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Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 1 Global effect: 1. No marked global improvement.
Figuras y tablas -
Analysis 1.1

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 1 Global effect: 1. No marked global improvement.

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 2 Global effect: 2. Not discharged from hospital (>6‐24 weeks).
Figuras y tablas -
Analysis 1.2

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 2 Global effect: 2. Not discharged from hospital (>6‐24 weeks).

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 3 Global effect: 3. Relapse or not remaining in remission (<52 weeks).
Figuras y tablas -
Analysis 1.3

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 3 Global effect: 3. Relapse or not remaining in remission (<52 weeks).

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 4 Mental state: 1. No clinical improvement (<20% reduction in BPRS score, 0‐6 weeks).
Figuras y tablas -
Analysis 1.4

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 4 Mental state: 1. No clinical improvement (<20% reduction in BPRS score, 0‐6 weeks).

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 5 Mental state: 2. Average end point BPRS score by 6 weeks (high = poor).
Figuras y tablas -
Analysis 1.5

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 5 Mental state: 2. Average end point BPRS score by 6 weeks (high = poor).

Study

Haloperidol ‐ number

Haloperidol ‐ mean

Haloperidol ‐ SD

Placebo ‐ number

Placebo ‐ mean

Placebo ‐ SD

Klieser 1989

20

2.0

22.6

16

‐4.1

20.4

Figuras y tablas -
Analysis 1.6

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 6 Mental state: 3. Change in BPRS total score by 3 weeks (high = good, data likely to be skewed).

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 7 Leaving the study early.
Figuras y tablas -
Analysis 1.7

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 7 Leaving the study early.

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 8 Adverse events: 1. Anticholinergic effects.
Figuras y tablas -
Analysis 1.8

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 8 Adverse events: 1. Anticholinergic effects.

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 9 Adverse events: 2. Cardiovascular effects.
Figuras y tablas -
Analysis 1.9

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 9 Adverse events: 2. Cardiovascular effects.

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 10 Adverse events: 3a. Movement disorders ‐ acute.
Figuras y tablas -
Analysis 1.10

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 10 Adverse events: 3a. Movement disorders ‐ acute.

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 11 Adverse events: 3b. Movement disorders ‐ non‐acute.
Figuras y tablas -
Analysis 1.11

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 11 Adverse events: 3b. Movement disorders ‐ non‐acute.

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 12 Adverse events: 3c. Movement disorders ‐ chronic.
Figuras y tablas -
Analysis 1.12

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 12 Adverse events: 3c. Movement disorders ‐ chronic.

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 13 Adverse events: 4. Sleep related effects.
Figuras y tablas -
Analysis 1.13

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 13 Adverse events: 4. Sleep related effects.

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 14 Adverse events: 5. Other adverse effects.
Figuras y tablas -
Analysis 1.14

Comparison 1 HALOPERIDOL versus PLACEBO, Outcome 14 Adverse events: 5. Other adverse effects.

Comparison 1. HALOPERIDOL versus PLACEBO

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Global effect: 1. No marked global improvement Show forest plot

10

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

1.1 0‐6 weeks (clinician rated).

3

159

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.31, 0.62]

1.2 >6‐24 weeks (clinician rated)

8

308

Risk Ratio (M‐H, Random, 95% CI)

0.70 [0.59, 0.81]

1.3 >6‐24 weeks (nurse rated)

1

28

Risk Ratio (M‐H, Random, 95% CI)

0.59 [0.37, 0.92]

2 Global effect: 2. Not discharged from hospital (>6‐24 weeks) Show forest plot

1

33

Risk Ratio (M‐H, Random, 95% CI)

0.85 [0.47, 1.52]

3 Global effect: 3. Relapse or not remaining in remission (<52 weeks) Show forest plot

2

70

Risk Ratio (M‐H, Random, 95% CI)

0.70 [0.57, 0.87]

4 Mental state: 1. No clinical improvement (<20% reduction in BPRS score, 0‐6 weeks) Show forest plot

1

24

Risk Ratio (M‐H, Random, 95% CI)

0.76 [0.54, 1.08]

5 Mental state: 2. Average end point BPRS score by 6 weeks (high = poor) Show forest plot

2

72

Mean Difference (IV, Fixed, 95% CI)

‐11.89 [‐17.04, ‐6.74]

6 Mental state: 3. Change in BPRS total score by 3 weeks (high = good, data likely to be skewed) Show forest plot

Other data

No numeric data

7 Leaving the study early Show forest plot

20

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

7.1 0‐6 weeks

12

898

Risk Ratio (M‐H, Random, 95% CI)

