1
Carapeti, EA1
Kamm, MA1
McDonald, PJ1
Phillips, RK1
Lyall, JB1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomised, Double-blind, Placebo-controlled, Parallel-group, Multicentre, Interventional Clinical Trial to Assess the Efficacy and Safety of the Food Supplement Microsmin® Plus in the Symptomatic Treatment of Haemorrhoids[NCT05750563]80 participants (Anticipated)Interventional2023-02-28Not yet recruiting
Randomised, Double-blind, Placebo-controlled Trial Evaluating the Effects of Metronidazole Ointment in Facilitating Resolution of Non-healing Pilonidal Sinus Wounds.[NCT04273997]Phase 280 participants (Anticipated)Interventional2021-10-01Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for metronidazole and Pain, Postoperative

ArticleYear
Systematic review and meta-analysis of the role of metronidazole in post-haemorrhoidectomy pain relief.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2017, Volume: 19, Issue:9

    Topics: Adult; Aged; Analgesics; Female; Hemorrhoidectomy; Hemorrhoids; Humans; Male; Metronidazole; Middle

2017
Metronidazole following excisional haemorrhoidectomy: a systematic review and meta-analysis.
    ANZ journal of surgery, 2018, Volume: 88, Issue:5

    Topics: Anti-Bacterial Agents; Hemorrhoidectomy; Humans; Metronidazole; Pain, Postoperative

2018
Systemic Metronidazole May Not Reduce Posthemorrhoidectomy Pain: A Meta-Analysis of Randomized Controlled Trials.
    Diseases of the colon and rectum, 2017, Volume: 60, Issue:4

    Topics: Administration, Oral; Analgesics; Anti-Infective Agents; Hemorrhoidectomy; Hemorrhoids; Humans; Metr

2017

Trials

16 trials available for metronidazole and Pain, Postoperative

ArticleYear
A Comparison of Pre-Emptive Co-Amoxiclav, Postoperative Amoxicillin, and Metronidazole for Prevention of Postoperative Complications in Dentoalveolar Surgery: A Randomized Controlled Trial.
    International journal of environmental research and public health, 2022, 03-31, Volume: 19, Issue:7

    Topics: Adult; Amoxicillin; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Dry Socket

2022
Efficacy of postoperative oral metronidazole for haemorrhoidectomy pain: a randomized double-blind, placebo-controlled trial.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2021, Volume: 23, Issue:1

    Topics: Double-Blind Method; Hemorrhoidectomy; Hemorrhoids; Humans; Metronidazole; Pain, Postoperative; Qual

2021
Benefits of flavonoid and metronidazole use after excisional hemorrhoidectomy: a randomized double-blind clinical trial.
    Techniques in coloproctology, 2021, Volume: 25, Issue:8

    Topics: Double-Blind Method; Flavonoids; Hemorrhoidectomy; Hemorrhoids; Humans; Metronidazole; Pain Measurem

2021
In vivo evaluation of lesion sterilization and tissue repair in primary teeth pulp therapy using two antibiotic drug combinations.
    The Journal of clinical pediatric dentistry, 2012,Winter, Volume: 37, Issue:2

    Topics: Anti-Bacterial Agents; Child; Ciprofloxacin; Dental Pulp Necrosis; Double-Blind Method; Drug Combina

2012
Efficacy of metronidazole versus placebo in pain control after hemorrhoidectomy. Results of a controlled clinical trial.
    Revista espanola de enfermedades digestivas, 2015, Volume: 107, Issue:11

    Topics: Adult; Aged; Female; Hemorrhoidectomy; Hemorrhoids; Humans; Male; Metronidazole; Middle Aged; Pain M

2015
A randomized clinical trial on the effect of oral metronidazole on wound healing and pain after anal sphincterotomy and fissurectomy.
    Archives of Iranian medicine, 2008, Volume: 11, Issue:5

    Topics: Administration, Oral; Adult; Anal Canal; Anti-Infective Agents; Female; Fissure in Ano; Humans; Male

2008
Prophylaxis versus pre-emptive antibiotics in third molar surgery: a randomised control study.
    The Nigerian postgraduate medical journal, 2011, Volume: 18, Issue:2

