Cochrane · systematic review · CD001415

Gabapentin add‐on treatment for drug‐resistant focal epilepsy

Panebianco, M, Al-Bachari, S, Hutton, JL, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Epilepsy3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 25%Moderate 6 · 75%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Gabapentin versus placebo for people with drug‐resistant focal epilepsy

Population: people with drug‐resistant focal epilepsy
8 questions
OutcomeEffectEvidenceStatus / GRADE
Reduction in seizure frequency of ≥ 50%: primary analysisNumber of seizures reported in seizure diary
Gabapentin vs placebo
RR 1.89 [1.4, 2.55]6 studies · 1206 participantsModerate
Downgraded: risk of bias
Treatment withdrawalNumber of participants withdrawn for any reason
Gabapentin vs placebo
RR 1.05 [0.74, 1.49]6 studies · 1206 participantsModerate
Downgraded: risk of bias
Adverse effects: ataxiaNumber of participants experiencing ataxia
Gabapentin vs placebo
RR 2.013 studies · 787 participantsLow
Downgraded: risk of bias, imprecision
Adverse effects: dizzinessNumber of participants experiencing dizziness
Gabapentin vs placebo
RR 2.436 studies · 1206 participantsModerate
Downgraded: risk of bias
Adverse effects: fatigueNumber of participants experiencing fatigue
Gabapentin vs placebo
RR 1.955 studies · 1161 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Adverse effects: nauseaNumber of participants experiencing nausea
Gabapentin vs placebo
RR 0.954 studies · 1034 participantsModerate
Downgraded: risk of bias
Adverse effects: somnolenceNumber of participants experiencing somnolence
Gabapentin vs placebo
RR 1.936 studies · 1206 participantsModerate
Downgraded: risk of bias
Adverse effects: headacheNumber of participants experiencing headache
Gabapentin vs placebo
RR 0.796 studies · 1206 participantsModerate
Downgraded: risk of bias