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. 2016 Sep 29;2016(9):CD011790. doi: 10.1002/14651858.CD011790.pub2
Summary of results C: Adverse events with different doses of pregabalin in fibromyalgia
Outcome
 ‐ daily dose Number of Per cent with outcome Relative risk
 (95% CI) NNH
 (95% CI)
Studies Participants Pregabalin Placebo
Any adverse event
150 mg* 1 263 78 77 1.01 (0.89 to 1.2) Not calculated
300 mg 4 1275 85 74 1.2 (1.1 to 1.2) 9.0 (6.5 to 15)
450 mg 5 1874 90 73 1.2 (1.18 to 1.3) 5.9 (4.9 to 7.4)
600 mg 3 1122 91 74 1.2 (1.17 to 1.3) 5.7 (4.6 to 7.5)
Serious adverse event
300 mg 2 735 1 2 0.7 (0.2 to 2.4) Not calculated
450 mg 3 1238 2 1 1.9 (0.8 to 4.6) Not calculated
600 mg 2 742 2 2 1.0 (0.3 to 3.0) Not calculated
Specific adverse events ‐ 150 mg
Somnolence* 1 263 16 5 3.5 (1.5 to 8.3) Not calculated
Dizziness* 1 263 23 11 2.1 (1.2 to 3.8) Not calculated
Weight gain* 1 263 8 2 5.0 (1.1 to 22) Not calculated
Peripheral oedema* 1 263 5 1 7.0 (0.9 to 56) Not calculated
Specific adverse events ‐ 300 mg
Somnolence 4 1375 20 5 4.0 (2.8 to 5.8) 6.7 (5.5 to 8.7)
Dizziness 4 1375 32 10 3.1 (2.4 to 3.9) 4.6 (3.9 to 5.7)
Weight gain 4 1375 11 2 4.6 (2.7 to 7.9) 12 (9.1 to 17)
Peripheral oedema 4 1375 7 2 3.0 (1.7 to 5.3) 23 (15 to 45)
Specific adverse events ‐ 450 mg
Somnolence 5 1874 28 8 3.3 (2.6 to 4.1) 5.2 (4.5 to 6.4)
Dizziness 5 1874 39 9 4.2 (3.4 to 5.2) 3.4 (3 to 3.8)
Weight gain 5 1874 12 3 4.5 (2.9 to 6.8) 11 (8.6 to 14)
Peripheral oedema 5 1874 7 2 3.5 (2.1 to 5.8) 21 (15 to 34)
Specific adverse events ‐ 600 mg
Somnolence 3 1122 23 5 4.5 (3.1 to 6.7) 5.7 (4.6 to 7.3)
Dizziness 3 1122 46 10 4.4 (3.4 to 5.8) 2.8 (2.5 to 3.2)
Weight gain 3 1122 13 3 5.4 (3.1 to 9.4) 9.1 (7.1 to 13)
Peripheral oedema 3 1122 11 3 4.2 (2.4 to 7.5) 12 (9.1 to 19)
Specific adverse events ‐ all doses combined
Somnolence 5 3256 23 10 2.4 (1.9 to 3) 7.4 (6.1 to 9.2)
Dizziness 5 3256 38 11 3.5 (2.3 to 4.3) 3.7 (3.3 to 4.2)
Weight gain 5 3256 9 3 2.8 (1.8 to 4.1) 18 (14 to 26)
Peripheral oedema 5 3256 8 2 3.4 (2.1 to 5.5) 19 (14 to 26)
*Information from a single study, included to examine a general dose‐response relationship and should be interpreted with caution.
CI: confidence interval; NNH: number needed to harm