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. 2023 May 10;2023(5):CD014682. doi: 10.1002/14651858.CD014682.pub2

Rowbotham 2005.

Study characteristics
Methods Design: parallel
Duration: 6 weeks
Assessment: baseline and post‐intervention
Country: USA
Participants Pain condition: post‐herpetic neuralgia
Population: people aged > 40 with post‐herpetic neuralgia
Minimum pain intensity: no
Inclusion criteria
  • Over the age of 40 were eligible if they had well‐established post‐herpetic neuralgia (defined as pain present > 3 months after healing of the skin rash)


Exclusion criteria
  • Any pain condition with greater severity than the post‐herpetic neuralgia. Depression included and measured at baseline by a psychologist


Total participants randomised: 47
Age in years (mean, range): 72 (40‐84)
Gender: 27/47 were female
Pain duration in months (mean, range): 42 (3‐168)
Interventions Desipramine 25‐150 mg
  • n = 15

  • TCA

  • Flexible dose

  • Mean dose taken: 93 mg/day


Amitriptyline 25‐150 mg
  • n = 17

  • TCA

  • Flexible dose

  • Mean dose taken: 77 mg/day


Fluoxetine 10‐60 mg
  • n = 15

  • SSRI

  • Flexible dose

  • Mean dose taken: 44 mg/day

Outcomes Withdrawal
Missing data methods ITT but no methods
Funding source Non‐pharmaceutical: supported by NIH program project grant NINDS 21445 and NINDS K24 NS02164
Conflicts of interest NR
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation methods NR
Allocation concealment (selection bias) Unclear risk Allocation procedures NR
Blinding of participants and personnel (performance bias)
All outcomes Low risk Double‐blind, double‐dummy design
Blinding of outcome assessment (detection bias)
All outcomes Low risk Self‐reported outcomes by blinded participants
Incomplete outcome data (attrition bias)
All outcomes High risk Says modified ITT but doesn't mention imputation method. Higher attrition in the fluoxetine arm than other arms
Attrition
Total: 9/47 (19.2%)
Desipramine 25‐150 mg: 2/15 (13.3%)
Amitriptyline 25‐150 mg: 2/17 (11.8%)
Fluoxetine 10‐60 mg: 5/15 (33.3%)
Selective reporting (reporting bias) Unclear risk No protocol or trial registry found
Other bias Low risk No other sources of bias were identified.