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Sökning: id:"swepub:oai:DiVA.org:liu-180909" > Adjuvant use of mel...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003853naa a2200409 4500
001oai:DiVA.org:liu-180909
003SwePub
008211109s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:147941256
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1809092 URI
024a https://doi.org/10.1007/s00228-021-03234-62 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1479412562 URI
040 a (SwePub)liud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Söderman, Lisau Karolinska Inst, Sweden4 aut
2451 0a Adjuvant use of melatonin for pain management in dysmenorrhea - a randomized double-blinded, placebo-controlled trial
264 c 2021-10-20
264 1b Springer Heidelberg,c 2022
338 a electronic2 rdacarrier
500 a Funding Agencies|Karolinska InstituteKarolinska Institutet; Stockholm County CouncilStockholm County Council [20180306]; AFA insurance [170157]
520 a Purpose Dysmenorrhea is a common, recurring, painful condition with a global prevalence of 71%. The treatment regime for dysmenorrhea includes hormonal therapies and NSAID, both of which are associated with side effects. A dose of 10 mg melatonin daily has previously been shown to reduce the level of pelvic pain in women with endometriosis. We chose to investigate how this regime, administered during the week of menstruation, would affect women with dysmenorrhea but without any signs of endometriosis, as adjuvant analgesic treatment. Methods Forty participants with severe dysmenorrhea were randomized to either melatonin or placebo, 20 in each group. Our primary outcome was pain measured with numeric rating scale (NRS); a difference of at least 1.3 units between the groups was considered clinically significant. Secondary outcomes were use of analgesics, as well as absenteeism and amount of bleeding. Mixed model was used for statistical analysis. Results Eighteen participants completed the study in the placebo group and 19 in the melatonin group. Mean NRS in the placebo group was 2.45 and 3.18 in the melatonin group, which proved to be statistically, although not clinically significant. Conclusion This randomized, double-blinded, placebo-controlled trial could not show that 10 mg of melatonin given orally at bedtime during the menstrual week had better analgesic effect on dysmenorrhea as compared with placebo. However, no adverse effects were observed.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
653 a Adjuvant analgesics; Dysmenorrhea; Melatonin; Menstruation; Pelvic pain; RCT
700a Edlund, Månsu Karolinska Inst, Sweden4 aut
700a Böttiger, Ylvau Linköpings universitet,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, Klinisk farmakologi4 aut0 (Swepub:liu)ylvbo14
700a Marions, Lenau Karolinska Institutet4 aut
710a Karolinska Inst, Swedenb Avdelningen för klinisk kemi och farmakologi4 org
773t European Journal of Clinical Pharmacologyd : Springer Heidelbergg 78:2, s. 191-196q 78:2<191-196x 0031-6970x 1432-1041
856u https://liu.diva-portal.org/smash/get/diva2:1609698/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856u https://link.springer.com/content/pdf/10.1007/s00228-021-03234-6.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-180909
8564 8u https://doi.org/10.1007/s00228-021-03234-6
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:147941256

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