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

Pulkkinen 1987.

Methods Randomisation using sealed, opaque, sequentially numbered envelopes
 Double‐blind, cross‐over study
 14 women randomised and analysed (55 cycles)
 Power calculation was performed by the pharmaceutical company Helsinn SA
 Method of assessing adverse effects: reported retrospectively at follow‐up
Participants Inclusion: history of dysmenorrhoea for several cycles, regular cycles, general good health; physical and pelvic exams
 Exclusion: OCP, IUD use, contraindications or hypersensitivity to NSAIDs, organic causes of dysmenorrhoea, irregular cycles
 Age: 17 to 28, median 22
 Location: Finland
Interventions Nimesulide (100 mg bid at onset of pain, as needed) 
 Placebo
 Duration: 4 cycles, 2 cycles nimesulide, 2 cycles placebo or vice versa
Outcomes Pain
 Adverse effects
Notes Groups comparable at baseline
 Extra information supplied by authors. No numerical data reported for adverse effects
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation using sealed, opaque, sequentially numbered envelopes
Allocation concealment (selection bias) Low risk Sealed, opaque, sequentially numbered envelopes
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Double‐blinded, placebo not described
Selective reporting (reporting bias) Unclear risk Adverse effects data not systematically reported
Complete follow‐up? Low risk 14 women randomised and analysed (55 cycles)
Potential bias related to study funding Unclear risk Power calculation was performed by the pharmaceutical company Helsinn SA