Dextromethorphan for Postoperative Pain after Knee Surgery

This study is testing if dextromethorphan, a common cough medicine, can help reduce pain after total knee replacement surgery. Researchers believe it might have pain-relieving effects. You could be eligible if you are at least 18 years old, planning to have total knee replacement surgery, and meet certain health criteria (ASA classes I-III). However, you cannot join if you have a BMI (Body Mass Index) of 35 or higher, a history of opioid abuse, or severe vomiting after past surgeries. The main goal is to see if dextromethorphan reduces the amount of opioid pain medication needed in the 24 hours after surgery. This study plans to include 160 participants, but its current status is unclear.

Study design
This is a randomized, placebo-controlled study involving 160 participants. You would be assigned by chance to receive either dextromethorphan or a placebo (an inactive substance).
What's involved
You would receive 60 mg of oral dextromethorphan (or placebo) before surgery, and then 30 mg at 8 and 16 hours after surgery.
Compensation
Not stated in the trial record.
Follow-up
Your opioid use will be measured for 24 hours after surgery.

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NCT05278494

Dextromethorphan for Treatment of Postoperative Pain

Recruiting
NAAges 18+InterventionalTreatment
Nathanael Heckmann
~160 participants
Updated 2026-03-27 on ClinicalTrials.gov
What's tested:Dextromethorphan HydrobromidePlacebo

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Post-op opioid use
Measured over 24 hours
Post-operative Pain
1 sites across 1 states
California1

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Eligibility criteria

Inclusion

Patients Age ≥18 planning to undergo total knee arthroplasty
ASA classes I - III

Exclusion

BMI ≥ 35
History opioid abuse
History of intractable vomiting after previous surgery
  • Post-op opioid use24 hours