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. 2017 Jun 9;2017(6):CD007938. doi: 10.1002/14651858.CD007938.pub4

Rintala 2007.

Methods Randomised, double‐blind, placebo‐controlled, 3‐way cross‐over, not enriched. No imputation method mentioned
Titration over 4 weeks to pain control, limit of tolerability, or maximum amitriptyline 150 mg daily, gabapentin 3600 mg daily, then stable dose for remainder of 8‐week period; 1‐week washout then cross‐over
Analysis for completers only
Participants SCI at any level and degree of completeness. Pain duration before treatment > 6 months, PI at randomisation > 5/10
N = 38, only 22 participants completed all 3 cross‐overs
Mean age 43 years, 9% women
Initial pain intensity 5.6/10
Interventions Amitriptyline 150 mg daily (max)
Gabapentin 3600 mg daily (max)
Placebo (diphenhydramine) 75 mg daily
Oxycodone + paracetamol 5/325 mg (max 8 tablets daily) allowed for rescue medication
Outcomes No dichotomous data for efficacy or harm
Withdrawals
Notes Oxford Quality Score: R = 2, DB = 2, W = 1, Total = 5
Department of Veterans Affairs grant
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "table of random numbers"
Allocation concealment (selection bias) Low risk Prepared, packaged and labelled by remote, commercial compounding pharmacy
Blinding (performance bias and detection bias) 
 All outcomes Low risk "identical capsules"
Incomplete outcome data (attrition bias) 
 Efficacy High risk Completers only
Size 
 Efficacy High risk < 50 participants per treatment arm (38 randomised, 22 completed 3 phases)