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. 2014 Dec 11;2014(12):CD009281. doi: 10.1002/14651858.CD009281.pub3

Winter 1983.

Methods Single‐centre, randomised, double‐blind, placebo‐controlled, parallel‐group study
Single oral dose administered after the onset of moderate or severe pain
Duration: 4 h, with assessments at baseline, 0.5, 1, 2, 3, and 4 h post dose
Participants Oral surgery, including multiple bony impactions, single bony impaction, single tissue impaction, multiple tissue impactions, multiple extractions, alveolectomy, and difficult (complicated) extraction
Participants were 16 to 75 years of age
N = 167 (164 for efficacy)
M 67, 97
Mean age 27 years
Interventions Paracetamol 1000 mg + caffeine 130 mg, n = 40 for efficacy
Paracetamol 1000 mg, n = 41 for efficacy
Caffeine 130 mg, n = 42 for efficacy
Placebo, n = 41 for efficacy
No analgesic agent for ≥ 4 h before taking test medication
Outcomes PI: standard 4‐point scale
PR: standard 5‐point scale
PGE: standard 5‐point scale
Withdrawals and dropouts
Serious adverse events
Notes Oxford Quality Score: R1, DB2, W1. Total = 4/5
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 Low risk "identically appearing 2‐capsule doses"
Size High risk < 50 participants in relevant treatment arms