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Evid Based Mental Health 1:83 doi:10.1136/ebmh.1.3.83
  • Therapeutics

Review: chlorpromazine reduces relapse but increases adverse events in schizophrenia

Chlorpromazine v placebo or no treatment in schizophrenia*

Weighted event rates
Outcome Chlorpromazine Control RRR (95%CI) NNT (CI)
*Abbreviations defined in glossary; RRR, RBI, RRI, NNT, NNH, and CI calculated from data in article.
Relapse (6 months–2 years) 40% 71% 43% (33 to 52) 4 (3 to 5)
Relapse (2–5 years) 55% 83% 35% (25 to 44) 4 (3 to 6)
Outcome Chlorpromazine Control RBI (95%CI) NNT (CI)
Global improvement (0–8 weeks) 55% 37% 63% (38 to 94) 6 (5 to 9)
Global improvement (9 weeks–6 months) 30% 13% 137% (84 to 207) 6 (5 to 8)
Outcome Chlorpromazine Control RRI (95%CI) NNH (CI)
Sedation 28% 13% 133% (82 to 197) 7 (6 to 9)
Acute movement disorders (dystonia) 6% 2% 214% (30 to 659) 29 (16 to 131)
Parkinsonism 12% 7% 101% (50 to 169) 21 (14 to 47)
Fits 5% 2% 211% (5 to 818) 30 (20 to 67)
Lowered blood pressure 16% 8% 113% (52 to 198) 13 (9 to 24)
Weight gain 41% 9% 351% (118 to 832) 4 (3 to 6)
Photo-sensitivity 15% 3% 504% (222 to 1032) 9 (7 to 12)
Eye opacity or pigment problem 20% 7% 204% (85 to 400) 8 (6 to 13)
Dry mouth 6% 1% 334% (75 to 979) 21 (14 to 41)

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