Skip to main content
. 2014 Dec 11;2014(12):CD009281. doi: 10.1002/14651858.CD009281.pub3

McQuay 1996.

Methods Single‐centre, randomised, double‐blind, placebo‐controlled, parallel‐group study
Single oral dose administered after onset of moderate or severe pain
Duration: 8 h, with first 2 h in hospital. Time points of individual assessments not reported
Participants Dental surgery: third molar removal
N = 164 (161 for efficacy)
M 59, F 102
Mean age 25 years
Interventions Ibuprofen 200 mg + caffeine 50 mg, n = 30 for efficacy
Ibuprofen 200 mg + caffeine 100 mg, n = 30 for efficacy
Ibuprofen 200 mg + caffeine 200 mg, n = 29 for efficacy
Ibuprofen 200 mg, n = 31 for efficacy
Ibuprofen 400 mg, n = 30 for efficacy
Placebo, n = 11 for efficacy
No caffeine‐containing products from midnight on the evening before surgery and no other analgesics in the 12 h before surgery
Outcomes PI: standard 4‐point scale, an 8‐word scale (randomly placed words ranging from 'no pain' to 'excruciating', scored 0 to 7), and a 100 mm VAS
PR: standard 5‐point scale and a 100 mm VAS
PGE: standard 5‐point scale
Withdrawals and dropouts
Serious adverse events
Notes Oxford Quality Score: R2, DB2, W1. Total = 5/5
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised using a random number computer program
Allocation concealment (selection bias) Low risk Remote packaging, labelled only with treatment number
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk "identical matching capsules"
Size High risk < 50 participants in relevant treatment arms