Feverfew and migraine

What 3 graded rows on feverfew agree on for migraine, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Feverfew page, with its PubMed record.

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Feverfew and migraine

3 rows · 878 people

Split. 1 row found an improvement, 1 found no difference and 1 had mixed results.

No difference or mixed
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside. Outlined: mixed results.
  • Grade C× 3
Rows
3
Trials
8
People
878
Pooled reviews may count some twice

Where they differ

From the rows
How longWhen published

The best-graded row, grade C, is a systematic review of 561 people (2015) and reported mixed results.

The row that found an improvement ran longer (4 months) than the row that found no difference (3 months).

The row that found an improvement is newer (2005) than the row that found no difference (2002).

1 row with mixed results is left out of this comparison.

The rows

1 improved · 1 no difference · 1 mixed
  1. Grade CMigraine attacks per month · Improved

    RCT · n 170 · 2005 · Adults with migraine (International Headache Society criteria)

    6.25 mg three times daily · 16 weeks

    Attacks fell by 1.9 a month versus 1.3 on placebo (P=0.046); responders were more likely on feverfew (odds ratio 3.4), and possibly related adverse events were similar (8.4% vs 10.2%).

    Row on the Feverfew page · PubMed 16232154 (opens PubMed)

  2. Grade CMigraine attacks per month (dose-finding trial) · No difference

    RCT · n 147 · 2002 · Adults with migraine with or without aura (International Headache Society criteria)

    2.08, 6.25 or 18.75 mg three times daily · 12 weeks

    No significant difference from placebo in the whole group and no dose-response. In a predefined subgroup of 49 people with at least 4 attacks a month, attacks fell by 1.8 per 28 days on 6.25 mg three times daily vs 0.3 on placebo. 35% of all patients reported at least one adverse event, at similar rates on feverfew and placebo.

    Row on the Feverfew page · PubMed 12230594 (opens PubMed)

  3. Grade CMigraine frequency · Mixed

    Systematic review, 6 studies · n 561 · 2015 · People with migraine in 6 double-blind trials

    Varied across trials · Varied across trials

    Results could not be pooled; small trials were positive, two rigorous trials found no difference, and the largest trial found 0.6 fewer attacks a month. Evidence was rated low quality.

    Row on the Feverfew page · PubMed 25892430 (opens PubMed)

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