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. 2018 Feb 6;2018(2):CD000459. doi: 10.1002/14651858.CD000459.pub3
Study Reason for exclusion
Albus 1985 Allocation: not randomised
Ananth 1977 Allocation: not randomised
Andersson 1988 Allocation: not randomised
Andia 1998 Allocation: randomised
Participants: schizophrenia (DSM‐III‐R), N = 26, 14 with TD
Intervention: haloperidol vs clozapine
Outcomes: no data available for AIMS in clozapine group, the study also reported on plasma homovanillic acid levels, an outcome not relevant for this review
We contacted the study authors but no information was received. This study is over 15years old and was excluded.
Asnis 1979 Allocation: not randomised
Auberger 1985 Allocation: not randomised
Barnes 2002 Allocation: random not mentioned in this short trial registration
Participants: elderly patients, many started treatment with antipsychotics at start of study (no baseline TD)
Bateman 1979 Allocation: random
 Participants: psychiatric patients with TD
 Interventions: metoclopramide (10 mg, 20 mg or 40 mg) vs haloperidol (5 mg or 10 mg)
Outcomes: no outcome data was provided for the first period before cross‐over. We were unable to find contact details for the study authors; study is over 35 years old and was excluded
Bitter 2000 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
 Interventions: olanzapine vs clozapine
Blaha 1980 Allocation: not randomised
Borison 1987 Allocation: randomised
 Participants: schizophrenia (DSM‐III criteria); TD (Schooler and Kane criteria)
 Interventions: molindone versus haloperidol
Outcomes: no usable efficacy data; only P values were reported. We were unable to find contact details for the study authors; study is over 25 years old and was excluded
Branchey 1981 Allocation: not randomised
Brecher 1999 Allocation: randomised
Participants: people with dementia, not schizophrenia, not TD at baseline
Buchanan 1992 Allocation: not randomised
Burner 1989 Allocation: 'randomly assigned'
 Participants: people with schizophrenia, no TD symptoms at baseline
 Interventions: progabide vs placebo
Buruma 1982 Allocation: randomised, cross‐over
 Participants: "patients with tardive dyskinesia" ‐ no further details
Interventions: tiapride vs placebo
Outcomes: doppler ratings, none before cross‐over
Cai 1988 Allocation: randomisation not mentioned
 Participants: patients with antipsychotic‐induced TD
Intervention: 1‐stepholidine (herbal product that has shown antipsychotic properties in animals) versus placebo
Assessed and data extracted by Sai Zhao
Caine 1979 Allocation: "allocated by toss of a coin"
 Participants: Gilles de la Tourette's, Huntington's disease and drug‐induced atypical dyskinesia, no TD symptoms at baseline
Interventions: clozapine vs placebo
Calne 1974 Allocation: not randomised
Campbell 1988 Allocation: not randomised
Carpenter 1980 Allocation: not randomised
Casey 1977 Allocation: not randomised
Casey 1979 Allocation: not randomised
Casey 1981 Allocation: not randomised
Casey 1983 Allocation: not randomised
Cassady 1992 Allocation: not randomised
Chouinard 1978 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: fluphenazine ethanoate vs pipothiazine palmitate
Chouinard 1979 Allocation: random
 Participants: people with schizophrenia, and parkinsonism, no TD symptoms at baseline
Interventions: ethopropazine vs benztropine
Chouinard 1989 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: haloperidol decanoate vs fluphenazine decanoate
Chouinard 1994 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: clozapine vs risperidone
Claveria 1975 Allocation: not randomised
Cookson 1991 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: haloperidol decanoate vs fluphenazine decanoate
Cortese 2008 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: quetiapine vs continuation of usual antipsychotic
Cowen 1997 Allocation: not randomised
Crane 1968 Allocation: not randomised, review article
Crane 1969 Allocation: not randomised
Crane 1970 Allocation: random
 Participants: people with schizophrenia, only 2%‐3% with TD at baseline
