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. 2009 Oct 7;2009(4):CD003893. doi: 10.1002/14651858.CD003893.pub3

Ferrara 1984.

Methods Single‐centre study
Randomization: "...patient were randomly given a single dose of placebo, captopril 50 mg, methyldopa 500 mg, or indapamide 2.5 mg."
Blinding: not reported
Withdrawals: none
Lost to follow‐up: none
Treatment duration: single dose study
Analysis type: unclear
Participants Geographic region: Naples, Italy
Study setting: outpatient clinic
N=24
Age range: 26‐60
Gender: 18 males, 6 females
Race: not reported
Blood pressure at entry: Mean supine blood pressure ‐ Methyldopa arm (127.7), Placebo arm (125.2), Captopril arm (128.0), Indapamide arm (120.8)
Co‐morbid conditions: not reported 
 Inclusion criteria: essential hypertension
Exclusion criteria: target organ damage secondary to hypertension
Interventions All anti‐hypertensives and any other drugs were discontinued for a two week washout period before trial entry
  1. Methyldopa 500 mg x one dose (N=6)

  2. Placebo x one dose (N=6)

  3. Captopril 50 mg x one dose (N=6)

  4. Indapamide 2.5 mg x one dose (N=6)

Outcomes Supine blood pressure
Supine heart rate
Arterial blood flow
Notes Single dose study (blood pressure was measured every 30 minutes for 5 hour after the dose was given). Reported data comparing methyldopa and placebo on reduction in blood pressure 30 minutes and four hours after single dose given; thus, no real useable data from this study.
Assessment of medication compliance: not reported
Final number of patients included in each arm when reporting results: Methyldopa arm (6); Placebo arm (6); Captopril arm (6); Indapamide arm (6)
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Unclear
Allocation concealment? Unclear risk Unclear
Blinding? 
 All outcomes High risk Open label
Incomplete outcome data addressed? 
 All outcomes Low risk All randomized patients accounted for at end of study
Free of selective reporting? Low risk Reported on all pre‐specified outcomes of interest