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. 2007 Oct 17;2007(4):CD005454. doi: 10.1002/14651858.CD005454.pub2

Sindrup 2001.

Methods Double blind placebo controlled crossover design, five weeks. Two five week periods, at least one week washout, no carry over effect
Inclusion criteria: age at least 20 years, duration of symptoms at least six months
Participants Polyneuropathy (diabetic 18, non‐diabetic 29). 54 participants (47 final number)
Mean age 58 years (range 30 to 82), 31 male and 16 female patients
Pain score 14 (25 to 75 % CI: 9 to 19), mean consumption of paracetamol 500 mg six tablets / week (25 to 75 % CI: 0 to 22)
Interventions St.John's wort (total hypericin) 2700 mcg daily orally, or placebo
Outcomes Pain patients reported, 6‐item global improvement, sum pain score (0 to 40), paracetamol weekly consumption (number of 500 mg tablets), overall period reference
On St.John's complete or good improvement 6/47, moderate 3/47, slight 4/47, no change 22/47, worse 12/47: on placebo complete or good improvement
 0/47, moderate 2/47, slight 7/47, no change 25/47, worse 13/47
Pain on St.John's 14 (25 to 75 % CI: 7 to 21), on placebo 15 (9 to 19)
Paracetamol consumption on St.John's 4 (25 to 75 % CI: 0 to 21), on placebo 5 (0 to18)
Overall period preference 25 for St.John's, 16 for placebo, 6 no difference
Notes Dropouts 7/54; 
 on St John's 2 (1 SE and 1 lost to follow‐up), on placebo 4 (1 SE, 3 needed pain treatment), 1 inconsistent pain rating
SE: 13/54 on St. Johns, 15/54 on placebo. Withdrawn due to SE 1/54 on St. johns, 1/54 on placebo
QS = 5
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate