MedPath

Multimodal Pain Package vs. Regular Formulation for Pain Management in Ambulatory Spinal Surgery

Registration Number
NCT05965492
Lead Sponsor
University of Miami
Brief Summary

The purpose of this research is to compare two outpatient pain management strategies in patients undergoing spinal surgeries such as microdiscectomies, foraminotomies, and spinal decompressions.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Adults: males or non-pregnant females.
  • Patients undergoing ambulatory microdiscectomies, foraminotomies, and spinal cord decompressions requiring pain control analgesics.
Exclusion Criteria
  • Pregnancy
  • Active severe liver disease
  • Chronic kidney disease 3a-5 (moderate to severe)
  • Chronic obstructive pulmonary disease with impaired pulmonary function
  • Chronic steroid use
  • Chronic opioid use
  • Current use of narcotics
  • Allergy to sulfonamides
  • Allergy to NSAIDs
  • Allergy to Aspirin
  • Allergy to Tylenol
  • Allergy to Gabapentins
  • Allergy to H2 blockers (cimetidine, famotidine)
  • Allergy to steroid
  • Current use of gabapentins for any medical condition
  • Inability to be discharged home on the day of surgery
  • Inability to swallow pills
  • Myasthenia gravis
  • History of gastrointestinal ulcers or stomach bleeding
  • Have any condition that, in the investigator's opinion, will compromise the well-being of the patient or the study, or prevent the patient from meeting or performing study requirements.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Bottled pain formulations GroupOxycodoneParticipants in this group will use the standard-of-care medication treatment for ambulatory spinal surgery prescribed to them in different bottles for 7 days.
Bottled pain formulations GroupAcetaminophenParticipants in this group will use the standard-of-care medication treatment for ambulatory spinal surgery prescribed to them in different bottles for 7 days.
Bottled pain formulations GroupCelebrexParticipants in this group will use the standard-of-care medication treatment for ambulatory spinal surgery prescribed to them in different bottles for 7 days.
Bottled pain formulations GroupGabapentinParticipants in this group will use the standard-of-care medication treatment for ambulatory spinal surgery prescribed to them in different bottles for 7 days.
Bottled pain formulations GroupFamotidineParticipants in this group will use the standard-of-care medication treatment for ambulatory spinal surgery prescribed to them in different bottles for 7 days.
Bottled pain formulations GroupDecadronParticipants in this group will use the standard-of-care medication treatment for ambulatory spinal surgery prescribed to them in different bottles for 7 days.
Multi-Modal regimen GroupCelebrexParticipants in this group will receive the same drugs used during the standard-of-care treatment for ambulatory spinal surgery. However, the drugs will be prescribed using a simple multimodal medication pre-formulated package for 7 days.
Multi-Modal regimen GroupAcetaminophenParticipants in this group will receive the same drugs used during the standard-of-care treatment for ambulatory spinal surgery. However, the drugs will be prescribed using a simple multimodal medication pre-formulated package for 7 days.
Multi-Modal regimen GroupGabapentinParticipants in this group will receive the same drugs used during the standard-of-care treatment for ambulatory spinal surgery. However, the drugs will be prescribed using a simple multimodal medication pre-formulated package for 7 days.
Multi-Modal regimen GroupFamotidineParticipants in this group will receive the same drugs used during the standard-of-care treatment for ambulatory spinal surgery. However, the drugs will be prescribed using a simple multimodal medication pre-formulated package for 7 days.
Multi-Modal regimen GroupDecadronParticipants in this group will receive the same drugs used during the standard-of-care treatment for ambulatory spinal surgery. However, the drugs will be prescribed using a simple multimodal medication pre-formulated package for 7 days.
Multi-Modal regimen GroupOxycodoneParticipants in this group will receive the same drugs used during the standard-of-care treatment for ambulatory spinal surgery. However, the drugs will be prescribed using a simple multimodal medication pre-formulated package for 7 days.
Primary Outcome Measures
NameTimeMethod
Satisfaction measured by Satisfaction Likert Scaleup to 7 days

Scores range from "0" not satisfied to "10" very satisfied

Adherence measured by the self-report medication nonadherence scaleup to 7 days

Adherence will be measured using a Likert scale ranging from "never" indicating that the participant followed all instructions and adhered to the medication to "all the time. "indicating that the participant never followed instructions and did not take the medication.

Ease of use as measured by Likert Scaleup to 7 days

Scores ranges from "strongly disagree to Strongly agree" regarding the ease of use of the medication package.

Secondary Outcome Measures
NameTimeMethod
Number of pain pillsup to 7 days

Count of pills taken by participants

Trial Locations

Locations (2)

university of Miami

🇺🇸

Miami, Florida, United States

University of Miami

🇺🇸

Miami, Florida, United States

© Copyright 2025. All Rights Reserved by MedPath