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To evaluate the efficacy and safety of paracetamol as an analgesic medication in a range of painful conditions. Systematic review of systematic reviews of the analgesic effects of paracetamol in randomised, placebo-controlled trials. Conduct of systematic reviews was assessed with AMSTAR-2; confidence in effect estimates (quality of evidence) was assessed with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. MEDLINE, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews; systematic reviews publ