Table 1.
Inclusion and exclusion criteria for study selection
| PICOS framework | Inclusion criteria | Exclusion criteria |
|---|---|---|
| Population | Adult humans, age ≥ 18 any ethnicity, any sex, any indication, or healthy | Not applicable |
| Intervention | Amitriptyline monotherapy: any dose, frequency, duration, and oral mode of administration (tablets, capsules or liquid form) | Amitriptyline in combination with another active therapy, topical use of amitriptyline |
| Comparator | Passive placebo (an inert substance that may mimic the ADRs of amitriptyline, i.e., nocebo effects). | Comparing amitriptyline with active drugs or other forms of therapy |
| Outcome |
Quantification of ADRs for each group, e.g., absolute numbers (frequency and severity (mean/sd)), associated with amitriptyline (i.e., negative effects): (a) caused by its anticholinergic properties and negative effects (b) not caused by anticholinergic properties |
No outcomes relating to adverse drug reactions. |
| Study design | Randomized, double-blind, placebo-controlled trials (RCTs) with ≥ 100 subjects in total for the amitriptyline and placebo arm at baseline: no limitation on publication date, language, setting, time of follow up. Only the first period of crossover trials will be extracted (to avoid carry-over effects [31]. We will include trials with more than two arms, as long as we can identify an amitriptyline and a placebo arm. | Any other study design |
| Type of publication | Full publication | Abstract, conference presentation, provisional papers without complete results |