Effectiveness and Safety of Oral Dexketoprofen for Mild to Moderate Pain among Filipino Adults: A Post-marketing Surveillance Study
Journal Title: Journal of Pain & Relief - Year 2019, Vol 7, Issue 3
Abstract
Background: Studies abroad demonstrate the effectiveness and safety of dexketoprofen in various therapeutic indications. However, there has been no related study on our local population. Objectives: To evaluate the effectiveness and safety of oral dexketoprofen among Filipino adults in the treatment of mild to moderate acute pain due to musculoskeletal causes (such as osteoarthritis and low back pain), postoperative pain, headache, or dysmenorrhea in primary health care setting in the Philippines. Methods: This was a prospective observational study. Drug prescription by attending physicians was based on the drug’s Summary of Product Characteristics, which included its indications, contraindications, and precautions. Dosage prescriptions varied, depending on the nature and severity of pain on initial consultation, and physicians’ clinical judgment. Effectiveness was evaluated using Wong-Baker faces pain rating scale, clinical global impressions scale, and efficacy index; while safety was evaluated according to incidence and severity of adverse events. Results: Osteoarthritis and low back pain were the most common conditions seen by the physicians during the study period. Majority received the recommended dosage and duration of the medicine, which was 51-75 milligrams of dexketoprofen a day (56.2%) for at least 1 week (57.5%). On follow-up, there was statistically significant improvement (p<0.0001) in pain scores among patients, regardless of medical condition and dexketoprofen dosage and duration. There was low (2.8%) incidence of adverse events in the study population. Majority of side effects did not significantly interfere with daily functioning of patients. Conclusion: This study demonstrated the effectiveness and safety of oral dexketoprofen in various therapeutic indications. Majority experienced moderate or marked therapeutic effect with no to minimal side effect. No serious adverse event from intake of non-steroidal anti-inflammatory drug, particularly related to gastrointestinal and nervous system disorders was noted.
Authors and Affiliations
Reynaldo R Rey Matias, Carl Froilan D Leochico, Grace S Nilo
Effects of Superficial and Deep Dry Needling on Pain and Muscle Thickness in Subject with Upper Trapezius Muscle Myofascial Pain Syndrome
Background: Dry needling is one of the main therapeutic approaches in patients with Myofascial pain syndrome. Few studies have been compared the superficial and deep dry needling methods in these patients. Objective: To...
Effectiveness and Safety of Oral Dexketoprofen for Mild to Moderate Pain among Filipino Adults: A Post-marketing Surveillance Study
Background: Studies abroad demonstrate the effectiveness and safety of dexketoprofen in various therapeutic indications. However, there has been no related study on our local population. Objectives: To evaluate the effe...
Nursing in the Attention of the Evaluation of Pain as a 5th Vital Sign
Objective: The objective of this study was to identify the view of nurses in the application of the pain scale in patients hospitalized in intensive care and medical clinic. Method: An exploratory-descriptive study was c...
Neuralgic and Nociceptive Pain in the Knee as a Cause of the Treatment Failure after Cartilage Repair Surgery: Two Case Reports
Objective: Cartilage injuries are one of the most frequent causes of knee pain. Other causes such as meniscus tears, synovial plica, synovitis, partial and total ligament ruptures are rather easy to identify by standard...
Inhalation Burn, Crush-syndrome and Rhabdomyolysis Syndrome
Inhalation burn is responsible for 50% of the mortality associated with thermal burn. Inhalation burns are usually observed in exposure to smoke, heat, toxic gases, and combustion components. Inhalation burn causes damag...