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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
Study ID Treatment Any AE Specific AEs Serious AEs AE withdrawal Other withdrawals/exclusions
Boureau 1994 (1) Aspirin 1000 mg, n = 198

(2) Paracetamol 400 mg + codeine 25 mg, n = 198

(3) Placebo, n = 198
(1) 29/198

(2) 36/198

(3) 27/198
None None 12 pts excl from analyses because of serious protocol deviations
Chabriat 1994 (1) LAS 1650 mg (= 900 mg aspirin) + metoclopramide 10 mg, n = 126

(2) Placebo, n = 124
No usable data “Minor and transient AE reported” (no numbers):
- constipation
- nausea
- dizziness and/or vertigo
One patient reported epigastric pain one month after one dose of LAS-MCP and was found to have a gastric ulcer. None None
Diener 2004a (1) Effervescent aspirin 1000 mg, n = 147

(2) Sumatriptan 50 mg, n = 135

(3) Placebo, n = 153
(1) 19/147
(2) 19/135
(3) 16/153
Gastrointestinal:

(1) 5/147

(2) 7/135

(3) 7/153
None reported None reported 2 pts excl from efficacy - did not return diary
Diener 2004b (1) Effervescent aspirin 1000 mg, n = 222

(2) Ibuprofen 400 mg, n = 212

(3) Sumatriptan 50 mg, n = 226

(4) Placebo, n = 222
(1) 36/222

(2) 26/212

(3) 45/226

(4) 32/222
No data (1) 1/222 (renal colic)

(2) 1/212 (perforated duodenal ulcer)

(3) 0/226

(4) 0/222
Possibly 2 serious AEs, but unconfirmed 1 treated pt excluded from analysis - did not return diary
Geraud 2002 (1) Aspirin 900 mg + metoclopramide 10 mg, n = 340

(2) Zolmitriptan 2.5 mg, n = 326
(1) 99/340

(2) 133/326
Most common:

(1) Abdominal pain (5.0%), somnolence (5.0%), asthenia (4.9%)

(2) vertigo (6.7%), somnolence (5.5%), paraesthesia (4.3%)
(1) 5/340

(2) 6/326
Over 3 attacks:

(1) 5/340 (diarrhoea, palpitations + asthenia, anxiety + dry mouth, phlebitis)

(2) 3/326 (dizziness, somnolence, dizziness + vasodilatation)
Details provided, but numbers are for entire study period and most due to failure to treat 3 attacks.
Henry 1995 (1) Effervescent aspirin 900 mg + metoclopramide 10 mg, n = 152

(2) Placebo, n = 151
(1) 31/152

(2) 28/151
Vomiting:

(1) 8/152, (2) 15/151
Stomach ache:

(1) 4/152, (2) 3/151
Somnolence:

(1) 4/152, (2) 1/151
No data None reported None reported, but 45 pts were asleep and did not contribute to the 2 h efficacy evaluation
Lange 2000 (1) Effervescent acetylsalicylic acid 1000 mg, n = 169

(2) Placebo, n = 174
(1) 14/169

(2) 5/174
Most frequent body systems:

(1) whole (5), digestive (3), nervous (3), respiratory (3)

(2) whole (3)
None None reported None reported
Le Jeunne 1998 (1) calcium carbasalate (= 900 mg aspirin) plus metoclopramide 10 mg, n = 134

(2) ergotamine tartrate 1 mg plus caffeine 100 mg, n = 132
Over 2 attacks:

(1) 30/136

(2) 42/132
Any GI AE: (1) 9/136, (2) 28/132
Somnolence: (1) 6/136, (2) 5/132
Abdominal pain: (1) 5/136, (2) 12/132
Nausea: (1) 5/136, (2) 11/132
(1) 1/136 (pulmonary embolism)

(2) 0/132
(1) 1/136 (pulmonary embolism)

(2) 1/132 (back pain)
2 pts did not return diary cards
Lipton 2005 (1) Aspirin 1000 mg, n = 205

(2) Placebo, n = 204
(1) 18/205

(2) 10/204
Nausea:

(1) 7/205

(2) 2/204
All other AE ≤1%
(1) 0/205

(2) 1/204 (perforated appendix)
Possibly one serious AE, but not confirmed 4 pts in each group treated non-migraine headaches, so excluded from efficacy analysis
MacGregor 2002 (1) Mouth-dispersible aspirin 900 mg, n = 73

(2) Placebo, n = 73
No usable data Gastrointestinal:

(1) 8/73 (dyspepsia, nausea, vomiting)

(2) 4/73 (abdominal pain, nausea, vomiting)
(1) 1/73 (headache)

(2) 1/73 (endometriosis)
(1) 4/73 (nausea, tinnitus, coughing, taste perversion)

(2) 0/73
28 pts originally randomised were not included in analyses: insufficient attacks (6), unable to complete diary (7), withdrew consent (4), lost to follow-up (4) other (5)
Tfelt-Hansen 1995 (1) LAS 1620 mg (= 900 mg aspirin) + metoclopramide 10 mg, n = 137

(2) Sumatriptan 100 mg, n = 122

(3) Placebo, n = 126
Over 3 attacks:(1) 25/137

(2) 37/122

(3) 18/126
Most common over 3 attacks:

(1) somnolence, abdominal pain, nausea + vomiting

(2) nausea + vomiting, fatigue, constriction of throat/chest pain, paraesthesia, somnolence, abdominal pain

(3) nausea + vomiting, fatigue
1 sumatriptan pt had acute AF requiring hospital admission Over 3 attacks:

(1) 1/138

(2) 4/125

(3) 2/126
32 pts originally randomised did not have any attacks and 4 took treatment but did not complete diaries
Thomson 1992 (1) Aspirin 900 mg + metoclopramide 10 mg, n = 183

(2) Sumatriptan 100 mg, n = 175
Over 3 attacks:

(1) 53/183

(2) 74/175
Most common over 3 attacks:
Nausea and/or vomiting:

(1) 14/183, (2) 18/175
Malaise/fatigue:

(1) 6/183, (2) 11/175
Dizziness/vertigo:

(1) 4/183, (2) 9/175
No data (1) 0/183

(2) 5/175 (headache + faintness + vomiting, scalp tingling + heaviness in chest + globus + prolonged aura, stomach pain, dyspnoea + heaviness in extremities, worsened headache + nausea
3 pts excl from efficacy because did not return diary cards
87 pts excl from efficacy because had mild or no pain at baseline.
Titus 2001 (1) LAS 1620 mg (= 900 mg aspirin) + metoclopramide 10 mg, n = 125

(2) Ergotamine 2 mg + caffeine 200 mg, n = 121
Over multiple attacks and with possible multiple dosing:

(1) 21/125

(2) 28/121
Most common over multiple attacks:

(1) somnolence, diarrhoea, dyspepsia, nausea

(2) abdominal pain, malaise, anxiety
None (1) 1/125 (sinusitis)

(2) 0/121
Lost to follow-up, noncooperation, other:

(1) 8/125

(2) 6/121

pts - participants