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Rectal or intravenous non-steroidal anti-inflammatory drugs in acute renal colic
  1. Caroline Lee, Specialist Registrar,
  2. Dhurga Gnanasegaram,
  3. Margaret Maloba, Specialist Registrars
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK;


    A short cut review was carried out to establish whether rectal non-steroidal anti-inflammatory drugs (NSAIDs) are as effective as IV NSAIDs in the management of acute renal colic. Altogether 179 papers were found using the reported search, of which two represent the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. Rectal NSAIDs are an effective form of analgesia for patients with acute renal colic and have fewer side effects compared with intravenous NSAIDs.

    • NSAIDs
    • renal colic

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