    Topics: Administration, Oral; Adult; Aged; Amoxicillin; Anti-Bacterial Agents; Anti-Infective Agents; Antibi

2011
A randomized, double-blind trial of the effect of metronidazole on pain after closed hemorrhoidectomy.
    Diseases of the colon and rectum, 2002, Volume: 45, Issue:9

    Topics: Analgesics; Double-Blind Method; Female; Hemorrhoids; Humans; Male; Metronidazole; Middle Aged; Pain

2002
Clinical use of micronized purified flavonoid fraction for treatment of symptoms after hemorrhoidectomy: results of a randomized, controlled, clinical trial.
    Diseases of the colon and rectum, 2004, Volume: 47, Issue:5

    Topics: Adult; Aged; Anti-Infective Agents; Anti-Inflammatory Agents, Non-Steroidal; Drug Therapy, Combinati

2004
Topical metronidazole (10 percent) decreases posthemorrhoidectomy pain and improves healing.
    Diseases of the colon and rectum, 2004, Volume: 47, Issue:5

    Topics: Administration, Topical; Adult; Analgesics; Hemorrhoids; Humans; Metronidazole; Middle Aged; Pain Me

2004
Post hemorrhoidectomy pain. A randomized controlled trial.
    Saudi medical journal, 2006, Volume: 27, Issue:10

    Topics: Adult; Anti-Infective Agents; Antibiotic Prophylaxis; Female; Hemorrhoids; Humans; Male; Metronidazo

2006
Topical metronidazole can reduce pain after surgery and pain on defecation in postoperative hemorrhoidectomy.
    Diseases of the colon and rectum, 2008, Volume: 51, Issue:2

    Topics: Administration, Topical; Adult; Anti-Infective Agents; Defecation; Digestive System Surgical Procedu

2008
Metronidazole (Flagyl) and Arnica Montana in the prevention of post-surgical complications, a comparative placebo controlled clinical trial.
    The British journal of oral & maxillofacial surgery, 1984, Volume: 22, Issue:1

    Topics: Clinical Trials as Topic; Humans; Metronidazole; Molar, Third; Pain, Postoperative; Placebos; Plants

1984
Extraperitonealization for sigmoid volvulus: a reappraisal.
    The Australian and New Zealand journal of surgery, 1995, Volume: 65, Issue:7

    Topics: Adolescent; Adult; Aged; Ampicillin; Colectomy; Drug Therapy, Combination; Elective Surgical Procedu

1995
Double-blind randomised controlled trial of effect of metronidazole on pain after day-case haemorrhoidectomy.
    Lancet (London, England), 1998, Jan-17, Volume: 351, Issue:9097

    Topics: Ambulatory Surgical Procedures; Analgesics; Double-Blind Method; Female; Hemorrhoids; Humans; Male;

1998
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

Other Studies

4 other studies available for metronidazole and Pain, Postoperative

ArticleYear
Clinical study of herbal mixture "Diding Oral Medicine" as an alternative to preventative antibiotics in perioperative hemorrhoids: A CARE-compliant article.
    Medicine, 2021, May-07, Volume: 100, Issue:18

    Topics: Administration, Oral; Adult; Anti-Bacterial Agents; Antibiotic Prophylaxis; Cefazolin; Drugs, Chines

2021
Metronidazole for Posthemorrhoidectomy Pain: Does No Statistical Significance Mean Insignificant Effect on Pain Relief?
    Diseases of the colon and rectum, 2017, Volume: 60, Issue:9

    Topics: Hemorrhoids; Humans; Metronidazole; Pain; Pain Management; Pain Measurement; Pain, Postoperative

2017
Day case stapled anopexy for the treatment of haemorrhoids and rectal mucosal prolapse.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2012, Volume: 14, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Ambulatory Care; Anti-Bacterial Agents; Anti-Infective Agents; Antib

2012
Post hemorrhoidectomy pain. A randomized controlled trial.
    Saudi medical journal, 2007, Volume: 28, Issue:5

    Topics: Hemorrhoids; Humans; Length of Stay; Metronidazole; Pain, Postoperative; Randomized Controlled Trial

2007