Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Adverse effects | |||||
Systematic review |
183 people Data from 1 RCT |
Difference in percentage of people clinically improved
short term
with haloperidol (range 2–8 mg/day, mean daily dose 5.6 mg/day) with risperidone (range 2–8 mg/day, mean daily dose 6.1 mg/day) Absolute results not reported |
Difference 12% P <0.05 |
Effect size not calculated | risperidone |
Systematic review |
183 people Data from 1 RCT |
Difference in percentage of people withdrawing because of adverse events
with haloperidol (range 2–8 mg/day, mean daily dose 5.6 mg/day) with risperidone (range 2–8 mg/day, mean daily dose 6.1 mg/day) Absolute results not reported |
Difference 18% P = 0.02 |
Effect size not calculated | risperidone |
Systematic review |
183 people Data from 1 RCT |
Difference in percentage of patients requiring antiparkinsonian medication
with haloperidol (range 2–8 mg/day, mean daily dose 5.6 mg/day) with risperidone (range 2–8 mg/day, mean daily dose 6.1 mg/day) Absolute results not reported |
Difference 25% P <0.001 |
Effect size not calculated | risperidone |
Systematic review |
183 people Data from 1 RCT |
Difference in percentage of patients with non-extrapyramidal adverse events
short term
with haloperidol (range 2–8 mg/day, mean daily dose 5.6 mg/day) with risperidone (range 2–8 mg/day, mean daily dose 6.1 mg/day) Absolute results not reported |
Difference 3% P value not reported |
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Systematic review |
555 people Data from 1 RCT |
Difference in mean increase in body weight
short term
with haloperidol (range 1–4 mg/day, mean modal dose 2.9 mg/day) with risperidone (range 1–4 mg/day, mean modal dose 3.3 mg/day) Absolute results not reported |
Difference 1.6 kg P = 0.03 |
Effect size not calculated | haloperidol |
Systematic review |
555 people Data from 1 RCT |
Difference in percentage of patients withdrawing because of adverse events
long term
with haloperidol (range 1–4 mg/day, mean modal dose 2.9 mg/day) with risperidone (range 1–4 mg/day, mean modal dose 3.3 mg/day) Absolute results not reported |
Difference 0.7% P = 0.71 |
Not significant | |
Systematic review |
555 people Data from 1 RCT |
Difference in percentage of patients with persistent dyskinesia
long term
with haloperidol (range 1–4 mg/day, mean modal dose 2.9 mg/day) with risperidone (range 1–4 mg/day, mean modal dose 3.3 mg/day) Absolute results not reported |
Difference 1.5% P = 0.28 |
Not significant | |
RCT |
289 inpatients with first-episode schizophrenia |
Prevalence of movement disorder adverse effects (Simpson-Angus Scale total score >0)
8 weeks
with haloperidol (mean daily dose 3.7 mg/day) with risperidone (mean daily dose 3.8 mg/day) Absolute results not reported |
OR 1.32 P = 0.036 |
Small effect size | risperidone |
RCT |
289 inpatients with first-episode schizophrenia |
Prevalence of movement disorder adverse effects (Abnormal Involuntary Movement Scale total score >0)
8 weeks
with haloperidol (mean daily dose 3.7 mg/day) with risperidone (mean daily dose 3.8 mg/day) Absolute results not reported |
OR 1.42 P = 0.004 |
Small effect size | risperidone |
RCT |
289 inpatients with first-episode schizophrenia |
Prevalence of movement disorder adverse effects (Hillside Akathisia Scale total score >0)
8 weeks
with haloperidol (mean daily dose 3.7 mg/day) with risperidone (mean daily dose 3.8 mg/day) Absolute results not reported |
OR 1.28 P = 0.103 |
Not significant | |
Systematic review |
2783 people 21 RCTs in this analysis |
Extrapyramidal symptoms
with haloperidol with risperidone Absolute results not reported |
RR 0.61 95% CI 0.52 to 0.72 |
Small effect size | risperidone |
Systematic review |
1336 people 9 RCTs in this analysis |
Mean difference in weight gain (kg)
with haloperidol with risperidone Absolute results not reported |
Mean difference 1.7 kg 95% CI 0.9 kg to 2.4 kg |
Effect size not calculated | haloperidol |
Systematic review |
2914 people 15 RCTs in this analysis |
Sedation
with haloperidol with risperidone Absolute results not reported |
RR 0.86 95% CI 0.70 to 1.05 |
Not significant | |
Systematic review |
397 people Data from 1 RCT |
Change from baseline in Extrapyramidal Symptom Rating Scale total score
+0.3 with haloperidol (11.7 mg/day) –0.1 with risperidone (4.9 mg/day) |
P = 0.02 |
Effect size not calculated | risperidone |
Systematic review |
397 people Data from 1 RCT |
Change from baseline in parkinsonism subscale
+0.5 with haloperidol (11.7 mg/day) –0.7 with risperidone (4.9 mg/day) |
P = 0.03 |
Effect size not calculated | risperidone |
Systematic review |
397 people Data from 1 RCT |
Change from baseline in global impression score for parkinsonism
+0.1 with haloperidol (11.7 mg/day) –0.3 with risperidone (4.9 mg/day) |
P = 0.0002 |
Effect size not calculated | risperidone |
Systematic review |
397 people Data from 1 RCT |
Change from baseline in global impression score for dyskinesia
+0.1 with haloperidol (11.7 mg/day) –0.1 with risperidone (4.9 mg/day) |
P = 0.03 |
Effect size not calculated | risperidone |
Systematic review |
397 people Data from 1 RCT |
Change from baseline in weight gain (kg)
0.73 kg with haloperidol (11.7 mg/day) 2.3 kg with risperidone (4.9 mg/day) |
P <0.001 |
Effect size not calculated | haloperidol |