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. 2016 Jun 16;2016(6):CD011889. doi: 10.1002/14651858.CD011889.pub2
Study ID Treatment Any AE Serious AE AE withdrawals Rescue medication
Dahlöf 1996 (1) Paracetamol 500 mg
(2) Paracetamol 1000 mg
(3) Ketoprofen 25 mg
(4) Ketoprofen 50 mg
(5) Placebo
No data
Total of 30 adverse events reported within 24 h of treating 178 attacks
Most of mild or moderate severity
No difference between groups
None (2) 1/29 (tinnitus and indigestion)
10 participants did not complete all 5 attacks
1 participant had a major protocol violation (took medication < 72 h after previous dose)
Not reported, but in Methods, so measured
Diener 2014
(studies 1‐4 in Migliardi 1994)
(1) Paracetamol 1000 mg
(2) Paracetamol 1000 mg + aspirin 500 mg + caffeine 130 mg
(3) Placebo
(1) 136/1400
(2) 241/1400
(3) 61/702
None None No data
Friedman 1987 (1) Butalbital 100 mg + caffeine 80 mg + paracetamol 650 mg (Fioricet)
(2) Paracetamol 600 mg + codeine 60 mg
(3) Placebo
No difference between groups None None No data
Gatoulis 2012 (1) Paracetamol 300 mg + codeine 30 mg
(2) Aspirin 1000 mg
(3) Placebo
(1) 57/233
(2) 38/223
(3) 19/103
Most mild or moderate
Dizziness, somnolence, nausea most common ‐ not different from placebo
None None Time to use of rescue medication not different from (3) for (1), but significantly longer for (2) than (1)
Proportion of participants taking rescue medication with (1) significantly different from (3) only at 3 h; (2) significantly different from (3) from 2 h
Gilbert 1976 (1) Paracetamol 650 mg
(2) Phenyltoloxamine 60 mg
(3) Paracetamol 650 mg + phenyltoloxamine citrate 60 mg (Percogesic)
(4) Placebo
Reports participants with individual AEs, not number with any AE
Events:
(1) 26
(2) 34
(3) 43
(4) 22
None 2 participants dropped out after first period due to AEs ‐ group not given No data
Göbel 1996 (1) Paracetamol 1000 mg
(2) Peppermint oil solution 10 g
(3) Peppermint oil + paracetamol
(4) Placebo
None None None No data
Göbel 1998 (1) Paracetamol 1000 mg
(2) Peppermint oil combination (distillate of oelum menthae piperitae, oleum cajeputi, oleum eucalypti, oleum juniperi, and oleum gaultheriae)
(3) Placebo
None None None No data
Göbel 2001 1 (1) Paracetamol 1000 g
(2) Peppermint oil (oleum menthae piperitae) solution Ll 170, 10 g
(3) Peppermint oil + paracetamol
(4) Placebo
Reports number of events, not number of participants with any AE
(1) 15
(4) 13
None None No data
Mehlisch 1998 (1) Paracetamol 1000 mg
(2) Ketoprofen 12.5 mg
(3) Ketoprofen 25 mg
(4) Placebo
(1) 16/174
(2) 18/181
(3) 27/176
(4) 8/172
None None
72 participants not included in efficacy analysis: 5 protocol violations, 67 did not record data properly
At 4 h:
(1) 16/166
(2) 10/158
(3) 7/156
(4) 30/151
Migliardi 1994 Studies 5, 6
(1) Paracetamol 1000 mg
(2) Paracetamol 1000 mg + caffeine 130 mg
(3) Placebo
(1) 90/691
(2) 144/692
(3) 41/341
Most were stomach upset, nervousness, dizziness. All transient
None None No data
Miller 1987 (1) Paracetamol 650 mg
