Cochrane · systematic review · CD002021

Opioid antagonists with minimal sedation for opioid withdrawal

Gowing, L, Ali, R, White, JM · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Drugs and AlcoholAMSTAR 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 100%Low 0 · 0%Moderate 0 · 0%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

Antagonist‐adrenergic combination compared to adrenergic agonist for opioid withdrawal

Population: opioid dependent adults
6 questions
OutcomeEffectEvidenceStatus / GRADE
Peak withdrawal severity ‐ Naltrexone
Antagonist‐adrenergic combination vs adrenergic agonist
no estimate extracted2 studies · 184 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Peak withdrawal severity ‐ Naloxone
Antagonist‐adrenergic combination vs adrenergic agonist
no estimate extracted1 study · 91 participantsVery low
Downgraded: risk of bias, imprecision
Overall withdrawal severity ‐ Naltrexone
Antagonist‐adrenergic combination vs adrenergic agonist
no estimate extracted3 studies · 256 participantsVery low
Downgraded: imprecision, inconsistency
Overall withdrawal severity ‐ Naloxone
Antagonist‐adrenergic combination vs adrenergic agonist
no estimate extracted1 study · 49 participantsVery low
Downgraded: risk of bias, imprecision
Completion rate ‐ Naltrexone
Antagonist‐adrenergic combination vs adrenergic agonist
no estimate extracted4 studies · 330 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Completion rate ‐ Naloxone
Antagonist‐adrenergic combination vs adrenergic agonist
no estimate extracted6 studies · 463 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency