title: Indomethacin and ethamsylate alone and in combination for the relief of post episiotomy pain.
abstract: In a bid to minimise dosage and possible side-effects when relieving post episiotomy pain, the NSAID Indomethacin was studied in combination with a systemic haemostat Ethamsylate which has been shown to selectively inhibit some prostaglandins. Comparative groups also took Indomethacin alone and placebo in a double blind non-crossover comparison. Efficacy was judged in terms of side-effects and assessments of pain intensity, pain relief and global assessment of pain. There was some evidence of a beneficial interaction between Indomethacin and Ethamsylate when adjustments were made for the patient's age and initial pain score. Side-effects were most common in the combination therapy group.
authors.affiliation: RCSI Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin.
authors.forename: R F
authors.initials: RF
authors.lastname: Harrison
authors.forename: M
authors.initials: M
authors.lastname: Devitt
mesh_terms: D004311:Double-Blind Method; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D004841:Episiotomy; D004979:Ethamsylate / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*
chemical_list: D004979:Ethamsylate; D007213:Indomethacin