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

Mroczek 1974.

Methods Single‐centre study
Randomization: "Random assignment was made to one of the three treatment groups by a computer using a pseudo‐random number generator assigned to the list of drugs."
Blinding: "The double blind aspect of the study was maintained by having the evaluating physician indicate dosage increases by prescription to an experienced drug monitor who was acquainted with the study design, the patient drug assignment, and dosage schedule."; "Placebo...was supplied in identical matching capsules to prazosin and methyldopa."
Withdrawals: not reported
Lost to follow‐up: not reported
Treatment duration: blood pressures measured at two week intervals
Analysis type: not reported
Participants Geographic region: not reported
Study setting: not reported
N=60
Age range: Methyldopa arm (47.2 +/‐ 9.4), Placebo arm (45.7 +/‐ 11.1), Prazosin arm (44.7 +/‐ 9.9)
Gender: 8 males, 52 females
Race: all blacks
Blood pressure at entry: Methyldopa arm ‐ Supine (160/101), Standing (168/106); Placebo arm ‐ Supine (156/100), Standing (163/104); Prazosin arm ‐ Supine (156/101), Standing (164/105)
Co‐morbid conditions: not reported 
 Inclusion criteria: essential hypertension; diastolic blood pressure greater than 95 mm Hg
Exclusion criteria: not reported
Interventions All anti‐hypertensives discontinued and replaced with single blind placebo for an eight week washout period before trial entry.
  1. Methyldopa (average dose 1190.5 mg +/‐ 524 mg daily) x 12 weeks (N=21)

  2. Placebo x 12 weeks (N=18)

  3. Prazosin x (average dose 16.5 mg +/‐ 4.4 mg daily) 12 weeks (N=21)

Outcomes Supine blood pressure
Standing blood pressure
Side effects (postural dizziness, headache, other)
Notes Assessment of medication compliance: medications were dispensed as 14‐day supplies and patients returned with medication bottles for capsule counts (level of achievement 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? Low risk "Random assignment...by computer using a pseudo‐random number generator assigned to the list of drugs."
Allocation concealment? Unclear risk Unclear
Blinding? 
 All outcomes Low risk Double blind
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? Low risk Reported on all pre‐specified outcomes of interest