Cochrane · systematic review · CD009345

Antihistamines for the common cold

De Sutter, AIM, Saraswat, A, van Driel, ML · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Acute Respiratory InfectionsAMSTAR 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 1 · 20%High 4 · 80%

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

Antihistamines compared to placebo for the common cold

Population: patients with the common cold
3 questions
OutcomeEffectEvidenceStatus / GRADE
Change in severity of overall symptoms: short‐term Subjective severity score
Antihistamines vs placebo
OR 0.74 [0.6, 0.92]3 studies · 1490 participantsModerate
Downgraded: risk of bias
Change in severity of overall symptoms: intermediate‐term (3 to 4 days) Subjective severity score
Antihistamines vs placebo
OR 1.19 [0.67, 2.11]1 study · 234 participantsHigh
Change in severity of overall symptoms: long‐term (6 to 10 days) Subjective severity score
Antihistamines vs placebo
OR 0.71 [0.41, 1.22]3 studies · 1551 participantsHigh

Sedating antihistamines compared to placebo for the common cold

Population: patients with the common cold
2 questions
OutcomeEffectEvidenceStatus / GRADE
Change in severity of overall symptoms: short‐term (1 to 2 days) Subjective severity score
Sedating antihistamines vs placebo
OR 0.76 [0.61, 0.95]2 studies · 1427 participantsHigh
Change in severity of overall symptoms: long‐term (6 to 10 days) Subjective severity score
Sedating antihistamines vs placebo
OR 0.71 [0.41, 1.22]3 studies · 1551 participantsHigh