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. 2021 May 17;2021(5):CD006687. doi: 10.1002/14651858.CD006687.pub4

Madsen 1984.

Study characteristics
Methods Study design: randomized double‐blind placebo‐controlled cross‐over trial
Method of randomization: not stated
Concealment of allocation: not stated
Exclusions post randomization: none
Losses to follow‐up: none
Participants Country: Denmark
Setting: not stated; winter season
No.: 10/10 primary RP
Age: median 44 years (range 27 to 71 years)
Sex: females 8; males 2
Inclusion criteria: primary RP; screened for underlying disease
Exclusion criteria: secondary RP according to described criteria; hypertension BP > 150/90
Interventions Treatment: captopril 25 mg 3 times daily
Control: placebo 1 three times daily
Duration: 2 × 6 weeks
Washout period: none
Outcomes Number of daily attacks
Accompanying numbness or pain
Improvement on 3‐point scale: improved, unchanged, worse
Adverse events
Notes No power calculation
Support: pharmaceutical company
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No description of sequence generation methods
Allocation concealment (selection bias) Unclear risk No description of allocation concealment methods
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Study described as double‐blind but no further explanation of blinding methods
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No indication of blinding of outcome assessors
Incomplete outcome data (attrition bias)
All outcomes Low risk All 10 participants completed the study
Selective reporting (reporting bias) Low risk All study outcomes reported
Other bias Unclear risk Cross‐over study; study authors did not evaluate carry‐over of treatment effects and therefore could be of concern