Tramadol vs Diclofenac for Posttonsillectomy Analgesia
Mark J. Courtney, MB, ChB;
Dilhan Cabraal, FRACS
Arch Otolaryngol Head Neck Surg. 2001;127:385-388.
Objective To compare the analgesic efficacy of oral tramadol hydrochloride and
oral diclofenac sodium for posttonsillectomy pain management.
Design Single-blind (surgeon and research team members), prospective, randomized,
controlled clinical trial.
Patients and Methods Sixty-four patients 11 years and older undergoing bipolar electrocautery
tonsillectomy were randomized to either the oral tramadol or the oral diclofenac
postoperative pain group. Patients recorded pain levels twice daily for 14
days using a visual analogue scale.
Results Pain scores for the 14 days were not significantly different between
the oral tramadol and oral diclofenac groups. There were no significant differences
in the incidence of postoperative hemorrhage and hospital readmission for
uncontrolled pain.
Conclusion Oral tramadol can deliver the same analgesic efficacy as oral diclofenac
for posttonsillectomy pain relief, which might be beneficial for avoiding
the adverse effects of nonsteroidal anti-inflammatory drug therapy.
From the Department of Otolaryngology, Palmerston North Hospital, Palmerston
North, New Zealand.
Corresponding author and reprints: Mark J. Courtney, MB, ChB, Department
of Otolaryngology–Head and Neck Surgery, Wellington Hospital, Private
Bag 7902, Wellington South, New Zealand (e-mail: mark.richelle{at}paradise.net.nz).
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