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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Theophylline
DrugPatients 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
DrugPatients 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
DrugPatients included in this group will receive 200 mg of gabapentin every 12 hours.
Treatment groups
Trial outcomes
Primary outcomes
Severity of headache
Severity of headache will be assessed using numeric rating scale (NRS) score where 0 = no pain, and 10 = worst possible pain.
Secondary outcomes
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.
Length of hospital stay
Length of hospital stay will be recorded from the hospital admission till discharge.
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.
Total amount of rescue analgesia consumption
Total amount of rescue analgesia consumption will be measured.
Sponsors and contacts
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