Evidence mapPaperPMID 40955267Full record

ArticleCureus2025

Nationwide Etoricoxib Injection Clinical Experience (NICE) 2.0: Assessing Real-World Effectiveness and Tolerability of Etoricoxib Injection in Acute Pain Management in Both Inpatient and Outpatient Settings.

Sb Uday Kumar, Shubh Mehrotra, Amulya Singh, Tanay Prabhoo, Sameer Muchhala, Vidhya Natarajan

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sb Uday KumarOrthopedics, Parmanand Deepchand (PD) Hinduja Sindhi Hospital, Bangalore, IND.
Shubh MehrotraOrthopedics, Lovee Shubh Hospital, Lucknow, IND.
Amulya SinghOrthopedics, Akshat Seva Sadan, Patna, IND.
Tanay PrabhooSpine Surgery, Lilavati Hospital and Research Centre, Mumbai, IND.
Sameer MuchhalaMedical Affairs, Zydus Healthcare Limited, Mumbai, IND.
Vidhya NatarajanMedical Affairs, Zydus Healthcare Limited, Mumbai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective acute pain management remains a challenge. Etoricoxib, a selective COX-2 inhibitor, is known for its favorable safety profile compared to traditional NSAIDs. While oral etoricoxib is well-established for pain management, the intramuscular (IM) formulation remains underrepresented in the published literature and warrants further clinical investigation.

objectivesThis study aims to assess the effectiveness of IM etoricoxib (90 mg/mL) in reducing acute pain severity in inpatient and outpatient settings and to evaluate its tolerability. MATERIALS AND

methodsIn this retrospective, multicenter, observational cohort study, medical records of 1,018 patients treated at the discretion of doctors across 296 centers in India were reviewed. Pain was assessed on the 10-point Visual Analog Scale (VAS). In outpatient settings, VAS score recordings were taken at baseline and at 30- and 60-minute post-injection intervals. In inpatient settings, recordings were taken at baseline, 30 minutes, 60 minutes, 6 hours, 12 hours, and 24 hours. Adverse events were documented.

resultsThe study included 1,018 patients, 229 (22.5%) inpatients and 789 (77.5%) outpatients. The primary indication for IM etoricoxib injection was acute back pain (272, 26.7%). Pain reduction, measured via VAS, showed significant results. In outpatients, VAS scores reduced by 61.6% at 60 minutes post-injection (p < 0.001). In inpatients, pain reduction was sustained over 24 hours, with a cumulative reduction of 69.45% at 24 hours (p < 0.001). The need for rescue analgesics was minimal (2.9%). Safety analysis revealed no adverse events in 992 (97.4%) of patients, with mild pain at the injection site in 338 (33.2%).

conclusionIM etoricoxib demonstrated rapid and sustained pain relief with excellent tolerability across diverse patient populations.

Indexed as

acute pain managementetoricoxibinpatient settingsintramuscular (im) formulationoutpatient settingsvisual analog scale

Identifiers

PMID40955267
PMCPMC12433326

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.