Diamond 2000.
Methods | Multicentre, randomised, double‐blind, placebo‐controlled, parallel‐group study, with a single oral dose administered (baseline pain intensity not reported) Duration: 6 h, with assessments at baseline, 15, 30, 45, 60, 90, and 120 minutes, then hourly through to 6 h post dose |
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Participants | Acute tension‐type headache ‐ in accordance with IHS criteria, with 3 to 15 tension‐type headaches every month for ≥ 1 year, and ≥ 75% of headaches responsive to non‐prescription‐strength analgesics Participants with occasional migraine headaches (< 2 per month) were not excluded provided they could differentiate the two types of headache No alcohol, caffeine‐containing foods/beverages, or any other analgesic within 4 h before dosing Participants at least 18 years of age N = 331 (301 for efficacy) M 57, F 244 Mean age 37 years |
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Interventions | Ibuprofen 400 mg + caffeine 200 mg, n = 97 for efficacy Ibuprofen 400 mg, n = 99 for efficacy Caffeine 200 mg, n = 57 for efficacy Placebo, n = 48 for efficacy |
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Outcomes | PI: standard 4‐point scale PR: standard 5‐point scale PGE: standard 5‐point scale Withdrawals and dropouts |
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Notes | Oxford Quality Score: R1, DB1, W1. Total = 3/5 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Method used to generate random sequence not described |
Allocation concealment (selection bias) | Unclear risk | Method not described |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Method not described |
Size | Unclear risk | 50 to 200 participants in relevant treatment arms |