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

Wilhelmsson 1985a.

Methods Randomisation/allocation method unclear
 Double‐blind, cross‐over trial
 83 women randomised, 69 analysed
 Method of assessing adverse effects: self reported prospectively on questionnaire
Participants Inclusion: clinical diagnosis of primary dysmenorrhoea for at least 6 months; gynaecological exam to exclude clinical pathology; over the age of 15
 Exclusion: potential pregnancy; IUD or OCP use; contraindications to NSAIDs
 Source: outpatients
 Location: Sweden
Interventions Naproxen sodium 1000 mg per day
 Piroxicam 40 mg per day for day 1 and 2, then 20 mg for days 3 and 4
Outcomes Pain intensity
 Additional treatment
 Ability to work
 Overall effect
 Adverse effects
Notes
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 Unclear risk Double‐blinded, drugs not described
Selective reporting (reporting bias) Unclear risk Unclear whether adverse effects prospectively solicited
Complete follow‐up? High risk 69/83 analysed (83%)
Potential bias related to study funding Unclear risk Pfizer