Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Adverse effects | |||||
Systematic review |
1814 women 23 RCTs in this analysis |
All adverse effects
with NSAIDs with placebo Absolute results not reported |
OR 1.37 95% CI 1.12 to 1.66 P = 0.0018 The review reported that the most commonly reported adverse effects were mild neurological and gastrointestinal symptoms |
Small effect size | placebo |
Systematic review |
702 women 13 RCTs in this analysis |
Gastrointestinal adverse effects
with NSAIDs with placebo Absolute results not reported |
OR 1.47 95% CI 0.99 to 2.18 P = 0.059 Analysis included 2 RCTs of aspirin |
Not significant | |
Systematic review |
498 women 7 RCTs in this analysis |
Neurological adverse effects
with NSAIDs with placebo Absolute results not reported |
OR 2.74 95% CI 1.66 to 4.53 P = 0.00008 Included events such as headache, drowsiness, dizziness, and dryness of mouth Analysis included 1 RCT of aspirin |
Moderate effect size | placebo |
RCT Crossover design 3-armed trial |
149 women, aged 18–44 years, with primary dysmenorrhoea |
Adverse effects
40/129 (31%) with celecoxib 46/126 (37%) with naproxen sodium 38/127 (30%) with placebo |
The majority of adverse effects were related to primary dysmenorrhoea; the most common adverse effects included nausea, headaches, insomnia, dizziness, and constipation |
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RCT 3-armed trial |
180 women with primary dysmenorrhoea |
Adverse effects
with mefenamic acid with placebo |
The RCT reported nausea in 1 woman who received mefenamic acid but gave no further information |