Effect of Oral Melatonin Versus Oral Pregabalin on Postoperative Pain and Anxiety Following Spine Surgery: A Prospective, Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Tanta University
- Enrollment
- 105
- Locations
- 1
- Primary Endpoint
- Degree of pain
Overview
Brief Summary
This study aims to compare the efficacy of using Melatonin versus Pregabalin on postoperative pain and anxiety after spine surgeries.
Detailed Description
Spine surgery is one of the most common procedures performed every day which is associated with intense pain in the postoperative period, mostly in the first few days after surgery. Effective pain management leads to improved functional outcomes, early ambulation, prevention of chronic pain and early discharge.
Melatonin is neurohormone mainly secreted from the pineal gland by the suprachiasmatic nucleus. This neurohormone possesses a circadian secretion pattern and regulates the biological clock; it also offers antiemetic, analgesic, and anxiolytic effects.
Pregabalin is a structural analogue of gamma-aminobutyric acid that acts as a potent ligand for alpha 2-delta subunits of the voltage-gated calcium channels in the nervous system. Such action results in a reduction in the depolarization-induced influx of calcium, hence a reduction in the release of excitatory neurotransmitters including glutamate, noradrenaline, dopamine, and serotonin.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 21 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients aged 21-60 years old.
- •Both sexes.
- •Patients of American Society of Anesthesiologists (ASA) physical status I \& II.
- •Undergoing elective spine surgery.
Exclusion Criteria
- •Patient refusal.
- •History of allergic reactions to melatonin or pregabalin.
- •Patients with cardiovascular disease (ischemic heart disease, Heart Failure, Arrythmia, Heart Block).
- •Patients with kidney disease with (plasma creatinine level \> 1.5mg/dl).
- •Patients with liver disease with (aspartate transaminase, alanine transaminase, and bilirubin levels more than twice the upper limit of normal).
- •Psychological and cognitive disorders; dementia; major depression.
- •Circadian rhythm disorders such as chronic fatigue syndrome and drowsiness.
Arms & Interventions
Group C (Control Group)
Patients will be receive one oral placebo capsule the evening before surgery, one oral placebo capsule 2 hours prior to surgery, and one oral placebo capsule in the morning and one in the evening for 3 consecutive days postoperatively.
Intervention: Placebo capsule (Other)
Group M (Melatonin Group)
Participants will receive one 5 mg oral melatonin capsule the evening before surgery, one 5 mg oral melatonin capsule 2 hours prior to surgery, and one oral placebo capsule in the morning, and one 5 mg oral melatonin capsule in the evening, daily for 3 consecutive days postoperatively.
Intervention: Melatonin capsule (Drug)
Group P (Pregabalin Group)
Participants will receive one 75 mg oral pregabalin capsule the evening before surgery, one 75 mg oral pregabalin capsule 2 hours prior to surgery, and one 75 mg oral pregabalin capsule in the morning, and another in the evening, daily for 3 consecutive days postoperatively.
Intervention: Pregabalin capsule (Drug)
Outcomes
Primary Outcomes
Degree of pain
Time Frame: 3 days postoperatively
Postoperative pain will be assessed using the Visual Analogue Scale (VAS) at the following time points: upon arrival to the Post-Anesthesia Care Unit (PACU), and at 1, 2, 4, 6, 8, 12, and 24 hours, as well as at 12 and 24 hours on postoperative days 2 and 3.
Secondary Outcomes
- Incidence of postoperative anxiety(3 days postoperatively)
- Postoperative analgesic consumption(3 days postoperatively)
- Postoperative sleep quality(3 days postoperatively)
Investigators
Ahmed Hamdy Said Ayad
Assistant lecturer of Anesthesia, Surgical Intensive Care and Pain Medicine, Tanta University, Tanta, Egypt.
Tanta University