The comparative prophylactic efficacy of lithium and carbamazepine in patients with bipolar I disorder.

Abstract:

:In a randomized prospective clinical trial with an observation period of 2.5 years, a subgroup analysis was carried out for the 114 patients with bipolar I disorder (DSM-IV) regarding the prophylactic efficacy of lithium and carbamazepine. Treatment outcome was evaluated taking rehospitalization, recurrence, subclinical recurrence, concomitant medication and severe adverse effects into consideration. Special interest was paid to the enzyme-inducing properties of carbamazepine, which might lessen the efficacy of psychotropic comedication. Lithium was superior to carbamazepine in bipolar I patients for various outcome criteria. Analyses in patients without psychotropic comedication indicate that the superiority of lithium is not the result of carbamazepine reducing plasma levels of concomitant drugs.

authors

Greil W,Kleindienst N

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

277-81

issue

5

eissn

0268-1315

issn

1473-5857

journal_volume

14

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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