Interventions: trifluoperazine high dose vs trifluoperazine low dose vs placebo
Curran 1973 Allocation: not randomised
Curson 1985 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: fluphenazine decanoate vs placebo
Davidson 2000 Allocation: not randomised
de Jesus Mari 2004 Allocation: randomised
 Participants: diagnosis of schizophrenia or related disorders (DSM‐IV criteria). < 50% of participants had TD at baseline
Interventions: olanzapine vs "conventional antipsychotic drugs"
Outcomes: author contacted for data regarding people with TD ‐ data no longer available
Delwaide 1979 Allocation: randomised
 Participants: hospitalised patients with TD on a psychogeriatric ward
 Intervention: thioproperazine vs tiapride vs placebo
 Outcome: all data unusable, unable to extract data from first arm of cross‐over
The study is over 35 years old and we were unable to identify contact details for the author
Diamond 1986 Allocation: not randomised
Dixon 1993 Allocation: not randomised
Fahn 1983 Allocation: not randomised
Fahn 1985 Allocation: not randomised
Freeman 1980 Allocation: not randomised
Gardos 1984 Allocation: not randomised
Gerlach 1975 Allocation: random
Participants: schizophrenia, no established, stable TD diagnosis at baseline
Interventions: clozapine vs haloperidol
Gerlach 1978 Allocation: the randomisation was just in one arm of the study “Haloperidol + biperiden for 4 weeks (phase 2 and phase 3 in randomized sequence)”. All other arms thioridazine for 3 months, haloperidol for 4 weeks; thioridazine for 4 weeks, clozapine for 4 weeks were not
Participants: elderly people with psychiatric history and neuroleptic‐induced TD
Interventions: biperiden vs no treatment as an adjunct to haloperidol
Gerlach 1984a Allocation: not randomised, cohort study
Gerlach 1984b Allocation: not randomised
Gibson 1980 Allocation: not randomised
Glazer 1984 Allocation: not randomised
Glazer 1989 Allocation: not randomised
Goldberg 1981 Allocation: randomised
 Participants: people with schizophrenia (no history of TD)
Interventions: withdrawal of fluphenazine decanoate vs continuation
Greil 1984 Allocation: "randomly assigned"
 Participants: people with schizophrenia
 Interventions: biperiden vs placebo
Haggstrom 1980 Allocation: not randomised
Heresco‐Levy 1993 Allocation: not randomised
Hershon 1972 Allocation: randomised
 Participants: people with schizophrenia (no history of TD)
Interventions: trifluoperazine withdrawal vs trifluoperazine continuation
Herz 1991 Allocation: randomised
 Participants: people with schizophrenia
 Interventions: neuroleptic reduction (intermittent treatment) vs maintenance neuroleptic
 Outcomes: no usable data
Dr Herz kindly replied to our request for more information. Unfortunately, individual baseline and endpoint AIMS score are no longer available
Hogarty 1976 Allocation: not randomised
Hogarty 1988 Allocation: quasi‐randomised
Inada 2003 Allocation: not randomised
Inderbitzin 1994 Allocation: Not randomised ("by alternate allocation")
Jean‐Noel 1999 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: clozapine vs olanzapine
Jeste 1977 Allocation: not randomised
Participants: chronic schizophrenia with TD, N = 2
Interventions: chlorpromazine schedule A vs chlorpromazine schedule B. Treatments in the 2 groups were the same except for timing of the doses (frequency and withdrawal)
Jeste 1979 Allocation: not randomised
Johnson 1983 Allocation: not randomised
Johnson 1987 Allocation: randomised
 Participants: people with schizophrenia
 Interventions: neuroleptic dose reduction vs maintenance dose (both arms used flupenthixol decanoate)
 Outcomes: no usable data
Dr Johnson kindly replied to our letter. No further data available from the first author
Jolley 1990 Allocation: randomised
 Participants: people with schizophrenia (no history of TD)
Interventions: brief intermittent antipsychotic treatment vs fluphenazine decanoate
Jus 1979 Allocation: not randomised
Kalachnik 1984 Allocation: not randomised, case‐control study
Dr Kalachnick kindly provided additional information. After randomisation clinicians reviewed group allocations and re‐assigned selected individuals on clinical grounds
Kane 1993 Allocation: not randomised, 2 case series
Kinon 2004 Allocation: randomised
Participants: schizophrenia and TD (Schooler and Kane criteria)
Interventions: olanzapine (5 mg‐20 mg/d) with 1 set of intermittent dose‐reduction periods versus olanzapine (5 mg‐20 mg/d) with a different set of intermittent dose reduction periods
Kirch 1983 Allocation: not randomised
Kopala 2004 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: haloperidol vs risperidone
Lal 1974 Allocation: randomised, cross‐over. Participants: people with schizophrenia. Interventions: thiopropazine vs trifluoperazine vs placebo. Outcomes: no usable data. Dr Lal kindly replied to inquiry. Unable to extract data from the first segment. Jadad score = 4/5
Leblanc 1994 Allocation: not randomised, cohort study
Leblhuber 1987 Allocation: not randomised
Levine 1980 Allocation: randomised
 Participants: people with schizophrenia (no history of TD)
Interventions: fluphenazine withdrawal vs continuation
Lieberman 1988 Allocation: randomised
 Participants: TD according to the criteria of Schooler and Kane, schizophrenia, schizoaffective disorder, major affective disorder and attention deficit disorder
Intervention: physostigmine vs bromocriptine vs benztropine vs haloperidol for 1 day, then crossed over.
Outcomes: no outcome data provided for the first period before cross‐over. We contacted the study author but no information received. Study is over 25 years old years old and was excluded
Lieberman 1989 Allocation: not randomised, cohort study
Lin 2006 Allocation: not randomised: naturalistic observational study
Littrell 1993 Allocation: not randomised
MacKay 1980 Allocation: "patients were divided into pairs"
 Participants: people with schizophrenia
 Intervention: lithium vs placebo
Marder 1987 Allocation: randomised
 Participants: people with schizophrenia (no history of TD)
Interventions: low vs conventional‐dose maintenance therapy with fluphenazine decanoate
McCreadie 1980 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: intermittent pimozide vs fluphenazine decanoate
Meco 1989 Allocation: not randomised
Miller 1994 Allocation: not randomised
NDSG 1986 Allocation: randomised cross‐over
 Participants: psychiatric inpatients with TD
Intervention: chlorprothixene vs haloperidol vs perphenazine vs haloperidol + biperiden
Outcomes: no outcome data provided for the first period before cross‐over
We contacted the study author but no reply. Study is 30 years old and was excluded.
Newcomer 1992 Allocation: randomised
 Participants: people with schizophrenia (no history of TD)
Interventions: haloperidol dose reduction vs maintained dose
Newton 1989 Allocation: randomised
 Participants: people with schizophrenia (no history of TD)
 Interventions: haloperidol with 'drug holiday' versus haloperidol
Odejide 1982 Allocation: randomisation not mentioned
 Participants: people with schizophrenia (no history of TD)
 Interventions: fluphenazine decanoate vs vitamin B complex
Pai 2001 Allocation: not randomised
 Participants: people with schizophrenia and TD
 Interventions: risperidone vs placebo
Paulson 1975 Allocation: not randomised
Dr Paulsen kindly provided additional information about this double‐blind study
Peacock 1996 Allocation: not randomised
Peluso 2012 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: FGA vs second generation antipsychotic
Perry 1985 Allocation: randomised
 Participants: children with autism without history of TD
 Dr Campbell kindly provided all published and in‐press data. The authors found no difference in TD between the intermittent and continuous treatment groups but further details required for this review were not available
Pyke 1981 Allocation: not randomised
Quinn 1984 Allocation: randomised, double‐blind, cross‐over study
Participants: people with schizophrenia
Intervention: sulpiride (Dogmatil) 300 mg‐ 1200 mg/d
Outcomes: no usable data. Drs Marsden and Quinn kindly replied to our letter, but no data suitable for this review could be provided
Quitkin 1977 Allocation: not randomised
Rapoport 1997 Allocation: not described
Ringwald 1978 Allocation: not random
Rosenheck 2003 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: haloperidol vs olanzapine
Roxburgh 1970 Allocation: not randomised
Schultz 1995 Allocation: not randomised
Schwartz 1990 Allocation: randomised
 Participants: psychiatric inpatients with TD
Interventions: sulpiride vs placebo
Outcomes: no outcome data provided for the first period before cross‐over. We were unable to find contact details for the study authors; this study is over 25 years old and was excluded
Seeman 1981 Allocation: not randomised
Simpson 1978 Allocation: not randomised, cohort study
Singer 1971 Allocation: randomised
 Participants: psychiatric inpatients with persistent TD
Interventions: thiopropazate vs placebo
Outcomes: no outcome data provided for the first period before cross‐over. We were unable to find contact details for the study authors; this study is 45 years old and was excluded
Singh 1990 Allocation: randomised
 Participants: people with schizophrenia (majority did not have TD)
Intervention: abrupt antipsychotic withdrawal versus continuation of antipsychotic medication
Small 1987 Allocation: not randomised, cohort study
Smith 1979 Allocation: not randomised, cohort study
Soni 1984 Allocation: not randomised
Speller 1997 Allocation: randomised
Participants: schizophrenia (DSM‐III‐R), majority with TD
Intervention: amisulpride versus haloperidol
Outcomes: schizophrenia symptom changes, especially negative symptoms, adverse events, and TD as adverse event.
We excluded this reference because, although the majority had TD at baseline and the intervention drugs qualified, the drugs were not examined as a treatment for TD (as our inclusion criteria demand), but for negative symptoms of schizophrenia
Spivak 1997 Allocation: not randomised, cohort study
Spohn 1988 Allocation: randomised
 Participants: people with schizophrenia
 Interventions: abrupt neuroleptic cessation versus neuroleptic maintenance
 Outcomes: no usable data
Dr Spohn kindly replied to our request for further information. Data on baseline and endpoint TD not available
Spohn 1993 Allocation: randomised
 Participants: people with schizophrenia
 Interventions: abrupt neuroleptic withdrawal versus maintenance
 Outcomes: no usable data
Dr Spohn kindly replied to our letter, but no further data were available
Suh 2004 Allocation: randomised
 Participants: dementia and not TD
Thapa 1994 Allocation: randomised
 Participants: nursing home staff
 Interventions: education about neuroleptic prescribing vs no specific additional education
Tollefson 1997 Allocation: random
 Participants: no TD at baseline, investigates incidence of TD with long‐term treatment with olanzapine vs haloperidol
Tran 1997 Allocation: random
 Participants: people with schizophrenia, no TD symptoms at baseline
Interventions: olanzapine versus haloperidol
Turek 1972 Allocation: not randomised ‐ allocated to treatment group in a "nonsystematic" fashion, but then participants were re‐allocated to alternate groups based on clinical judgement
Williamson 1995 Allocation: random
 Participants: schizophrenia, not TD
Interventions: olanzapine 1 mg vs olanzapine 10 mg versus placebo
Wirshing 1999 Allocation: random
 Participants: people with treatment‐resistant schizophrenia, no TD symptoms at baseline
Interventions: haloperidol vs risperidone
Wistedt 1983 Allocation: randomised
 Participants: people with schizophrenia (no history of TD)
Interventions: fluphenazine/flupenthixol decanoate continuation vs withdrawal
Wolf 1991 Allocation: not randomised, cohort study
Wright 1998 Allocation: not randomised
Zander 1981 Allocation: not randomised
Zarebinski 1990 Allocation: not randomised, cohort study
Zeng 1994 Allocation: randomised
 Participants: patients with antipsychotic‐induced TD
Intervention: flunarizine (calcium channel antagonist) vs placebo
Assessed and data extracted by Sai Zhao

FGA: first‐generation antipsychotic
 IV = intravenous
 TD: tardive dyskinesia