Skip to main content
. 2016 Feb 5;2016:1205.
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
[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