Comparative Study Between Oral Pregabalin 150mg And Gabapentin 300mg in Patients Undergoing Laparoscopic Cholecystectomy
DOI:
https://doi.org/10.70749/ijbr.v3i4.892Keywords:
Pregabalin, Gabapentin, Postoperative Pain, Laparoscopic CholecystectomyAbstract
Background: Postoperative pain management is crucial with laparoscopic cholecystectomy, which is minimally invasive surgery. Pregabalin and gabapentin are commonly used for pain control, but their relative merits in the control of postoperative pain are unknown. This study compares the safety and efficacy of oral pregabalin (150 mg) with oral gabapentin (300 mg), administered preoperatively, for the control of pain following laparoscopic cholecystectomy. Objective: To compare the post-operative pain between oral pregabalin 150mg and gabapentin 300mg in patients undergoing laparoscopic cholecystectomy. Study Design: Randomized controlled trial. Duration and Place of Study: The study was conducted from September 2024 to 15 Jan 2025 at the Department of Anesthesia. Methodology: A total of 78 patients, aged 18-70 years, who were undergoing laparoscopic cholecystectomy, were assigned randomly to two groups. One received a single, oral dose of pregabalin, 150 mg, and the other received a single, oral dose of gabapentin, 300 mg, 60 min prior to the operation. The Visual Analog Scale (VAS) was employed to evaluate the pain at 24 hours’ post-surgery. Results: The mean postoperative pain score was significantly lower in the gabapentin group (1.905 ± 0.21) compared to the pregabalin group (2.085 ± 0.24), with a p-value of 0.001. Stratified analysis showed that age, gender, BMI, dizziness, and residence type significantly affected the pain scores in both groups. Conclusion: Gabapentin provided superior pain relief with fewer side effects than pregabalin in patients undergoing laparoscopic cholecystectomy.
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Mannam, R., Sankara Narayanan, R., Bansal, A., Yanamaladoddi, V. R., Sarvepalli, S. S., Vemula, S. L., & Aramadaka, S. (2023). Laparoscopic cholecystectomy versus open cholecystectomy in acute cholecystitis: A literature review. Cureus. https://doi.org/10.7759/cureus.45704
Patil, M., Gharde, P., Reddy, K., & Nayak, K. (2024). Comparative analysis of Laparoscopic versus open procedures in specific general surgical interventions. Cureus, 19(16). https://doi.org/10.7759/cureus.54433
Shi, Z. (2023). Retracted: Laparoscopic vs. open surgery: A comparative analysis of wound infection rates and recovery outcomes. International Wound Journal, 21(3). https://doi.org/10.1111/iwj.14474
Shrestha, B. B., Lakhe, G., & Ghimire, P. (2024). Postoperative pain after Laparoscopic cholecystectomy in a tertiary care center: A descriptive cross-sectional study. Journal of Nepal Medical Association, 62(276), 502-506. https://doi.org/10.31729/jnma.8719
Yi, S. W. (2022). Residual intraperitoneal carbon dioxide gas following laparoscopy for adnexal masses: Residual gas volume assessment and postoperative outcome analysis. Medicine, 101(35), e30142. https://doi.org/10.1097/md.0000000000030142
Husni, M., Jahrami, H., Al Shenawi, H., Alenenzi, S. F., Alhawas, F., Asiri, M. A., Haider, F., Alanazi, A. F., & Yaghan, R. J. (2024). Postoperative patient pain severity and its association with anxiety, depression, and sleep quality. Cureus. https://doi.org/10.7759/cureus.54553
Mayoral, V., Galvez, R., Ferrándiz, M., Miguéns Vázquez, X., Cordero-García, C., Alcántara Montero, A., Pérez, C., & Pérez-Páramo, M. (2025). Pregabalin vs. gabapentin in the treatment of neuropathic pain: A comprehensive systematic review and meta-analysis of effectiveness and safety. Frontiers in Pain Research, 5. https://doi.org/10.3389/fpain.2024.1513597
Niyonkuru, E., Iqbal, M. A., Zeng, R., Zhang, X., & Ma, P. (2024). Nerve blocks for post-surgical pain management: A narrative review of current research. Journal of Pain Research, 17, 3217-3239. https://doi.org/10.2147/jpr.s476563
Rojals, V. M., Charaja, M., De Leon Casasola, O., Montero, A., Narvaez Tamayo, M. A., & Varrassi, G. (2022). New insights into the pharmacological management of postoperative pain: A narrative review. Cureus, 14(3). https://doi.org/10.7759/cureus.23037
Gayathri, L., Kuppusamy, A., Mirunalini, G., & Mani, K. (2023). A comparison between the effects of single-dose oral Gabapentin and oral Clonidine on hemodynamic parameters in Laparoscopic surgeries: A randomized controlled trial. Cureus, 15(4). https://doi.org/10.7759/cureus.37251
Karri, S. R., Jayaram, K., Kumar, A., & Durga, P. (2021). Comparison of efficacy of gabapentin and memantine premedication in laparoscopic cholecystectomies for postoperative pain relief – A randomised placebo controlled trial. Indian Journal of Anaesthesia, 65(7), 539-544. https://doi.org/10.4103/ija.ija_140_21
Jain, Y., Lanjewar, R., Lamture, Y., & Bawiskar, D. (2023). Evaluation of different approaches for pain management in postoperative general surgery patients: A comprehensive review. Cureus, 15(11). https://doi.org/10.7759/cureus.48573
Cheung, C. K., Adeola, J. O., Beutler, S. S., & Urman, R. D. (2022). Postoperative pain management in enhanced recovery pathways. Journal of Pain Research, 15, 123-135. https://doi.org/10.2147/jpr.s231774
Tripathi, M., Mishra, R., & Chandola, H. (2016). Comparative clinical study of gabapentin and pregabalin for postoperative analgesia in laparoscopic cholecystectomy. Anesthesia: Essays and Researches, 10(2), 201. https://doi.org/10.4103/0259-1162.176409
Kaur, S., Turka, S., Kaur Bindra, T., Tuteja, R. D., Kumar, M., Jit Singh Bajwa, S., Kurdi, M. S., & Sutagatti, A. (2023). Comparison of the efficacy of pregabalin and Gabapentin for preemptive analgesia in Laparoscopic cholecystectomy patients: A randomised double-blind study. Cureus, 15(10). https://doi.org/10.7759/cureus.46719
Eidy, M., Fazel, M. R., Abdolrahimzadeh, H., Moravveji, A. R., Kochaki, E., & Mohammadzadeh, M. (2017). Effects of pregabalin and gabapentin on postoperative pain and opioid consumption after laparoscopic cholecystectomy. Korean Journal of Anesthesiology, 70(4), 434. https://doi.org/10.4097/kjae.2017.70.4.434
Jain, R., Singh, T., Kathuria, S., Sood, D., & Gupta, S. (2020). Premedication with pregabalin 150mg versus 300mg for postoperative pain relief after laparoscopic cholecystectomy. Journal of Anaesthesiology Clinical Pharmacology, 36(4), 518. https://doi.org/10.4103/joacp.joacp_440_19
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