Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

79 questions · 79 findings · 8 reviews

No studies found 2 · 2.5%GRADE not reported 3 · 3.8%Very low 38 · 48.1%Low 14 · 17.7%Moderate 17 · 21.5%High 5 · 6.3%

Mirtazapine vs placebo

Participant‐reported pain relief of 50% or greater · adults with fibromyalgia

Mirtazapine showed no clear difference in participant‐reported pain relief of 50% or greater (substantial… compared with placebo (low certainty).

1 finding from 1 review

Mirtazapine vs placebo

Safety Any serious adverse event · adults with fibromyalgia

It is very uncertain whether mirtazapine changes safety: serious adverse events compared with placebo (very low certainty).

1 finding from 1 review

Mirtazapine vs placebo

Withdrawals due to adverse events · adults with fibromyalgia

Mirtazapine showed no clear difference in tolerability: withdrawals due to adverse events compared with placebo (low certainty).

1 finding from 1 review

Mirtazapine vs placebo

Participant‐reported pain relief of 30% or greater · adults with fibromyalgia

Mirtazapine may leads to higher participant‐reported pain relief of 30% or greater (moderate… compared with placebo (low certainty).

1 finding from 1 review

Mirtazapine vs placebo

Participant‐reported sleep problems (scale: 0 to 28; higher scores indicate more sleep problems) · adults with fibromyalgia

Mirtazapine showed no clear difference in participant‐reported sleep problems (scale: 0 to 28; higher scores… compared with placebo (low certainty).

1 finding from 1 review

Mirtazapine adjunct vs placebo adjunct

Mental state: 2a. Negative symptoms ‐ No clinical important improvement ‐ negative symptoms (SANS) · schizophrenia

It is very uncertain whether mirtazapine adjunct changes mental state: specific negative symptoms ‐ clinically important… compared with placebo adjunct (very low certainty).

1 finding from 1 review

Mirtazapine adjunct vs placebo adjunct

Mental state: clinically important change in mental state · schizophrenia

It is very uncertain whether mirtazapine adjunct changes mental state: overall mental state ‐ clinically important change* compared with placebo adjunct (very low certainty).

1 finding from 1 review

Mirtazapine adjunct vs placebo adjunct

Adverse effect/event: clinically important extrapyramidal adverse events ‐ akathisia (medium term) · schizophrenia

Mirtazapine adjunct may leads to lower adverse effects: extrapyramidal ‐ clinically important change… compared with placebo adjunct (low certainty).

1 finding from 1 review