Table 5.
Adverse effects of drugs: percentage of people with one or more symptoms attributable to treatment*, according to category of drug and dose, in randomised trials
|
Percentage (95% CI) with symptoms (treated minus
placebo)†
|
||||
|---|---|---|---|---|
| Category of drug | No of trials | Half standard dose | Standard dose | Twice standard dose |
| Thiazides | 59 | 2.0 (−2.2 to 6.3) | 9.9 (6.6 to 13.2) | 17.8 (11.5 to 24.2) |
| β blockers | 62 | 5.5 (0.3 to 10.7) | 7.5 (4.0 to 10.9) | 9.4 (3.6 to 15.2) |
| ACE inhibitors | 96 | 3.9 (−3.7 to 11.6) | 3.9 (−0.5 to 8.3) | 3.9 (−0.2 to 8.0) |
| Angiotensin II receptor antagonists | 44 | −1.8 (−10.2 to 6.5) | 0 (−5.4 to 5.4) | 1.9 (−5.6 to 9.3) |
| Calcium channel blockers | 96 | 1.6 (−3.5 to 6.7) | 8.3 (4.8 to 11.8) | 14.9 (9.8 to 20.1) |
ACE=angiotensin converting enzyme.
Calculated as difference between treated and placebo groups in proportion of participants who developed one or more symptoms, excluding headaches, which were significantly less common in people receiving treatment.
Commonest symptoms: thiazides—dizziness, impotence, nausea, muscle cramp; β blockers—cold extremities, fatigue, nausea; ACE inhibitors—cough; calcium channel blockers—flushing, ankle oedema, dizziness.7