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. 2015 Jul 30;2015(7):CD001751. doi: 10.1002/14651858.CD001751.pub3

Costa 1987a.

Methods Randomisation/allocation method unclear. 12 women randomised and analysed
 Double‐blind, cross‐over study
Participants Inclusion: primary dysmenorrhoea; medical and gynaecological exams to confirm lack of pathology
 Exclusion: secondary dysmenorrhoea; pregnancy; gastric or duodenal ulcers, ulcerative colitis, liver or kidney disease, asthma, rhinitis or allergy to NSAIDs; OCP in month prior to study
 Age: means 28 to 30, ranges 18 to 38
 Source: outpatients
 Location: Italy
Interventions Piroxicam beta‐cyclodextrin 20 mg versus placebo
 Taken as sachets
Outcomes Pain intensity
 Adverse effects
 Use of additional medication
Notes Day 1 data in graphical form only. No numerical data reported for adverse effects in placebo group
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated
Allocation concealment (selection bias) Unclear risk Unclear, not stated
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Double‐blinded, placebo described but does not state that it was identical
Selective reporting (reporting bias) High risk Only GI adverse effects recorded as such (other adverse effects classified as dysmenorrhoea symptoms)
Complete follow‐up? Low risk No losses to follow‐up
Potential bias related to study funding Unclear risk Not stated