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. Author manuscript; available in PMC: 2014 Sep 13.
Published in final edited form as: Cochrane Database Syst Rev. 2010 Apr 14;(4):CD008041. doi: 10.1002/14651858.CD008041.pub2
Methods Multicentre, randomised, double-blind, parallel-group.
Medication taken up to three times at 2-hour intervals, if adequate relief not obtained, to treat a single migraine attack
Rescue medication taken if no relief of symptoms after three doses of trial medication. Usual medication allowed if attack persisted 2 hours after second dose of trial medication
Assessments at 0 and 2 hours.
Participants Aged 18-65 years, meeting IHS criteria for migraine.
Excluded participants with tension headache.
N = 227
M = 34, F = 193
Mean age 34 years
Interventions Lysine acetylsalicylate 1620 mg (equivalent to 900 mg aspirin) plus metoclopramide 10 mg, n = 112
Ergotamine 2 mg plus caffeine 200 mg, n = 115
Outcomes No nausea or vomiting 2 hours after first intake
Headache intensity (4-point categorical scale)
Headache relief
Complete resolution of headache
Use of rescue medication
Patients’ global evaluation of treatment
Notes Oxford Quality Score: R2, DB2, W1. Total = 5.
Risk of bias
Item Authors’ judgement Description
Adequate sequence generation? Yes “Central randomisation list generated with SAS (PC version) 6.08”
Allocation concealment? Unclear Not described
Blinding?
All outcomes
Yes “Maintained by providing an equivalent number of placebo sachets or capsules”