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. 2016 Sep 16;2016(9):CD009999. doi: 10.1002/14651858.CD009999.pub2

Weizman 1993.

Methods Randomised, double‐blind, placebo‐controlled trial
Participants Sample size: 72 infants (36 herbal tea, 36 placebo) were enrolled in the study. 4 infants were excluded during the study: 3 for acute illness (2 from tea arm, 1 from placebo arm), and 1 because of poor parental compliance. 68 were included in the analysis.
Setting: primary community‐based paediatric clinics in the Beer‐Sheva area, in Israel
Sex: boys (38% of 68)
Mean age: herbal tea 21.1 (SD 9.3) days, placebo 24.6 (SD 7.6) days; range not reported
Mean weight: herbal tea 3116 (SD 1060) grams, placebo 3201 (SD 1088) grams
Mean duration of colic: not reported
Mean crying: not reported
Feeding: breast fed (herbal tea 72%, placebo 67%)
Birth order: first child (herbal tea 59%, placebo 66%)
Inclusion criteria: infants with colic according to Wessel definition
Exclusion criteria:
  • Prematurity

  • Weight gain < 150 mg/week

  • Acute or chronic illness and drug therapy

Interventions Intervention (33 infants): herbal tea preparation (Calma Baby Bonomelli) containing fennel, chamomile, vervain, licorice, balm mint
Control (35 infants): placebo. The placebo preparation consisted of an instant powder of glucose and natural flowers only, with no herbs. The smell and taste of the placebo and the tea were similar.
Administration: Tea was offered to infants with every episode of colic, up to 150 mL/dose, but no more than 3 times a day. Tea powder was dissolved in water according to the manufacturer's instructions. Treatment was administered for 1 week. No significant differences were noted between 2 treatment arms.
Outcomes Evaluation of the 2 groups was based on the following 3 measures:
  • Number of night awakenings requiring parental response

  • Elimination of colic based on the same definition adopted as inclusion criteria (crying < 3 hours/d or > 3 hours/d but for < 3 days/week)

  • Colic improvement (5‐point score based on parental judgement: '‐ 1' worsening; '0' no change; '+ 1' mild improvement; '+ 2' moderate improvement; '+ 3' significant improvement)


Families received a diary in which to record total daily hours of colic, numbers of night awakenings, a 5‐grade improvement score and adverse effects. Parental diaries covered 7 days with no therapy and 7 days with treatment.
Notes Country: Israel
Funding source: This study was supported by Materna Laboratories, Maabarot, Israel.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "infants were randomly assigned to receive either tea or placebo".
Comment: Information was insufficient.
Allocation concealment (selection bias) Low risk Comment: During the entire study, the code determining group allocation was known only to the pharmacists.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "The smell and taste of the placebo and the tea were similar; both were packed in identical appearing cans; the code of group allocation was known only by the pharmacist".
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "The code was known only by the pharmacist".
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: 4 infants were excluded during the study: 3 (2 tea and 1 placebo) because of acute illness, and 1 (tea) because of poor parental compliance. Study authors excluded these infants from the analyses because of exclusion criteria.
Selective reporting (reporting bias) Low risk Comment: Study authors reported study results for all outcomes.
Other bias Low risk Comment: Analysis of infant characteristics (gender, age, feeding method) and colic severity after 7 days of no‐treatment revealed no significant differences between the 2 groups.

CHC: child health centre.
 SD: standard deviation.