Evidence map›Paper›PMID 40687903›Full record

Trial reportDrug design, development and therapy2025

The Adjunctive Effect of Quercetin on Postoperative Pain Management Following Cesarean Section: A Randomized Controlled Study.

Eman Mohamed Elmokadem, Dina Khaled Abou El Fadl, Ahmed M Bassiouny, Maisa Mohamed Abd Elkhalik Mahmoud, Mohammed Samy, Nouran Omar El Said

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06650891 phase3completednot on this map

The Adjunctive Effect of Quercetin on Postoperative Pain Management Following Cesarean Section

TypeinterventionalSponsorFuture University in EgyptRan2024 to 2025Enrolled80ConditionsPost Operative Pain, Cesarean Section ComplicationsArmsQuercetin, Placebo
NCT07502235 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of Lactoferrin on Pain Management Following Cesarean Section

TypeinterventionalSponsorAin Shams UniversityRan2026 to 2026Enrolled90ConditionsCesarean Birth, Post Operative AnalgesiaArmsLactoferrin, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Eman Mohamed Elmokadem *Department of Pharmacy Practice and Clinical Pharmacy, Faculty of Pharmacy, Future University in Egypt, Cairo, Egypt.
Dina Khaled Abou El Fadl *Department of Pharmacy Practice and Clinical Pharmacy, Faculty of Pharmacy, Future University in Egypt, Cairo, Egypt.
Ahmed M BassiounyDepartment of Radiodiagnosis, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Maisa Mohamed Abd Elkhalik MahmoudDepartment of Anesthesia, El Matarya Teaching Hospital, Cairo, Egypt.
Mohammed SamyDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Nouran Omar El Said *Department of Pharmacy Practice and Clinical Pharmacy, Faculty of Pharmacy, Future University in Egypt, Cairo, Egypt.ORCID 0000-0001-5663-4924

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Post-cesarean section pain management remains a crucial challenge in obstetric care, with implications for maternal recovery, mother-child bonding, and long-term health outcomes. Quercetin, a naturally occurring flavonoid with anti-inflammatory and antioxidant properties, has shown promising analgesic effects in preclinical studies but has limited clinical evidence for acute pain management. This study aimed to assess the efficacy of preoperative Quercetin administration on acute post-operative pain following cesarean section. Patients and Methods: In this prospective, double-blinded, randomized controlled trial, 80 patients undergoing elective cesarean section under spinal anaesthesia were randomly allocated to receive either 500 mg oral Quercetin (n=40) or matching placebo (n=40) one hour before surgery. The primary outcome was postoperative pain intensity assessed using a 10 cm Visual Analog Scale (VAS) at 2, 6, 12, and 24 hours after surgery. Secondary outcomes included time to first analgesic request, total morphine consumption, incidence of postoperative nausea and vomiting, time to physical activity initiation, functional activity, patient satisfaction, and adverse effects. Results: The Quercetin group demonstrated significantly lower VAS scores at all measured time points (p<0.001) and delayed time to first analgesic request (3.9±1.3 vs 2.73±0.78 hours, p<0.001) compared to the placebo group. Additionally, patients receiving Quercetin initiated physical activity significantly earlier (15.2±1.9 vs 19.03±2.66 hours, p<0.001) and reported higher satisfaction levels on postoperative day 2 (p=0.042). However, total morphine consumption, functional activity, incidence of nausea and vomiting, and hospital length of stay were comparable between groups, with no significant differences in adverse effects. Conclusion: Preoperative administration of 500 mg Quercetin significantly reduced postoperative pain and delayed the need for rescue analgesia following cesarean section, allowing for earlier mobilization without increasing adverse effects. These findings suggest Quercetin may serve as a safe, effective adjunct in multimodal pain management protocols for cesarean delivery. Clinical Trial Registration: NCT06650891 (2024-10-21).

Indexed as

AnalgesicsCesarean SectionPain ManagementPostoperative PainQuercetinAdministration, OralAdultDouble-Blind MethodFemaleHumansPain MeasurementPregnancyProspective StudiesAnalgesicsQuercetinanalgesiaflavonoidpost-cesarean painpostoperative pain managementquercetin

Identifiers

PMID40687903
PMCPMC12273731

What OpenQuestion holds

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Registered trials

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 OpenQuestion graph.