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. 2015 Jun 15;2015(6):CD007402. doi: 10.1002/14651858.CD007402.pub3

Dreiser 1990.

Methods R, DB, PC, parallel groups
Gel lightly massaged into skin over affected area 3 times daily, then covered with standard compress
Assessed at baseline, 3, 7 days
Participants Uncomplicated, ankle sprain (< 4 days)
N = 60 (59 analysed)
M 29, F 29 (not stated for 1 participant)
Mean age 33 years
Baseline pain ≥ moderately severe
Exclusions: 1 participant had only moderate pain at baseline
Interventions Niflumic acid gel 2.5%, 3 x 5 g daily, n = 30
Placebo gel, n = 30
Concomitant treatment with systemic NSAIDs, local therapies, or physiotherapy were not allowed
Outcomes PGE: 4‐point scale (responder = "cured" or "improved")
Improvement in pain: VAS (mean data)
Adverse events
Withdrawals and exclusions
Notes Oxford Quality Score: R1, DB1, W1. Total = 3/5
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants included in analysis
Size High risk < 50 participants per treatment arm