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

Johnson 1990.

Methods Single‐centre study
Randomization: "In a cross‐over design study, patients were randomly assigned to receive either methyldopa...for three weeks followed by matching placebo tablets for three more weeks, or the reverse sequence of treatments."
Blinding: not reported
Withdrawals: not reported
Lost to follow‐up: not reported
Treatment duration: patients took both methyldopa and placebo each for three weeks
Analysis type: not reported
Participants Geographic region:
Study setting: not reported
N=16
Age range: 26‐67
Gender: 5 males, 11 females
Race: not reported
Blood pressure at entry: not reported
Co‐morbid conditions: not reported 
 Inclusion criteria: essential hypertension; untreated supine diastolic blood pressure 90‐105 mm Hg
Exclusion criteria: not reported
Interventions All anti‐hypertensives and any other drugs were discontinued for a four week washout period before trial entry
  1. Methyldopa 250 mg three times daily x 3 weeks (N=16)

  2. Placebo three times daily x 3 weeks (N=16)


***Cross over trial: All 16 patients rotated throughout the above treatment arms without washout periods between treatment arms
Outcomes Supine blood pressure
Standing blood pressure
Notes Assessment of medication compliance: not reported
Final number of patients included in each arm when reporting results: not reported
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 Unclear risk Unclear ‐ final number of patients in each treatment arm was not reported in results
Free of selective reporting? High risk Did not report data for supine blood pressures