Table 2

Meta-analysis for harms by category

HarmsInterventionComparatorStudiesNRandom effects—RR (95% CI)I2 (%)
Cardiorespiratory system disorders
  Heart palpitationsOpioidNon-opioid24302.72 (0.73 to 10.15)0
  NasopharyngitisOpioidPlacebo12050.76 (0.21 to 2.76)
  SinusitisOpioidPlacebo13020.75 (0.17 to 3.29)
  Upper respiratory infectionOpioidPlacebo12050.16 (0.02 to 1.30)
Dermatology system disorders
  PruritusOpioidPlacebo722452.68 (1.21 to 5.97)66
Gastrointestinal system disorders
  ConstipationOpioidPlacebo1136392.40 (1.48 to 3.89)68
  ConstipationOpioidNon-opioid36652.24 (0.97 to 5.20)0
  DiarrhoeaOpioidPlacebo520590.62 (0.42 to 0.90)0
  DyspepsiaOpioidPlacebo315201.43 (0.66 to 3.11)25
  DyspepsiaOpioidNon-opioid210261.33 (0.23 to 7.60)12
  NauseaOpioidPlacebo1136391.84 (1.21 to 2.81)77
  NauseaOpioidNon-opioid414561.62 (0.28 to 0.19)91
  VomitingOpioidPlacebo930031.99 (1.10 to 3.62)51
  VomitingOpioidNon-opioid312215.53 (1.85 to 16.55)31
Genitourinary system disorders
  Erectile dysfunctionOpioidPlacebo11033.43 (0.14 to 82.25)
  Urinary tract infectionOpioidPlacebo13022.67 (0.72 to 9.86)
Musculoskeletal system disorders
  ArthralgiaOpioidPlacebo12682.67 (0.72 to 9.83)
  Back painOpioidPlacebo37121.01 (0.51 to 1.99)0
Nervous system disorders
  DiaphoresisOpioidPlacebo2128429.24 (4.00 to 213.99)0
  DiaphoresisOpioidNon-opioid24301.70 (0.41 to 7.05)0
  Dizziness/vertigoOpioidPlacebo831261.52 (0.91 to 2.55)71
  Dizziness/vertigoOpioidNon-opioid414562.77 (1.40 to 5.49)62
  Dry mouthOpioidPlacebo313872.27 (1.00 to 5.15)33
  FatigueOpioidPlacebo623331.61 (1.11 to 2.34)0
  FatigueOpioidNon-opioid36651.26 (0.59 to 2.67)0
  HeadachesOpioidPlacebo1137901.15 (0.85 to 1.56)34
  HeadachesOpioidNon-opioid24554.39 (0.75 to 25.68)0
  HypoacusisOpioidPlacebo13021.25 (0.34 to 4.57)
  InsomniaOpioidPlacebo623651.46 (0.90 to 2.38)32
  SedationOpioidPlacebo22581.18 (0.63 to 2.21)82
  SomnolenceOpioidPlacebo933002.25 (1.01 to 5.01)74
  SomnolenceOpioidNon-opioid210111.33 (0.32 to 5.54)55
Withdrawal syndrome
OpioidPlacebo49170.36 (0.11 to 1.21)45