Tramadol vs Diclofenac for Posttonsillectomy Analgesia | Pain Medicine | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network
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Original Article
April 2001

Tramadol vs Diclofenac for Posttonsillectomy Analgesia

Author Affiliations

From the Department of Otolaryngology, Palmerston North Hospital, Palmerston North, New Zealand.

Arch Otolaryngol Head Neck Surg. 2001;127(4):385-388. doi:10.1001/archotol.127.4.385

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.