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Adding aspirin to antipsychotics reduces psychopathology in adults with schizophrenia spectrum disorders

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Question

Question

Does adjuvant aspirin benefit patients with schizophrenia spectrum disorders who are on antipsychotic therapy?

Patients

70 adults (18–55 years of age) with DSM-IV schizophrenia spectrum disorder (schizophrenia, schizoactive disorder or schizophreniform disorder), who were at least moderately ill (score ≥60 on the Positive and Negative Syndrome Scale, PANSS, with score ≥4 on two items). There was a 2-week placebo run-in period, and only those who achieved over 80% compliance were randomised. Exclusion criteria: illness duration longer than 10 years (changed from 5 years because of slow recruitment), contraindications for aspirin or pantoprazole, significant somatic illness, chronic non-steroidal anti-inflammatory drug use, corticosteroid use, pregnancy or change in type or dose of antipsychotic drugs in the previous 2 weeks.

Setting

10 psychiatric hospitals in The Netherlands; May 2004 to August 2007.

Intervention

Adjuvant aspirin (1000 mg daily) or placebo (adjuvant to antipsychotic …

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