ROLE OF HYOSCINE N-BUTYLBROMIDE (HBB) AS MONOTHERAPY IN THE MANAGEMENT OF ACUTE URETERAL COLIC

Dr Mukesh Suvera, Dr Sachi Sankhala, Dr Swapnil Sharma, Dr Bhimsi Bhadarka

Abstract


Introduction: HBB is used regularly in some countries to treat a variety of urological conditions, by virtue of its spasmolytic effect on the  smooth musculature of the urinary tract. Its role as a monotherapy in the management of the acute ureteric colic is still debatable. Even if HBB does not appear to have the same effect as NSAIDs, it has less cardiac and nephrologic side effects. Aims and objective: To determine the efficacy of HBB as a monotherapy in  the management of acute ureteric colic. Materials and Methods: A prospective randomized control study was conducted in smt Sharadaben general hospital from December 2016 to July 2017. 150 outdoor patients were selected, both females and males with diagnosis of acute ureteric colic. Results: All the patients were treated with HBB. Out of 150 patients, 110 patients were benefited with HBB alone but effect of analgesia as compared to combined analgesic therapy was found to be low. Conclusion: HBB is effective in the management of acute ureteric pain. However its role as a monotherapy in the management is still unclear as no advantage when used as monotherapy over established forms of analgesia.

Keywords


Hyoscine N-butylbromide, Ureteral colic, Spasmolytic, Analgesia

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References


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