Ketoprofen versus Diclofenac sodium in the treatment of renal colic.

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Published Dec 18, 2017
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Vol. 95 No. 4 (2017): Issue Apr 2017

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Chawki Jebali
Lotfi Boukadida
Wael Chabaane
Achref Haj Ali
Ali Ousgi
Riadh Boukef

Abstract

Introduction: Adult renal colic is a frequent lombo-abdominal painful syndrome in emergencies. Treatment is based on nonsteroidal anti-inflammatory drug (NSAID) but the choice between different NSAIDs remains a subject of controversy. Our aim was to compare the efficacy and the safety of two intramuscularly NSAIDs in renal colic.
Methods: We conducted a 32-week, randomized, double-blind, single-center study . Patients who had renal colic with a visual analogue scale (VAS) ≥ 5 were randomly assigned to receive, by intramuscularly injection, 100 mg of Ketoprofen (GK) or 75 mg of diclofenac (GD). If VAS > 3 after 40 minute, 1 g of paracetamol was administered as rescue analgesia. Primary endpoint was successful treatment. Secondary outcome was the occurrence of side effects.
Results: We have included 80 patients. the average age was 39 ± 13 years for GK versus 43 ± 14 years for GD. The mean VAS on admission was also similar in both arms. We objectified a therapeutic success rate of 92% in both groups. This success was similar in both arms. The use of rescue medication was 32.5% in the GK versus 47.5% in the GD (P=0.17). We have observed in 46% (n =37) of the study population side effects. These effects were only minor and no major intolerance expression was registered.
Conclusion: the efficacy and tolerance of NSAIDs in the treatment of renal colic was the same for diclofenac and ketoprofen.

Keywords:

Nonsteroidal anti-inflammatory, renal colic, diclofenac, ketoprofen.

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