title: Double-blind comparison of meclofenamate sodium with codeine and placebo for the pain of episiotomy.
abstract: Meclofenamate sodium, a nonsteroidal anti-inflammatory agent, was compared at two dose levels (100 mg and 200 mg) with codeine (60 mg) and placebo in a double-blind, randomized study of 218 women after normal vaginal delivery. The purpose was to determine the analgesic efficacy and safety of meclofenamate sodium for the short-term treatment of acute episiotomy pain. Meclofenamate sodium was significantly better than placebo in most measures of pain relief and reduction of pain intensity. The 100-mg dose of meclofenamate sodium was significantly better than codeine in relieving pain. Adverse experiences with the study medications were minimal (6.4%). Patients receiving codeine reported more side effects than did those receiving either dose of meclofenamate sodium. Meclofenamate sodium is a safe, effective analgesic for acute episiotomy pain.
authors.affiliation: Women's Hospital, Los Angeles County, California.
authors.forename: M L
authors.initials: ML
authors.lastname: Yonkeura
authors.forename: S
authors.initials: S
authors.lastname: Petrone
authors.forename: J L
authors.initials: JL
authors.lastname: Turner
authors.forename: G S
authors.initials: GS
authors.lastname: di Zerega
mesh_terms: D000293:Adolescent; D000328:Adult; D002986:Clinical Trials as Topic; D003061:Codeine / Q000008:administration & dosage / Q000627:therapeutic use*; D004311:Double-Blind Method; D004341:Drug Evaluation; D004841:Episiotomy; D005260:Female; D006801:Humans; D008469:Meclofenamic Acid / Q000008:administration & dosage / Q000627:therapeutic use*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D062367:ortho-Aminobenzoates / Q000627:therapeutic use*
chemical_list: D062367:ortho-Aminobenzoates; D008469:Meclofenamic Acid; D003061:Codeine