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. 2015 May 1;2015(5):CD011681. doi: 10.1002/14651858.CD011681

Oguzhanoglu 1999.

Methods Single‐centre, open‐label randomised, parallel study: fluoxetine vs amitriptyline
 No control for symptomatic/analgesic medications use
Participants Country: Turkey
 Overall: N = 52; Sex: 6 male, 41 female (sex not reported for dropouts).
Chronic tension‐type headache and episodic tension‐type headache groups: N = 35; Sex: 3 male, 29 female (sex not reported for dropouts); mean age: 38.5 chronic tension‐type headache, 31.5 episodic tension‐type headache
Diagnosis: migraine (n = 17), chronic tension‐type headache (n = 14) and episodic tension‐type headache (n = 21), all defined according to International Headache Society Criteria (IHS 1988)
Exclusion criteria: antidepressant use in the previous year, score > 17 Hamilton Depression Scale
Recruitment: from November 1996 to September 1997, no other information
Interventions N = 22 amitriptyline to a maximum of 50 mg/day
 N = 25 fluoxetine 20 mg/day
Duration of active treatment: unclear
Outcomes 1. Headache frequency (number of days with headache/30 days)
 2. Pain intensity (not defined)
 3. Headache duration (not defined)
Notes Overall, 5 dropouts (10%) for side effects, three in the chronic tension‐type headache and episodic tension‐type headache groups
 Per protocol analysis. No sample size calculation
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information
Allocation concealment (selection bias) Unclear risk No information
Blinding (performance bias and detection bias) 
 All outcomes High risk Open‐label
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Low dropout rate (3/35, 8.6%), reasons reported
Selective reporting (reporting bias) Unclear risk No information
Other bias Unclear risk Financial support not reported