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Haloperidol, olanzapine and risperidone reduce treatment failure compared to aripiprazole, quetiapine and ziprasidone in acute schizophrenia

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 Q How do second generation antipsychotics compare with haloperidol for the treatment of acute schizophrenia?

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Unblinded (treating physician and participant aware of the treatment). Assessors of the Brief Psychiatric Rating Scale and side effects were blinded; the unblinded treating physician made the decision about discharge.

Embedded ImageFollow-up period

At least 3 weeks.

Embedded ImageSetting:

Six hospital adult psychiatric inpatient units, USA; recruitment January 2004 to February 2005.

Embedded ImagePatients:

327 newly admitted adult inpatients (aged 18 years and over) with DSM-IV schizophrenia, schizoaffective disorder or schizophreniform disorder. Exclusions: substance-induced psychotic disorder, bipolar disorder, major depressive disorder, history of non-response to study drugs or response to non-study drugs, pregnancy or breastfeeding, or medical condition contraindicating study treatments.

Embedded ImageIntervention:

Aripiprazole, haloperidol, olanzapine, quetiapine, risperidone or ziprasidone for at least 3 weeks (doses determined using manufacturer’s dose recommendations). Treatment could continue beyond …

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