%0 Journal Article
%T A critical review of the recent literature and selected therapy guidelines since 2006 on the use of lamotrigine in bipolar disorder
%A Tr nkner A
%A Sander C
%A Sch nknecht P
%J Neuropsychiatric Disease and Treatment
%D 2013
%I Dove Medical Press
%R http://dx.doi.org/10.2147/NDT.S37126
%X critical review of the recent literature and selected therapy guidelines since 2006 on the use of lamotrigine in bipolar disorder Review (1169) Total Article Views Authors: Tr nkner A, Sander C, Sch nknecht P Published Date January 2013 Volume 2013:9 Pages 101 - 111 DOI: http://dx.doi.org/10.2147/NDT.S37126 Received: 17 August 2012 Accepted: 27 September 2012 Published: 18 January 2013 Anja Tr nkner, Christian Sander, Peter Sch nknecht Department of Psychiatry and Psychotherapy, University Hospital Leipzig, Leipzig, Germany Abstract: The anticonvulsant drug lamotrigine (LTG), a sodium channel blocker and inhibitor of glutamate release, has been found to have antidepressant effects in the treatment of bipolar disorder. It is recommended by certain therapy guidelines as a first-line agent for acute and maintenance therapy in bipolar depression, but there have been only some promising results of placebo-controlled trials on its acute antidepressant effects, and the recommendation in therapy guidelines has been reconsidered. On the contrary, positive results for maintenance therapy could be confirmed, and LTG is still a well-tolerated option, especially in patients with predominant depressive episodes. Antimanic effects are not shown in the literature, and its use is not advised in any guidelines that were examined. In conclusion, the findings of the present review article on treatment guidelines for bipolar disorder question the role of LTG in acute depressive states, and critically discusses its use, particularly in acute depressive states.
%K lamotrigine
%K bipolar disorder
%K bipolar depression
%U https://www.dovepress.com/a-critical-review-of-the-recent-literature-and-selected-therapy-guidel-peer-reviewed-article-NDT