• I Lala, P Leech, L Montgomery, and K Bhagat.
• Department of Clinical Pharmacology, University of Zimbabwe, P.O. Box A 178, Avondale, Harare, Zimbabwe.
• East Afr Med J. 2000 Sep 1;77(9):504-7.

ObjectiveTo evaluate the analgesic activity of ibuprofen against paracetamol using a simple pain model.DesignA double-blind study.SettingTwenty general practitioners in Harare, Zimbabwe.PatientsAdults with acute sore throat of a maximum of two days' duration.InterventionsOne hundred and thirteen patients with acute pain associated with tonsillo-pharyngitis randomly received either 400 mg ibuprofen or 1000 mg paracetamol. The study design included repeated administration up to 48 hours to assess tolerability.Main Outcome MeasuresAt hourly intervals for six hours after the first dose of treatment, the patients evaluated pain intensity on swallowing, difficulty in swallowing and global pain relief according to visual analogue scales.ResultsIbuprofen 400 mg was significantly more effective than paracetamol 1000 mg in all three ratings, at all time-points for pain intensity and difficulty in swallowing, and from two hours onwards for pain relief. There were no serious adverse effects and no statistically significant difference in the incidence of adverse effects in the two treatment groups.ConclusionsSore throat pain provided a sensitive model to assess the analgesic efficacy of class I analgesics and discriminated between the analgesic efficacy of ibuprofen and paracetamol.

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