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Evidence-Based Mental Health 2009;12:12; doi:10.1136/ebmh.12.1.12
Copyright © 2009 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

THERAPEUTICS

Review: Insufficient evidence to guide use of drugs for clozapine induced hypersalivation

The first 150 words of the full text of this article appear below.

QUESTION

Question:

Is drug therapy effective for reducing clozapine induced hypersalivation?

Outcomes:

Measurement of salivation, measured as cure, no change, endpoint salivation score or change in salivation scores. Secondary outcomes included assessment of global state, service use, mental state, general functioning, behaviour, adverse effects, engagement, quality of life, satisfaction and costs.

METHODS

Design: Systematic review with meta-analysis.

Data sources: Cochrane Schizophrenia Group Trials Register; search to March 2007.

Study selection and analysis: Six reviewers independently selected and appraised RCTs comparing treatment with any pharmacological intervention versus placebo or no treatment for any condition in populations, regardless of age and gender, all of whom had identified clozapine induced hypersalivation (identified by self, carer or clinician). Disagreements were resolved by consensus (see online notes for further methodological details). Reviewers performed several meta-analyses, pooling dichotomous results and continuous data for each outcome and comparator. Only some of these results are presented here.

Main results Fifteen RCTs, including . . . [Full text of this article]

Sanjeev Sockalingam, Gary Remington

Assistant Professor, Faculty of Medicine, University of Toronto, Toronto General Hospital, University Health Network, Psychiatry, Health and Disease Program, Canada
Professor, Faculty of Medicine, University of Toronto, Centre for Addiction and Mental Health, Schizophrenia and Continuing Care Program, Canada


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