Increased Postoperative Opioid Consumption in the Presence of Co-administration of 5-HT3 Antagonists with Acetaminophen: A Hospital Registry Study.
Nikolai RatajczakRicardo Munoz-AcunaSimone RedaelliAiman M SuleimanEva-Lotte SeiboldDario von WedelDenys ShaySarah AshrafianGuanqing ChenEswar SundarElena AhrensLuca J WachtendorfMaximilian S SchaeferPublished in: Anesthesiology (2024)
A dose-dependent association of pre- or intraoperative acetaminophen with decreased postoperative opioid consumption was not observed when 5-HT3 antagonists were co-administered, suggesting that physicians might consider reserving 5-HT3 antagonists as rescue medication for postoperative nausea or vomiting when acetaminophen is administered for pain prophylaxis.