Topiramate Add-on Lithium Carbonate for Treatment of Acute Mania
نویسندگان
چکیده
OBJECTIVE The purpose of this study was to evaluate the effect of adjunctive topiramate in treating acute mania. METHODS In this study which was a double-blinded randomized clinical trial, 46 bipolar patients in manic episode, were treated with lithium carbonate and topiramate versus lithium carbonate and placebo and treatment responses were assessed by Young Mania Rating Scale (YMRS) weekly. RESULTS In both intervention and control groups, YMRS score had significant decline after 8 weeks(p < 0.001), but there was no statistically significant difference between the two groups (p = 0.419). The highest score decline was after two weeks. YMRS score at baseline did not have statistically significant difference between the intervention and control groups (p = 0.709). CONCLUSIONS This study failed to show antimanic efficacy of adjunctive topiramate in the treatment of those with acute manic. DECLARATION OF INTEREST None. CLINICAL TRIAL REGISTRATION URL: http://www.irct.ir.IRCT201110317960N1.
منابع مشابه
Cartas Aos Editores
2004;6(4):333-7. Dear Editor, Topiramate is a novel anticonvulsant that has been used for bipolar disorder. However, no clear evidence of efficacy was found in clinical trials. More recently, topiramate has been used for the management of weight gain associated with the use of mood stabilizer and atypical antipsychotics. There are only two reported cases of treatment emergent affective switch (...
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