Analgesic Effect of Melatonin and Vitamin C Administration, Alone or In Combination in Major Abdominal Surgery.
NCT06374771 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2024-04-19
Summary
The goal of this clinical trial is to compare the analgesic effect of melatonin, and vitamin C and their combination in patients aged 18-60 years old who will undergo major abdominal surgery with mid-line incision within an expected time of surgery from 3 to 5 hours e.g. radical cystectomy, radical prostatectomy, colectomy, sigmoidectomy, splenectomy, and CBD exploration through mid-line incision.
This study hypothesizes that using both vitamin C and melatonin together as adjuvants will cause:
* More reduction in total morphine consumption in the first 24 hours postoperatively
* More reduction of the incidence of chronic post-surgical pain, than using each adjuvant alone.
Participants will be allocated into three equal groups: Melatonin (M group) and vitamin C (V group), and Melatonin and vitamin C (VM group). Two hours before surgery all patients will receive the study drugs orally and will be continued for 3 days postoperative at the same time of the first administration; 10mg of melatonin for M group (Melatonin 10 mg - Puritan's Pride premium company), 1gm of vitamin C for V group (Sanso C 1000 mg - AUG pharma company), and 10mg of melatonin and 1gm of vitamin C for VM group.
Researchers will compare:
* The effect of melatonin, vitamin C, and their combination on postoperative opioid consumption
* The severity of postoperative pain, using the Numerical Rating Scale (NRS)
* Patients' satisfaction with a three-point scale
* The time of the first requirement for rescue analgesia
* The effect on the incidence of chronic post-surgical pain.
Conditions
- Postoperative Pain
Interventions
- DRUG
-
Melatonin 10 MG
10 mg of Melatonin will be given orally pre and post-operative
- DRUG
-
Vitamin C
1 gm of Vitamin C will be given orally pre and post-operative
Sponsors & Collaborators
-
Theodor Bilharz Research Institute
collaborator OTHER -
Cairo University
lead OTHER
Principal Investigators
-
Waleed Hamimy, MD · Professor of Anesthesiology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-04-27
- Primary Completion
- 2024-06-27
- Completion
- 2024-07-10
Countries
- Egypt
Study Locations
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