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Table 2 Flunarizine compared to placebo for migraine prophylaxis

From: European Headache Federation (EHF) critical re-appraisal and meta-analysis of oral drugs in migraine prevention—part 2: flunarizine

Patient or population: migraine

Intervention: prophylaxis with flunarizine

Comparison: placebo

Outcomes

№ of participants

(studies)

Follow-up

Certainty of the evidence

(GRADE)

Relative effect

(95% CI)

Anticipated absolute effects

Risk with placebo

Risk difference with flunarizine

50% or more reduction in monthly migraine days

No data

Monthly migraine days

No data

Adverse events leading to discontinuation

188

(3 RCTs)

High

RD 0.02

(-0.03 to 0.06)

0 per 1,000

20 more per 1,000

(30 fewer to 60 more)

  1. CI Confidence interval, RD Risk difference
  2. GRADE Working Group grades of evidence: High certainty; we are very confident that the true effect lies close to that of the estimate of the effect
  3. The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI)