title: Valdecoxib versus rofecoxib in acute postsurgical pain: results of a randomized controlled trial.
abstract: The analgesic efficacy of the cyclooxygenase-2 specific inhibitors, valdecoxib and rofecoxib, were evaluated in patients following oral surgery. In a randomized, double-blind, controlled trial, patients experiencing moderate or severe pain received single-dose valdecoxib 40 mg (n=99), rofecoxib 50 mg (n=101), or placebo (n=50) within 4 hours after multiple third molar extraction with bone removal. Onset of action was significantly faster with valdecoxib 40 mg (30 minutes) compared with rofecoxib 50 mg (45 minutes), as measured by pain intensity difference and pain relief scores (P <or= 0.05). Valdecoxib and rofecoxib provided a similar magnitude of analgesic effect, as measured by time-weighted sum of total pain relief, at 6 hours post dosing. However, valdecoxib was significantly superior to rofecoxib with respect to mean time-specific pain intensity difference and pain relief scores from 30 minutes to 1.5 hours post dose (P < 0.05). All treatments were well tolerated.
authors.affiliation: Wasatch Oral Surgery, West Jordan, Salt Lake City, Utah, USA.
authors.forename: Kyle S
authors.initials: KS
authors.lastname: Christensen
authors.forename: Gail D
authors.initials: GD
authors.lastname: Cawkwell
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage; D016861:Cyclooxygenase Inhibitors / Q000008:administration & dosage; D004311:Double-Blind Method; D005157:Facial Pain / Q000188:drug therapy* / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006801:Humans; D007555:Isoxazoles / Q000008:administration & dosage*; D007783:Lactones / Q000008:administration & dosage*; D008297:Male; D008964:Molar, Third / Q000187:drug effects / Q000601:surgery; D010149:Postoperative Pain / Q000188:drug therapy* / Q000453:epidemiology / Q000209:etiology*; D013449:Sulfonamides / Q000008:administration & dosage*; D013450:Sulfones; D014081:Tooth Extraction / Q000009:adverse effects* / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology; D000096926:Benzenesulfonamides
chemical_list: D018712:Analgesics, Non-Narcotic; D016861:Cyclooxygenase Inhibitors; D007555:Isoxazoles; D007783:Lactones; D013449:Sulfonamides; D013450:Sulfones; C116926:rofecoxib; C406224:valdecoxib; D000096926:Benzenesulfonamides