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. 2002 Oct 21;2002(4):CD003867. doi: 10.1002/14651858.CD003867

Comeri 1985.

Methods Randomised, double blind, active control,
No placebo group
Baseline PI = moderate or severe pain (82.5 mm on a 100 mm VAS)
Self assessment at t = 0, 0.5, 1 hr
Participants N=148
Dipyrone 1 g + pitofenon 0.4 mg + fenpiverine 0.04 mg, n=50
Diclofenac 75 mg, n=48
Indomethacin 50 mg, n= 50
Interventions Dipyrone 1 g + pitofenon 0.4 mg + fenpiverine 0.04 mg
Diclofenac 75 mg
Indomethacin 50 mg
Single IM dose, 1 hr
If the PI had not decreased by 50% of the initial value at 60 mins after the first dose, the patient received a second injection of the same drug in a double blind manner.
 Any patient not experiencing a decrease of PI after the second dose was removed from the study
Outcomes PI (VAS 0‐100 mm)
PR > 50% at
 30mins:
 Dipyrone=28/50
 Diclofencac=38/48 Indomethacin = 34/50
Notes No AEs were reported by any patient
Single dose AEs:
 15 patients dropped out: diclofenac
 (3), indomethacin (6), dipyrone (6)
QS=4
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate