Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Headache scores | |||||
[16]
RCT 3-armed trial |
90 people; diagnosed using Criteria of the Ad Hoc Committee, 1962[2]
In review [11] |
Reduction in mean headache score
1 week
with amitriptyline 10 mg with placebo Absolute results not reported |
P <0.001 Mild reduction in headache scores at week 1 with amitriptyline 10 mg |
Effect size not calculated | amitriptyline |
[16]
RCT 3-armed trial |
90 people; diagnosed using Criteria of the Ad Hoc Committee, 1962[2]
In review [11] |
Reduction in mean headache score
2 and 4 weeks
with amitriptyline 10 mg with placebo Absolute results not reported |
No reduction in headache scores at weeks 2 or 4 with amitriptyline 10 mg |
||
[16]
RCT 3-armed trial |
90 people; diagnosed using Criteria of the Ad Hoc Committee, 1962[2]
In review [11] |
Reduction in mean headache score
1, 2, and 4 weeks
with amitriptyline 25 mg with placebo Absolute results not reported |
No difference noted at 1, 2, or 4 weeks with 25 mg dose of amitriptyline |
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[15]
RCT Crossover design 3-armed trial |
40 people; diagnosed using IHS criteria[17]
In review [10] |
Reduction in area under headache curve (AUC)
32 weeks
with amitriptyline with placebo Absolute results not reported |
P = 0.002 for amitryptiline v placebo Results in 34/40 people (85%) who completed the trial Significant result for combined outcome resulted primarily from significant reductions in duration of headache (P = 0.01), rather than headache intensity (P = 0.12) |
Effect size not calculated | amitriptyline |
[12]
RCT 5-armed trial |
203 people; diagnosed using Criteria of the Ad Hoc Committee, 1962[2] |
Clinically important improvement (50% or more reduction in headache scores)
4 weeks
34/53 (64%) with amitriptyline 14/48 (29%) with placebo |
RR 2.19 95% CI 1.35 to 3.57 |
Moderate effect size | amitriptyline |
[12]
RCT 5-armed trial |
203 people; diagnosed using Criteria of the Ad Hoc Committee, 1962[2] |
Headache index scores
4 weeks
with amitriptyline with placebo Absolute results not reported |
MD 0.92 95% CI 0.44 to 1.41 |
Effect size not calculated | amitriptyline |
Headache duration, frequency, or intensity | |||||
[10]
Systematic review |
40 people; diagnosed using IHS criteria[17]
Data from 1 RCT |
Headache intensity
32 weeks
with amitriptyline with placebo Absolute results not reported |
SMD +0.06 95% CI –0.42 to +0.53 |
Not significant | |
[10]
Systematic review |
40 people; diagnosed using IHS criteria[17] |
Headache duration
32 weeks
with amitriptyline with placebo Absolute results not reported |
SMD +0.22 95% CI –0.26 to +0.7 |
Not significant | |
[14]
RCT Crossover design |
27 people; diagnosed using IHS criteria[17] |
50% reduction in headache frequency or severity
with amitriptyline with placebo Absolute results not reported |
P <0.001 |
Effect size not calculated | amitriptyline |
[13]
RCT 3-armed trial |
203 people; diagnosed using Criteria of the Ad Hoc Committee, 1962[2] |
50% or more reduction in headache frequency, duration, and intensity
with amitriptyline with amitriptyline-N-oxide with placebo Absolute results not reported |
Reported as not significant for both amitryptyline and amitriptyline-N-oxide v placebo |
Not significant |