I am wondering if the Wilcoxon signed rank test is an appropriate test for my data, that does not follow a normal distribution.
I have 150 datasheets of numbers of drugs measured at two points in time.
- 40 negative ranks (reduction in number of drugs)
- 10 positive ranks (increase in number of drugs)
- 100 zero differences
Considering the high prevalence of zero differences in around 2/3 of datasheets, is it still valid to use Wilcoxon signed rank test? Is there any reasonable alternative for nonparametric and non-continuous data?