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. 1998 Apr 27;1998(2):CD000954. doi: 10.1002/14651858.CD000954

Kirch 1987.

Methods Single blind 
 Placebo controlled 
 Randomized 
 Crossover design
Participants N = 10 patients, aged 18‐60 years, 5 male, 5 female 
 Typical RP and related connective tissue disorders. 
 No patients dropped out.
Interventions Patients recieved no drugs other than ketanserin, nifedipine, or placebo. 
 Initially recieved orally in the washout period placebo for 4 weeks. Then randomly assigned to recieve either nifedipine orally or ketanserin for four weeks. 
 After this a 2 week lasting placebo phase interconnected with a crossover to the final 4 week lasting therapy phase.
Outcomes Patients recorded possible adverse effects, frequency, duration, and severity of attacks. 
 Severity assessed using a 3 point scale. 
 Patients rated treatment on a 3 point scale. 
 Laboratory parameters including blood cell count, ESR, and a biochemical analysis of renal and hepatic function was performed. 
 Plethysmography, skin temperature recordings, and video microscopy were performed, thereby flowmetry, a standard cold provocation test, and typical morphological changes of skin capillaries were monitored.
Notes Quality Score = 2