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

Kapadia 1978.

Methods Randomisation/allocation method unclear
 Cross‐over, double‐blind trial
 44 women randomised and analysed
 Method of assessing adverse effects: not stated
Participants Inclusion: primary dysmenorrhoea, medical and gynaecological exam
 Exclusion: pelvic abnormality, history of dyspepsia or peptic ulceration, use of OCP
 Age: 15 to 42, mean 22.6
 Location: UK
Interventions Flufenamic acid (200 mg 3 times daily while dysmenorrhoea persisted, encouraged to start medication a few hours prior to menses)
 Placebo
 Duration: 3 cycles per treatment/6 in total
Outcomes Pain relief (4‐point scale)
 Adverse effects
Notes First‐phase data shown on graph as mean pain relief
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method not described
Allocation concealment (selection bias) Unclear risk Method not described
Blinding (performance bias and detection bias) 
 All outcomes Low risk Double‐blinded, "identical" placebo
Selective reporting (reporting bias) Unclear risk Data on adverse effects not systematically collected and/or reported
Complete follow‐up? Low risk 40/40 women analysed
Potential bias related to study funding Unclear risk Parke‐Davis supplied drug and placebo