Theophylline, Versus Sumatriptan and Gabapentin in The Treatment of Post-Dural Puncture Headache

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-50
SponsorTanta University

About this trial

The aim of this study is to compare the safety and efficacy of theophylline, sumatriptan, and gabapentin in the treatment of post-dural puncture headache.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age from 21 to 50 years.

Both sexes.

American Society of Anesthesiologists (ASA) physical status ≤ II.

Patient's selection for this study will be based on clinical diagnosis suggesting post-dural puncture headache (PDPH) based on the International Headache Society criteria.

Disqualifiers

Pregnant women.

History of; chronic headache, cluster headache, migraine, convulsions, cerebrovascular accident, and previous neurological diseases.

Signs of meningismus.

Dysrhythmia.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Theophylline

    Drug

    Patients included in this group will receive oral 150 mg theophylline anhydrous tablet (QuibronT/SR, 300 mg dividose tablet, SmithKline Beecham Egypt L.L.C) every 12 hours.

  • Sumatriptan

    Drug

    Patients included in this group will receive oral 25 mg sumatriptan succinate tablet (Sumigran 25, 25 mg tablet, Sigma pharmaceutical industries, Egypt) every 12 hours.

  • Gabapentin

    Drug

    Patients included in this group will receive 200 mg of gabapentin every 12 hours.

Treatment groups

75 Participants
are divided into 3 treatment groups
Group A: Group TExperimental treatment 1 intervention
Group B: Group SExperimental treatment 1 intervention
Group C: Group GExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Severity of headache

Severity of headache will be assessed using numeric rating scale (NRS) score where 0 = no pain, and 10 = worst possible pain.

Time frame
24 hours after drug treatment.

Secondary outcomes

1

Post-Dural Puncture Headache duration

Post-Dural Puncture Headache (PDPH) duration will be recorded from the occurrence of PDPH till numeric rating scale (NRS) score ≤3.

Time frame
24 hours after drug treatment.
2

Length of hospital stay

Length of hospital stay will be recorded from the hospital admission till discharge.

Time frame
Till the discharge from the hospital (Up to 2 weeks)
3

Treatment-related side effects

Treatment-related side effects such as palpitation, dizziness, gastric irritation, nausea/vomiting, diarrhea, warm sensations in the body, tingling sensation, and tightness in the chest, throat, neck, or jaws will be recorded.

Time frame
24 hours after drug treatment.
4

Total amount of rescue analgesia consumption

Total amount of rescue analgesia consumption will be measured.

Time frame
24 hours after drug treatment.

Other outcomes

Sponsors and contacts

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