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. 2016 Mar 3;2016(3):CD007435. doi: 10.1002/14651858.CD007435.pub3

for the main comparison.

Coenzyme Q10 compared with placebo for primary hypertension
Patient population: patients with primary hypertension
Settings: primary care in Japan and New Zealand
Intervention: coenzyme Q10 100 to 200 mg daily
Comparison: placebo
Outcomes Mean difference in BP mmHg
[95% CI]
No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
End of treatment SBP
(over 12 weeks)
‐3.7 mm Hg
(‐8.9 to 1.5)
50
(2)
⊕⊕⊕⊝
 moderate1  
End of treatment DBP
(over 12 weeks)
‐2.0 mm Hg
(‐4.8 to 0.8)
50
(2)
⊕⊕⊕⊝
 moderate1  
Withdrawals due to adverse effects   30
(1)
  Effect estimate not available; only one study reported this outcome but had no events in either study arm.
GRADE Working Group grades of evidence
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

1. Downgraded due to large confidence intervals from a small sample size and small number of included studies.