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CompletedNCT03910088PDPHUpdated Nov 12, 2019

Pregabalin Versus Hydrocortisone for Postdural Puncture Headache After Spinal for Cesarean

A Phase 4 interventional study of Pregabalin 100Mg Oral Cap and Hydrocortisone in Post-Dural Puncture Headache, sponsored by Cairo University. Completed at 1 site in Egypt. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2019-11-12.

Sponsored by Cairo University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

Postdural puncture headache (PDPH) is a common complication after spinal anesthesia. The role of pregabalin and hydrocortisone in the treatment of PDPH is unclear. The aim of this work is to assess and compare the efficacy of both drugs in severe cases of PDPH after spinal anesthesia for elective cesarean section.

Read the detailed description

The study will be done on 30 patient with PDPH with VAS score ≥ 5 after spinal anesthesia for elective cesarean section. Patients will be divided into three groups: Control group (group C):will receive conventional treatment in the form of good oral hydration, 500 mg of acetaminophen plus 65 mg of caffeine oral tablets thrice daily, 3 cups of coffee daily, 50 mg of diclofenac potassium oral tablets twice daily and recumbent positioning for 48 hours. Pregabalin group (group P): will receive the conventional treatment plus 100 mg of pregabalin oral tablet every 8 hours for 48 hours. Hydrocortisone group (group H): will receive the conventional treatment plus 100 mg of hydrocortisone IV every 8 hours for 48 hours. The three groups will be compared regarding the headache intensity using a visual analog scale.

02

Conditions studied

  • Post-Dural Puncture Headache

Keywords

  • spinal
  • cesarean
  • pregabalin
03

In context

Post-Dural Puncture Headache

125 studies on the registry are indexed under Post-Dural Puncture Headache; 25 are open to participants now.

This study's enrollment of 30 is below the median of 80 across 82 interventional studies indexed under Post-Dural Puncture Headache.

Browse Post-Dural Puncture Headache studies →

Lead sponsor

Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Patients who underwent elective cesarean section under spinal anesthesia.
  • Patients aged 18 to 40 years old.
  • Patients classified as ASA I or II.

Exclusion criteria

Exclusion Criteria:

  • Patients with known sensitivity to any of the used drugs.
  • Patients classified as ASA III or more.
  • Preeclampsia.
  • Patients with a history of chronic headache or migraine Patients receiving pregabalin for chronic pain.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
30 participants (actual)

Study arms

  • Placebo comparator
    control group

    received conventional treatment in the form of good oral hydration, 500 mg of acetaminophen plus 65 mg of caffeine oral tablets thrice daily, 3 cups of coffee daily, 50 mg of diclofenac potassium oral tablets twice daily and recumbent positioning for 48 hours

    Drug: Acetaminophen · Other: oral fluids · Drug: Caffeine · Drug: Diclofenac

  • Active comparator
    Pregabalin

    received the conventional treatment plus 100 mg of pregabalin oral tablet every 8 hours for 48 hours

    Drug: Pregabalin 100Mg Oral Cap · Drug: Acetaminophen · Other: oral fluids · Drug: Caffeine · Drug: Diclofenac

  • Active comparator
    Hydrocortisone

    received the conventional treatment plus 100 mg of hydrocortisone IV every 8 hours for 48 hours.

    Drug: Hydrocortisone · Drug: Acetaminophen · Other: oral fluids · Drug: Caffeine · Drug: Diclofenac

Interventions

  • DrugPregabalin 100Mg Oral Cap

    giving a drug to relieve post-dural puncture headache

  • DrugHydrocortisone

    Giving drug to relieve post-dural puncture headache

  • DrugAcetaminophen

    giving a drug to relieve post-dural puncture headache

    Also known as: Paracetamol

  • Otheroral fluids

    giving oral fluids to maintain good hydration

    Also known as: good hydration

  • DrugCaffeine

    giving a drug to relieve post-dural puncture headache

  • DrugDiclofenac

    giving a drug to relieve post-dural puncture headache

06

What researchers measure

Primary outcomes

  1. Assessment of pain using Visual Analogue Scale

    Headache intensity after 1 minute in upright position using the Visual Analogue Scale for pain assessment ranging from 0 to 10, with zero means no pain and 10 is the worst pain after 48 hours of treatment

    Time frame: the first 48 hours following treatment

Secondary outcomes

  1. Assessment of the amount of rescue drug

    Total dose of nalbuphine given in each group..

    Time frame: The first 48 hours following treatment

  2. incidence of side effects of the studied drug

    incidence of Somnolence

    Time frame: the first 48 hours following treatment

  3. incidence of side effect of the studied drug

    incidence of dizziness

    Time frame: the first 48 hours following treatment

07

Study locations

1 site
  • Cairo University
    Cairo, Zamalek 11586, Egypt
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03910088
Lead sponsor
Cairo University
Responsible party
Nesrine El-Refai (professor, Cairo University) — Principal investigator
First posted
Apr 10, 2019
Start date
Apr 20, 2019
Primary completion
Jun 30, 2019
Completion
Jun 30, 2019
Last update
Nov 12, 2019

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

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