Literature DB >> 16769295

Recurrence in bipolar I disorder: a post hoc analysis excluding relapses in two double-blind maintenance studies.

Joseph R Calabrese1, Joseph F Goldberg, Terence A Ketter, Trisha Suppes, Mark Frye, Robin White, Angela DeVeaugh-Geiss, Thomas R Thompson.   

Abstract

OBJECTIVE: To assess the efficacy of lamotrigine or lithium in preventing mood recurrence (i.e., a new mood episode) in bipolar disorder.
METHODS: Data from bipolar I patients with relapses (i.e., mood episodes having the same polarity as the index episode within 90 or 180 days of randomization) were excluded from post hoc efficacy analyses of two 18-month, placebo-controlled maintenance trials of lamotrigine and lithium.
RESULTS: Both lamotrigine and lithium were more effective than placebo in delaying the time to intervention for any mood episode (depression, mania, hypomania, or mixed) when relapses that occurred in the first 90 days were excluded from the analyses (p = .002, lamotrigine vs. placebo; p = .010, lithium vs. placebo). Results were similar when patients with mood episodes within 180 days of randomization were excluded.
CONCLUSIONS: Both lamotrigine and lithium maintenance therapy protected against mood episode recurrence in bipolar I disorder.

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Year:  2006        PMID: 16769295     DOI: 10.1016/j.biopsych.2006.02.034

Source DB:  PubMed          Journal:  Biol Psychiatry        ISSN: 0006-3223            Impact factor:   13.382


  13 in total

Review 1.  Maintenance treatment study designs in bipolar disorder: do they demonstrate that atypical neuroleptics (antipsychotics) are mood stabilizers?

Authors:  Frederick K Goodwin; Elizabeth A Whitham; S Nassir Ghaemi
Journal:  CNS Drugs       Date:  2011-10-01       Impact factor: 5.749

2.  Managing bipolar disorder from urgent situations to maintenance therapy.

Authors: 
Journal:  Prim Care Companion J Clin Psychiatry       Date:  2007

Review 3.  The International College of Neuro-Psychopharmacology (CINP) Treatment Guidelines for Bipolar Disorder in Adults (CINP-BD-2017), Part 2: Review, Grading of the Evidence, and a Precise Algorithm.

Authors:  Konstantinos N Fountoulakis; Lakshmi Yatham; Heinz Grunze; Eduard Vieta; Allan Young; Pierre Blier; Siegfried Kasper; Hans Jurgen Moeller
Journal:  Int J Neuropsychopharmacol       Date:  2017-02-01       Impact factor: 5.176

Review 4.  Efficacy of pharmacotherapy in bipolar disorder: a report by the WPA section on pharmacopsychiatry.

Authors:  Konstantinos N Fountoulakis; Siegfried Kasper; Ole Andreassen; Pierre Blier; Ahmed Okasha; Emanuel Severus; Marcio Versiani; Rajiv Tandon; Hans-Jürgen Möller; Eduard Vieta
Journal:  Eur Arch Psychiatry Clin Neurosci       Date:  2012-06       Impact factor: 5.270

5.  Number needed to treat analyses of drugs used for maintenance treatment of bipolar disorder.

Authors:  Dina Popovic; Maria Reinares; Benedikt Amann; Manel Salamero; Eduard Vieta
Journal:  Psychopharmacology (Berl)       Date:  2010-10-31       Impact factor: 4.530

6.  Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder.

Authors:  Lakshmi N Yatham; Sidney H Kennedy; Sagar V Parikh; Ayal Schaffer; David J Bond; Benicio N Frey; Verinder Sharma; Benjamin I Goldstein; Soham Rej; Serge Beaulieu; Martin Alda; Glenda MacQueen; Roumen V Milev; Arun Ravindran; Claire O'Donovan; Diane McIntosh; Raymond W Lam; Gustavo Vazquez; Flavio Kapczinski; Roger S McIntyre; Jan Kozicky; Shigenobu Kanba; Beny Lafer; Trisha Suppes; Joseph R Calabrese; Eduard Vieta; Gin Malhi; Robert M Post; Michael Berk
Journal:  Bipolar Disord       Date:  2018-03-14       Impact factor: 6.744

7.  Class effect of pharmacotherapy in bipolar disorder: fact or misbelief?

Authors:  Konstantinos N Fountoulakis; Xenia Gonda; Eduard Vieta; Zoltan Rihmer
Journal:  Ann Gen Psychiatry       Date:  2011-03-24       Impact factor: 3.455

Review 8.  Lamotrigine in the maintenance treatment of bipolar disorder.

Authors:  Yasuhiko Hashimoto; Kazumasa Kotake; Norio Watanabe; Takashi Fujiwara; Shinji Sakamoto
Journal:  Cochrane Database Syst Rev       Date:  2021-09-15

9.  The neuropharmacology of psychosis.

Authors:  Carol A Tamminga; John M Davis
Journal:  Schizophr Bull       Date:  2007-06-11       Impact factor: 9.306

10.  Treatment of bipolar disorder: a complex treatment for a multi-faceted disorder.

Authors:  Konstantinos N Fountoulakis; Eduard Vieta; Melina Siamouli; Marc Valenti; Stamatia Magiria; Timucin Oral; David Fresno; Panteleimon Giannakopoulos; George S Kaprinis
Journal:  Ann Gen Psychiatry       Date:  2007-10-09       Impact factor: 3.455

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