(2) Naproxen sodium 550 mg
(3) Placebo
(1) 4/43
(2) 7/40
(3) 2/41
None considered "clinically significant"
[Note: total number of participants given as 128 ‐ do not know to which groups additional 4 belonged]
None None At 6 h:
(1) 15/43
(2) 7/40
(3) 19/41
NCT01755702 (1) Paracetamol 1000 mg
(2) Paracetamol + caffeine 1000 + 130 mg
(3) Ibuprofen 400 mg
(4) Placebo
(1) 0/45
(2) 2/47
(3) 4/50
(4) 3/45
None Withdrawal during washout periods:
period 1 = 3
period 2 = 5
Reasons and groups not given. No withdrawals during treatment periods (except for remedication ‐ lack of efficacy)
Median (range) time (minutes) to use
(1) 129.5 (129‐130)
(2) 119 (119‐119)
(3)150 (126‐211)
(4) 62 (62‐149)
NL9701 (1) Paracetamol 1000 mg
(2) Ibuprofen 400 mg
(3) Placebo
(1) 22/190
(2) 23/194
(3) 8/97
None 32 participants not analysed as did not take medication
8 participants excluded due to major protocol violations
No withdrawals following treatment (except for remedication ‐ lack of efficacy)
At 6 h:
(1) 18/188
(2) 25/191
(3) 19/94
Packman 2000 (1) Paracetamol 1000 mg
(2) Ibuprofen liquigel 400 mg
(3) Placebo
None None None No data
Peters 1983 (1) Paracetamol 1000 mg
(2) Aspirin 650 mg
(3) Placebo
Number of participants with AEs not reported. No difference between groups
Mostly mild
None None
(38 protocol violations)
No data
Pini 2008 (1) Paracetamol 1000 mg + caffeine 130 mg
(2) Naproxen sodium 550 mg
(3) Placebo
(1) 36.6%
(2) 31.2%
(3) 36.6%
Denominator unclear. Most mild or moderate: nervousness, nausea, drowsiness, and fatigue most common
Global assessment of tolerability (very good or excellent):
(1) 45.7%
(2) 51.6%
(3) 41.7%
None (1) 1/98
(2) 0/94
(3) 0/98
(1) 4.8%
(2) 3.3%
(3) 10%
Denominator unclear
Prior 2002 (1) Paracetamol 1000 mg
(2) Naproxen 375 mg
(3) Placebo
(1) 31/308
(2) 35/300
(3) 30/307
None None At 6 h:
(1) 53/304
(2) 49/295
(3) 77/301
Mean time to use (minutes)
(1) 324
(2) 326
(3) 308
Schachtel 1991 (1) Paracetamol 1000 mg
(2) Aspirin 1000 mg + caffeine 64 mg
(3) Placebo
(1) 0/100
(2) 0/101
(3) 1/101
None None At 4 h:
(1) 2/100
(2) 2/101
(3) 13/101
Schachtel 1996 (1) Paracetamol 1000 mg
(2) Ibuprofen 400 mg
(3) Placebo
(1) 0/151
(2) 0/153
(3) 1/151
None None No data
Steiner 1998 (1) Paracetamol 1000 mg
(2) Ketoprofen 25 mg
(3) Placebo
(1) 10/116
(2) 15/102
(3) 12/112
None None 2‐24 h:
(1) 53/116
(2) 44/102
(3) 81/112
Steiner 2003 (1) Paracetamol 500 mg
(2) Paracetamol 1000 mg
(3) Aspirin 500 mg
(4) Aspirin 1000 mg
(5) Placebo
(1) 17/105
(2) 19/111
(3) 21/111
(4) 19/103
(5) 15/112
All mild, transient
None None After 2 h:
(1) 27/105
(2) 22/111
(3) 18/111
(4) 16/103
(5) 38/112
Thorpe 1970 (1) Fiorinal‐Pa (aspirin + caffeine + isobutylallylbarbituric acid + paracetamol)
(2) Placebo
No data No data No data No data
Ward 1991 (1) Paracetamol 648 mg
(2) Paracetamol 648 mg + caffeine 65 mg
(3) Paracetamol 648 mg + caffeine 130 mg
(4) Caffeine 65 mg
(5) Caffeine 130 mg
(6) Placebo
No data No data No data No data
AE: adverse event; h: hour.