Lepola 1989.
Methods | Allocation: randomised. Blindness: double. Duration: 4 months, preceded by 4 weeks wash‐out. Setting: hospital, single‐centre. | |
Participants | Diagnosis: schizophrenia (n = 17 acute; n = 30 chronic) (RDC).
N = 47.
Age: 18 to 66 years, mean ˜ 39 years.
Sex: 27 F, 20 M.
History: inpatient, Finland. Included: not stated. Excluded: organic cerebral disease, mental retardation apparent from school age, epilepsy, serious physical disability, renal or hepatic insufficiency, haematological disorders, pregnancy. Consent: informed consent required; trial design was accepted by the Ethic Committee of "Harjamāki Mental Hospital". |
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Interventions | 1. Perphenazine: 4 mg per tablet, initially 3 tablets daily, could be changed when considered necessary according to response or side effects, maximal daily dose 40 mg, n = 24.
2. Sulpiride: 200 mg per tablet, initially 3 tablets daily, could be changed when considered necessary according to response or side effects, maximal daily dose 2000 mg, n = 23. Additional medication: biperiden for extrapyramidal symptoms, diazepam or nitrazepam for additional sedation. |
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Outcomes | Leaving the study early. Global state: no better or worse. Mental state: BPRS. Adverse events. | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomised: no further details. |
Allocation concealment (selection bias) | Unclear risk | Not described. |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Double‐blind: identical tablets ‐ no further details. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | None detected. |
Selective reporting (reporting bias) | Unclear risk | None detected. |
Other bias | Unclear risk | Funding: not stated. Raters: not stated to be independent of treatment. |