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. 2015 Mar 6;2015(3):CD003443. doi: 10.1002/14651858.CD003443.pub3

Comparison 3. PERPHENAZINE vs ANY ANTIPSYCHOTIC (ACUTE).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Dichotomous outcomes for acute participants 7   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.1 Leaving the study early: 1. Any reason 7 447 Risk Ratio (M‐H, Random, 95% CI) 1.25 [1.06, 1.47]
1.2 Leaving the study early: 2. Due to adverse events 3 314 Risk Ratio (M‐H, Random, 95% CI) 1.55 [0.72, 3.34]
1.3 Leaving the study early: 3. Due to relapse/ worsening or no improvement 2 129 Risk Ratio (M‐H, Random, 95% CI) 1.46 [0.34, 6.26]
1.4 Global state: 1. Change over time ‐ no better or deterioration 5 240 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.27, 2.82]
1.5 Mental state: 1. State ‐ less than 20% BPRS reduction ('no effect') 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.81 [0.61, 1.08]
1.6 Mental state: 2. State ‐ less than 20% PANSS reduction ('no effect') 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.64, 1.15]
1.7 Adverse events: 1. Movement disorders ‐ dystonia 2 129 Risk Ratio (M‐H, Random, 95% CI) 1.11 [0.12, 10.02]
1.8 Adverse events: 2. Movement disorders ‐ extrapyramidal signs 1 22 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.39, 1.88]
1.9 Adverse events: 3. Movement disorders ‐ use of antiparkinson drugs 2 129 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.65, 1.76]
1.10 Adverse events: 4. Movement disorders ‐ hyperkinesia 2 135 Risk Ratio (M‐H, Random, 95% CI) 2.64 [0.88, 7.91]
1.11 Other adverse events: 5. Anticholinergic ‐ dry mouth 1 107 Risk Ratio (M‐H, Random, 95% CI) 7.40 [0.39, 139.81]
1.12 Other adverse events: 6. Arousal ‐ drowsiness 2 50 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.12, 8.33]
1.13 Other adverse events: 7. Arousal ‐ insomnia 2 161 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.16, 4.50]
1.14 Other adverse events: 8. Arousal ‐ need of additional benzodiazepines 1 17 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.35, 1.46]
1.15 Other adverse events: 9. Arousal ‐ sleepiness/sedation 2 161 Risk Ratio (M‐H, Random, 95% CI) 1.19 [0.71, 2.00]
1.16 Other adverse events: 10. Arousal ‐ tension 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.97 [0.63, 1.50]
1.17 Other adverse events: 11. At least one 3 157 Risk Ratio (M‐H, Random, 95% CI) 1.04 [0.88, 1.23]
1.18 Other adverse events: 12. Cardiovascular ‐ faintness, dizziness, weakness 2 161 Risk Ratio (M‐H, Random, 95% CI) 1.12 [0.54, 2.33]
1.19 Other adverse events: 13. Cardiovascular ‐ lassitude 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.97 [0.61, 1.52]
1.20 Other adverse events: 14. Cardiovascular ‐ tachycardia 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.57 [0.25, 1.32]
1.21 Other adverse events: 15. Central nervous system ‐ difficulty in concentration 1 107 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.71, 1.58]
1.22 Other adverse events: 16. Central nervous system ‐ headache 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.53 [0.14, 2.01]
1.23 Other adverse events: 17. Central nervous system ‐ paraesthesia 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.12, 4.05]
1.24 Other adverse events: 18. Gastrointestinal ‐ constipation 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.07 [0.00, 1.20]
1.25 Other adverse events: 19. Gastrointestinal ‐ diarrhoea 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.15 [0.01, 2.85]
1.26 Other adverse events: 20. Gastrointestinal ‐ nausea and vomiting 2 154 Risk Ratio (M‐H, Random, 95% CI) 0.64 [0.24, 1.68]
1.27 Other adverse events: 21. Gastrointestinal ‐ weight loss 1 107 Risk Ratio (M‐H, Random, 95% CI) 2.12 [0.56, 8.02]
1.28 Other adverse events: 22. Gastrointestinal ‐ weight gain 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.50 [0.26, 0.97]
1.29 Other adverse events: 23. Skin ‐ pruritus 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.79 [0.19, 3.38]
1.30 Other adverse events: 24. Skin ‐ rash 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.12, 4.05]
1.31 Other adverse events: 25. Skin ‐ sweating 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.66 [0.23, 1.89]
1.32 Other adverse events: 26. Genitourinary ‐ diminished sexual desire 1 107 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.22, 5.01]
1.33 Other adverse events: 27. Genitourinary ‐ ejaculatory dysfunction (men only) 1 77 Risk Ratio (M‐H, Random, 95% CI) 0.18 [0.02, 1.43]
1.34 Other adverse events: 28. Genitourinary ‐ erectile dysfunction (men only) 1 77 Risk Ratio (M‐H, Random, 95% CI) 0.90 [0.30, 2.70]
1.35 Other adverse events: 29. Genitourinary ‐ galactorrhoea 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.15 [0.01, 2.85]
1.36 Other adverse events: 30. Genitourinary ‐ increased sexual desire 1 107 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.22, 5.01]
1.37 Other adverse events: 31. Genitourinary ‐ orgastic dysfunction 1 107 Risk Ratio (M‐H, Random, 95% CI) 5.28 [0.26, 107.51]
1.38 Other adverse events: 32. Others ‐ abdominal pain 1 47 Risk Ratio (M‐H, Random, 95% CI) 0.14 [0.01, 2.52]
1.39 Other adverse events: 33. Others ‐ failing memory 1 107 Risk Ratio (M‐H, Random, 95% CI) 1.27 [0.60, 2.68]
1.40 Other adverse events: 34. Others ‐ sweating 1 107 Risk Ratio (M‐H, Random, 95% CI) 0.96 [0.45, 2.07]
2 Continuous outcomes for acute participants 1   Mean Difference (IV, Random, 95% CI) Subtotals only
2.1 Mental state: 1. State ‐ PANSS: mean change from baseline to endpoint 1 107 Mean Difference (IV, Random, 95% CI) 4.0 [‐5.04, 13.04]