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. 2003 Apr 22;2003(2):CD000440. doi: 10.1002/14651858.CD000440

Claus 1991.

Methods Allocation: randomised (no further description). 
 Blindness: double (described). 
 Duration: 12 weeks (preceeded by one week placebo washout). 
 Consent: written. 
 Setting: multicentre.
Participants Diagnosis: schizophrenia (DSM‐III‐R). 
 N=44. 
 Sex: 28M, 14F. 
 Age: 20‐66 years, mean ˜ 38 years. 
 History: chronic, hospitalised. 
 Exclusions: other significant physical or psychological illness, pregnant or nursing females.
Interventions 1. Risperidone: 2‐20mg/day, an initial dose of 2mg/day was adjusted as required days 1‐42, FD thereafter. N=21. 
 2. Haloperidol: 2‐20mg/day, an initial dose of 2mg/day was adjusted as required days 1‐42, FD thereafter. N=21.
Diazepam, dexetimide, tybezatropine IM as required.
Outcomes Clinical improvement: 20% reduction of total PANSS. 
 Global effect: CGI improved/not improved 
 Adverse effects: various observed effects. 
 Leaving the study early.
Unable to use ‐ 
 Global effect: CGI (no SD). 
 Mental state: PANSS, SADS‐C (no SD). 
 Behaviour: NOISE‐30, Individual target symptom (visual analogue scale), sleep quality (visual analogue scale) (no SD). 
 Physiological monitoring: ECG, lab tests (no data) 
 Side effects: ESRS (no SD).
Notes Intention to treat analysis for adverse effects, two patients excluded from efficacy analysis.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear