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Hospital de Figueres, Universidad Tecnológica Equinoccial, Iberoamerican Cochrane Centre
The review includes 13 small randomized clinical trials (RCTs) with a total of 479 participants, evaluating the efficacy of eight different drugs, including caffeine, sumatriptan, gabapentin, and hydrocortisone. The findings indicate that caffeine significantly reduces the incidence of PDPH compared to placebo, while gabapentin and hydrocortisone also show improved pain relief. However, the authors caution that the small sample sizes and limited generalizability of the studies affect the reliability of the conclusions.
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