Local anesthetic effect of tramadol, metoclopramide, and lidocaine following intradermal injection

Autor: Wei-Wu Pang, Min-Ho Huang, Da-Peng Chang, Martin S. Mok
Rok vydání: 1998
Předmět:
Zdroj: Regional Anesthesia and Pain Medicine. 23:580-583
ISSN: 1098-7339
DOI: 10.1016/s1098-7339(98)90085-2
Popis: We observed clinically that tramadol and metoclopramide appear to have local anesthetic action. Tramadol is a central-acting analgesic. Metoclopramide is a commonly used antiemetic. The local anesthetic effect of tramadol in reducing propofol injection pain has never been mentioned, although it was speculated with metoclopramide.We conducted a double-blind, placebo-controlled study by injecting tramadol or metoclopramide intradermally in 10 healthy volunteers (5 men, 5 women; age 25-56 years). Each subject received 0.5 mL of four solutions in random order on the volar side of the forearm. These solutions were 25 mg tramadol, 5 mg metoclopramide, 5 mg lidocaine, and 0.5 mL normal saline. Pain on injections and the degree of local anesthesia (tested by pinprick, light touch, and cold) at each site was reported on a 0-3 scale at designed time intervals.Like 1% lidocaine, tramadol and metoclopramide demonstrated loss of sensation for pinprick, light touch, and cold for 15 minutes after intradermal injection (P.01 ).Intradermal tramadol or metoclopramide can produce local anesthetic effect.
Databáze: OpenAIRE