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

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".
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.
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.