Borges J, Zavaleta C
J Int Med Res. 1976;4(1):74-8. doi: 10.1177/030006057600400112.
The effect of a new analgesic compound (propoxyphene, acetaminophen, caffeine, hydroxyzine) was investigated in a single-blind study comparing it with plain acetaminophen administered to forty patients with tension headache. For the study, patients were assigned to one of two groups of twenty each. Starting dose for each group was one to two tablets followed by one tablet every four to six hours. The results show that 90% clinical success was obtained with the analgesic compound, while a 45% success was obtained with plain acetaminophen. This is a statistically significant difference. Side-effects observed with analgesic compound were primarily drowsiness and dizziness of mild intensity; acetaminophen caused gastro-intestinal alterations (nausea, vomiting) and dizziness of greater severity. Therapy was withdrawn in 20% of patients taking acetaminophen because of side-effects. The dosage of analgesic compound required to control each episode of tension headache was smaller than that of acetaminophen. These results can be explained by a possible potentiation of pharmacological activity of the compound's components. It can be concluded that the analgesic compound is a new and effective combination for the symptomatic treatment of tension headache.
在一项单盲研究中,对一种新型镇痛化合物(丙氧芬、对乙酰氨基酚、咖啡因、羟嗪)的效果进行了研究,并将其与给予40名紧张性头痛患者的普通对乙酰氨基酚进行比较。在该研究中,患者被分为两组,每组20人。每组的起始剂量为1至2片,随后每4至6小时服用1片。结果显示,使用该镇痛化合物的临床成功率为90%,而使用普通对乙酰氨基酚的成功率为45%。这是一个具有统计学意义的差异。使用镇痛化合物观察到的副作用主要是轻度嗜睡和头晕;对乙酰氨基酚则导致胃肠道改变(恶心、呕吐)以及更严重的头晕。由于副作用,20%服用对乙酰氨基酚的患者停止了治疗。控制每次紧张性头痛发作所需的镇痛化合物剂量比对乙酰氨基酚小。这些结果可以通过该化合物各成分药理活性的可能增强来解释。可以得出结论,该镇痛化合物是治疗紧张性头痛症状的一种新型有效组合。