PMID- 15333415 OWN - NLM STAT- MEDLINE DCOM- 20040923 LR - 20210902 IS - 0003-2999 (Print) IS - 0003-2999 (Linking) VI - 99 IP - 3 DP - 2004 Sep TI - The analgesic efficacy of etoricoxib compared with oxycodone/acetaminophen in an acute postoperative pain model: a randomized, double-blind clinical trial. PG - 807-815 LID - 10.1213/01.ANE.0000133141.75831.57 [doi] AB - Our objective in this study was to compare the analgesic effects of etoricoxib and oxycodone/acetaminophen in a postoperative dental pain model. Patients experiencing moderate to severe pain after extraction of two or more third molars were randomized to single doses of etoricoxib 120 mg (n = 100), oxycodone/acetaminophen 10/650 mg (n = 100), or placebo (n = 25). The primary end-point was total pain relief over 6 h. Other end-points included patient global assessment of response to therapy; onset, peak, and duration of effect; and rescue opioid analgesic use. Active treatments were statistically significantly superior to placebo for all efficacy measures. Total pain relief over 6 h for etoricoxib was significantly more than for oxycodone/acetaminophen (P < 0.001). Patient global assessment of response to therapy at 6 and 24 h was superior for etoricoxib. Both drugs achieved rapid onset, although the time was faster for oxycodone/acetaminophen by 5 min. The peak effect was similar for both drugs. Compared with oxycodone/acetaminophen patients, etoricoxib patients experienced a longer analgesic duration, had a smaller percentage requiring rescue opioids during 6 and 24 h, and required less rescue analgesia during 6 and 24 h. Oxycodone/acetaminophen treatment resulted in more frequent adverse events (AEs), drug-related AEs, nausea, and vomiting compared with etoricoxib treatment. In conclusion, etoricoxib 120 mg provided superior overall efficacy compared with oxycodone/acetaminophen 10/650 mg and was associated with significantly fewer AEs. FAU - Chang, David J AU - Chang DJ AD - *Merck & Co., Inc., West Point, Pennsylvania; and daggerScirex Corporation, Austin, Texas. FAU - Desjardins, Paul J AU - Desjardins PJ FAU - King, Thomas R AU - King TR FAU - Erb, Tara AU - Erb T FAU - Geba, Gregory P AU - Geba GP LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Anesth Analg JT - Anesthesia and analgesia JID - 1310650 RN - 0 (Pyridines) RN - 0 (Sulfones) RN - 362O9ITL9D (Acetaminophen) RN - CD35PMG570 (Oxycodone) RN - WRX4NFY03R (Etoricoxib) SB - IM EIN - Anesth Analg. 2005 Sep;101(3):644 MH - Acetaminophen/*administration & dosage MH - Acute Disease MH - Adult MH - Double-Blind Method MH - Drug Therapy, Combination MH - Etoricoxib MH - Female MH - Humans MH - Male MH - Oxycodone/*administration & dosage MH - Pain, Postoperative/*drug therapy MH - Pyridines/*therapeutic use MH - Sulfones/*therapeutic use EDAT- 2004/08/31 05:00 MHDA- 2004/09/24 05:00 CRDT- 2004/08/31 05:00 PHST- 2004/08/31 05:00 [pubmed] PHST- 2004/09/24 05:00 [medline] PHST- 2004/08/31 05:00 [entrez] AID - 00000539-200409000-00032 [pii] AID - 10.1213/01.ANE.0000133141.75831.57 [doi] PST - ppublish SO - Anesth Analg. 2004 Sep;99(3):807-815. doi: 10.1213/01.ANE.0000133141.75831.57.