Skip to main content
Log in

A new paracetamol/paracetamol-methionine ester combination effects on postoperative course

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The SUR 2647 combination is a sachet formulation containing free paracetamol and its N-acetyl-methionate ester (SUR 2647). In a randomized, singel-blind, within-patient study the effect of the SUR 2647 combination on the postoperative course was investigated in 30 out-patients after bilateral oral surgery. On one occasion they received sachets of SUR 2647 combination 2 b.i.d. (equivalent to 2 g paracetamol ×2) on the day of operation, and one sachet b.i.d. (equivalent to 1 g paracetamol ×2) on the following two days. On the other occasion they received placebo caplets. The observed mean reduction in swelling on the third (16%) and seventh (34%) postoperative days after receiving active drug was not significantly different as compared to placebo, nor was there a significant difference between the two treatments with respect to oral temperature, mouth-opening capability or postoperative bleeding. Pain after the SUR 2647 combination regime was significantly lower (P<0.01) than placebo until the second postoperative evening. Complaints were registered in both treatment groups, although reports of mild to moderate drowsiness were more common after the SUR 2647 combination.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Album B, Olsen I, Løkken P (1977) Bilateral surgical removal of impacted lower teeth as a model for drug evaluation: A test with ox phenbutazone (Tanderil). Int J Oral Surg 6: 209–216

    Google Scholar 

  2. Bhattacharaya GK, Johnson RA (1977) Statistical concepts and methods. Wiley, New York Toronto

    Google Scholar 

  3. Boardman PL, Dudley Hart F (1967) Clinical measurement of the anti-inflammatory effects of salicylates in rheumatoid arthritis. Br Med J 4: 264–268

    Google Scholar 

  4. Flower RJ, Moncada S, Vane JR (1980) Analgesic-antipyretics and antiinflammatory agents; drugs employed in the treatment of gout. In: Gilman AG, Goodman LS, Gilman A (eds) The pharmacological basis of therapeutics, 6th edn, Macmillan, New York, p 701

    Google Scholar 

  5. Hepsø HU, Løkken P, Bjørnson J, Godal HC (1976) Doubleblind crossover study of the effect of acetylsalicylic acid on bleeding and postoperative course after bilateral oral surgery. Eur J Clin Pharmacol 10: 217–225

    Google Scholar 

  6. Løkken P, Olsen I, Bruaset I, Norman-Pedersen K (1975) Bilateral surgical removal of impacted lower third molar teeth as a model for drug evaluation: A test with ibuprofen. Eur J Clin Pharmacol 8: 209–216

    Google Scholar 

  7. McLean AEM (1974) Prevention of paracetamol poisoning. Lancet 1: 729

    Google Scholar 

  8. Ring EFJ, Collins AJ, Bacon PA, Cosh JA (1974) Quantitation of thermography in arthritis using multi-isothermal analysis. II. Effect of nonsteroidal anti-inflammatory therapy on the thermographic index. Ann Rheum Dis 33: 352–356

    Google Scholar 

  9. Ryan GB, Majno G (1977) Acute inflammation. Am J Pathol 86: 185–276

    Google Scholar 

  10. Skjelbred P (1984) The effects of acetylsalicylic acid on swelling, pain and other events after surgery. Br J Clin Pharmacol 17: 379–384

    Google Scholar 

  11. Skjelbred P, Album B, Løkken P (1977) Acetylsalicylic acid vs paracetamol: Effects on post-operative course. Eur J Clin Pharmacol 12: 257–264

    Google Scholar 

  12. Skjelbred P, Løkken P (1979) Paracetamol versus placebo: Effects on post-operative course. Eur J Clin Pharmacol 15: 27–33

    Google Scholar 

  13. Skjelbred P, Løkken P (1982) Post-operative pain and inflammatory reaction reduced by injection of a corticosteroid. Eur J Clin Pharmacol 21: 391–396

    Google Scholar 

  14. Skjelbred P, Løkken P, Skoglund LA (1984) Post-operative administration of acetaminophen to reduce swelling and other inflammatory events. Curr Ther Res 35: 377–385

    Google Scholar 

  15. Skoglund LA, Skjelbred P (1984) Comparison of a traditional paracetamol medication and a new paracetamol/paracetamol-methionine ester combination. Eur J Clin Pharmacol 26: 573–577

    Google Scholar 

  16. Sveen K, Gilhuus-Moe O (1975) Paracetamol/codeine in relieving pain following removal of impacted mandibular third molars. Int J Oral Surg 4: 258–266

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Skoglund, L.A. A new paracetamol/paracetamol-methionine ester combination effects on postoperative course. Eur J Clin Pharmacol 31, 45–48 (1986). https://doi.org/10.1007/BF00870984

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00870984

Key words

Navigation