Awachat Akshata, Shukla Deepankar, Bhola Nitin D
Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital Sawangi, Datta Meghe Institute of Medical Sciences (DU), Wardha, IND.
Department Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital Sawangi, Datta Meghe Institute of Medical Sciences (DU), Wardha, IND.
Cureus. 2022 Oct 18;14(10):e30411. doi: 10.7759/cureus.30411. eCollection 2022 Oct.
Diclofenac sodium is a nonsteroidal anti-inflammatory drug that effectively manages pain following therapeutic extractions. Post-extraction pain is commonly treated with non-steroidal anti-inflammatory drugs (NSAIDs). In addition to their high bioavailability and long duration of action, transdermal NSAIDS have several other advantages. The review tries to understand and elucidate the use of transdermal patches, here Diclofenac, as a postoperative pain management modality. Drug delivery is one of the essential aspects of drug administration where transdermal patches are to be found equally effective when compared to oral administration of drugs. Various analgesics can be administered as patches, for example, ketoprofen, diclofenac, etc. There are also comparative studies between diclofenac and ketoprofen to see and understand the efficacy of transdermal patches compared with oral administration. Compared to oral administration, transdermal patches offer numerous benefits. These include avoidance of first-pass metabolism, sustained and non-rapid absorption, steady plasma levels that remain for prolonged periods, lack of patient dependence on drugs, prevention of gastric distress, and flexibility of stopping delivery of medications by simply removing the patch. This review aims to examine the diclofenac transdermal patch's effectiveness in reducing postoperative pain after orthodontic extraction.
双氯芬酸钠是一种非甾体抗炎药,可有效控制治疗性拔牙后的疼痛。拔牙后疼痛通常用非甾体抗炎药(NSAIDs)治疗。除了生物利用度高和作用时间长外,透皮NSAIDs还有其他几个优点。本综述试图了解和阐明透皮贴剂(此处指双氯芬酸)作为术后疼痛管理方式的应用。药物递送是药物给药的重要方面之一,与口服给药相比,透皮贴剂同样有效。各种镇痛药都可以制成贴剂给药,例如酮洛芬、双氯芬酸等。也有双氯芬酸和酮洛芬之间的比较研究,以观察和了解透皮贴剂与口服给药相比的疗效。与口服给药相比,透皮贴剂有许多优点。这些优点包括避免首过代谢、持续且非快速吸收、血浆水平稳定且能长时间维持、患者不依赖药物、预防胃部不适以及通过简单移除贴剂即可灵活停止药物递送。本综述旨在研究双氯芬酸透皮贴剂在减轻正畸拔牙术后疼痛方面的有效性。