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. 2016 Jul 2;2016(7):CD010832. doi: 10.1002/14651858.CD010832.pub2

Comparison 2. FLUPHENAZINE (ORAL) vs RISPERIDONE.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Clinically important response (defined by study) 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.1 short term (up to 12 weeks) 1 26 Risk Ratio (M‐H, Random, 95% CI) 0.67 [0.13, 3.35]
2 Global state: 1. Average endpoint score of CGI scales (high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
2.1 short term (up to 12 weeks) 1 26 Mean Difference (IV, Random, 95% CI) 0.07 [‐0.77, 0.91]
3 Mental state: 2a. Average endpoint scores (BPRS, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
3.1 BPRS endpoint total scale score ‐ short term (up to 12 weeks) 1 25 Mean Difference (IV, Random, 95% CI) ‐1.98 [‐12.96, 9.00]
3.2 BPRS positive subscale score ‐ short term (up to 12 weeks) 1 25 Mean Difference (IV, Random, 95% CI) ‐0.15 [‐4.22, 3.92]
3.3 BPRS negative subscale score ‐ short term (up to 12 weeks) 1 25 Mean Difference (IV, Random, 95% CI) ‐1.54 [‐3.94, 0.86]
3.4 BPRS hostile subscale score ‐ short term (up to 12 weeks) 1 25 Mean Difference (IV, Random, 95% CI) 0.92 [‐2.21, 4.05]
4 Mental state: 2b. Average endpoint score of various scales (high = poor) ‐ short term (up to 12 weeks) (skewed data)     Other data No numeric data
4.1 BPRS anxiety/depression subscale score     Other data No numeric data
4.2 BPRS activation subscale score     Other data No numeric data
5 Adverse effects: 1. Anticholinergic effect 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
5.1 blurred vision ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 1.08 [0.18, 6.53]
5.2 dry mouth ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 1.08 [0.18, 6.53]
5.3 urinary hesitancy ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 5.38 [0.28, 101.96]
6 Adverse effects: 2. Central nervous system 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
6.1 anxiety ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.54 [0.06, 5.24]
6.2 headache ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.77 [0.33, 1.79]
6.3 lethargy ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.81 [0.23, 2.91]
6.4 insomnia ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 1.81 [0.55, 5.98]
6.5 somnolence ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.30, 2.49]
7 Adverse effects: 3. Gastrointestinal 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
7.1 constipation ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 9.69 [0.58, 163.02]
7.2 diarrhoea ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.01, 4.08]
7.3 dyspepsia ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 3.25 [0.39, 27.15]
7.4 nausea/vomiting ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.14, 3.61]
8 Adverse effects: 4. Other adverse events 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
8.1 urinary frequency ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.36 [0.02, 8.05]
8.2 orthostasis ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.43 [0.10, 1.83]
8.3 increased appetite ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.14, 3.61]
8.4 dizziness ‐ short term (up to 12 weeks) 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.36 [0.04, 3.02]
9 Adverse effects: 5. Average endpoint weight loss (kg) (skewed data)     Other data No numeric data
9.1 short term (up to 12 weeks)     Other data No numeric data
10 Leaving the study early 1   Risk Ratio (IV, Random, 95% CI) Subtotals only
10.1 inefficacy ‐ short term (up to 12 weeks) 1 25 Risk Ratio (IV, Random, 95% CI) 1.08 [0.08, 15.46]