0.83 [0.73, 0.95]

7.2 >6‐24 weeks

8

304

Risk Ratio (M‐H, Random, 95% CI)

0.56 [0.30, 1.04]

7.3 < 52 weeks

1

50

Risk Ratio (M‐H, Random, 95% CI)

2.58 [0.14, 46.83]

8 Adverse events: 1. Anticholinergic effects Show forest plot

3

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

8.1 blurred vision

2

240

Risk Ratio (M‐H, Random, 95% CI)

3.42 [0.91, 12.91]

8.3 dry mouth

2

73

Risk Ratio (M‐H, Random, 95% CI)

1.81 [0.71, 4.59]

9 Adverse events: 2. Cardiovascular effects Show forest plot

5

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

9.1 blood pressure ‐ dizziness / low BP

4

285

Risk Ratio (M‐H, Random, 95% CI)

1.13 [0.43, 2.95]

9.2 blood pressure ‐ high BP

1

16

Risk Ratio (M‐H, Random, 95% CI)

3.0 [0.14, 64.26]

10 Adverse events: 3a. Movement disorders ‐ acute Show forest plot

5

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

10.1 dystonia

3

109

Risk Ratio (M‐H, Random, 95% CI)

8.52 [1.66, 43.85]

10.2 oculogyric crises

2

83

Risk Ratio (M‐H, Random, 95% CI)

0.96 [0.10, 8.89]

11 Adverse events: 3b. Movement disorders ‐ non‐acute Show forest plot

10

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

11.1 akathisia

4

333

Risk Ratio (M‐H, Random, 95% CI)

2.57 [1.39, 4.75]

11.2 needing antiparkinson medication

3

246

Risk Ratio (M‐H, Random, 95% CI)

2.69 [1.53, 4.72]

11.3 parkinsonism (including EPS)

4

163

Risk Ratio (M‐H, Random, 95% CI)

11.65 [2.88, 47.11]

11.4 rigidity

3

99

Risk Ratio (M‐H, Random, 95% CI)

4.30 [0.94, 19.74]

11.5 tremor

4

323

Risk Ratio (M‐H, Random, 95% CI)

2.49 [0.59, 10.49]

12 Adverse events: 3c. Movement disorders ‐ chronic Show forest plot

2

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

12.1 dyskinesia and tardive dyskinesia

1

33

Risk Ratio (M‐H, Random, 95% CI)

2.83 [0.12, 64.89]

12.2 teeth grinding

1

33

Risk Ratio (M‐H, Random, 95% CI)

2.53 [0.11, 57.83]

12.3 'thick' speech

1

33

Risk Ratio (M‐H, Random, 95% CI)

5.89 [0.33, 105.81]

13 Adverse events: 4. Sleep related effects Show forest plot

7

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

13.1 insomnia

3

307

Risk Ratio (M‐H, Random, 95% CI)

1.68 [0.79, 3.55]

13.2 sleepiness

6

364

Risk Ratio (M‐H, Random, 95% CI)

3.43 [1.53, 7.73]

14 Adverse events: 5. Other adverse effects Show forest plot

7

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

14.1 confusion

1

33

Risk Ratio (M‐H, Random, 95% CI)

2.53 [0.11, 57.83]

14.2 drooling

2

83

Risk Ratio (M‐H, Random, 95% CI)

2.75 [0.30, 25.38]

14.3 facial edema

1

33

Risk Ratio (M‐H, Random, 95% CI)

2.83 [0.12, 64.89]

14.4 headache

2

231

Risk Ratio (M‐H, Random, 95% CI)

1.06 [0.66, 1.70]

14.5 infection

1

24

Risk Ratio (M‐H, Random, 95% CI)

7.0 [0.40, 122.44]

14.6 nausea / vomiting

2

231

Risk Ratio (M‐H, Random, 95% CI)

0.91 [0.50, 1.66]

14.7 perspiration

2

93

Risk Ratio (M‐H, Random, 95% CI)

4.73 [0.58, 38.89]

14.8 weight loss

1

27

Risk Ratio (M‐H, Random, 95% CI)

0.80 [0.36, 1.75]

14.9 weight gain

1

207

Risk Ratio (M‐H, Random, 95% CI)

10.10 [1.32, 77.46]

Figuras y tablas -
Comparison 1. HALOPERIDOL versus PLACEBO