Page last updated: 2024-10-22

aspirin and Bipolar Disorder

aspirin has been researched along with Bipolar Disorder in 20 studies

Aspirin: The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
acetylsalicylate : A benzoate that is the conjugate base of acetylsalicylic acid, arising from deprotonation of the carboxy group.
acetylsalicylic acid : A member of the class of benzoic acids that is salicylic acid in which the hydrogen that is attached to the phenolic hydroxy group has been replaced by an acetoxy group. A non-steroidal anti-inflammatory drug with cyclooxygenase inhibitor activity.

Bipolar Disorder: A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.

Research Excerpts

ExcerptRelevanceReference
"This clinical evidence is consistent with the hypothesis that low-dose chronic aspirin and celecoxib, which can inhibit COX-2 and enter brain, can be repurposed in bipolar disorder to enhance mood stabilizer effects on arachidonic acid metabolism and neurotransmission."9.12Aspirin and celecoxib may help to rectify a neurotransmission imbalance in bipolar disorder. ( Rapoport, SI, 2021)
"We reviewed randomized controlled trials (RCTs) and population studies to examine whether celecoxib, a selective cyclooxygenase (COX)-2 inhibitor, and acetylsalicylate (aspirin), a COX-1 and COX-2 inhibitor and acetylator, were useful in bipolar disorder patients on mood stabilizers."9.05THERAPEUTIC TARGETING OF BRAIN ARACHIDONIC ACID CASCADE IN BIPOLAR DISORDER BY LOW DOSE ASPIRIN AND CELECOXIB. ( Hibbeln, JR; Rapoport, SI, 2020)
"Antipsychotic drugs plus aspirin (acetylsalicylic acid), which targets prostaglandin-endoperoxide synthase 1 (PTGS1: COX1), improved therapeutic outcomes when treating schizophrenia."7.88Studies on Prostaglandin-Endoperoxide Synthase 1: Lower Levels in Schizophrenia and After Treatment with Antipsychotic Drugs in Conjunction with Aspirin. ( Dean, B; Gibbons, A; Gogos, A; Scarr, E; Thomas, E; Udawela, M, 2018)
"Given evidence of chronic inflammation in bipolar disorder (BD), we tested the efficacy of aspirin and minocycline as augmentation therapy for bipolar depression."5.27Treatment of bipolar depression with minocycline and/or aspirin: an adaptive, 2×2 double-blind, randomized, placebo-controlled, phase IIA clinical trial. ( Drevets, D; Drevets, WC; Gleason, O; Macaluso, M; Meyer, M; Misaki, M; Preskorn, SH; Savitz, JB; Teague, TK; Wurfel, BE; Yates, W, 2018)
"This clinical evidence is consistent with the hypothesis that low-dose chronic aspirin and celecoxib, which can inhibit COX-2 and enter brain, can be repurposed in bipolar disorder to enhance mood stabilizer effects on arachidonic acid metabolism and neurotransmission."5.12Aspirin and celecoxib may help to rectify a neurotransmission imbalance in bipolar disorder. ( Rapoport, SI, 2021)
"We reviewed randomized controlled trials (RCTs) and population studies to examine whether celecoxib, a selective cyclooxygenase (COX)-2 inhibitor, and acetylsalicylate (aspirin), a COX-1 and COX-2 inhibitor and acetylator, were useful in bipolar disorder patients on mood stabilizers."5.05THERAPEUTIC TARGETING OF BRAIN ARACHIDONIC ACID CASCADE IN BIPOLAR DISORDER BY LOW DOSE ASPIRIN AND CELECOXIB. ( Hibbeln, JR; Rapoport, SI, 2020)
" We systematically used Danish nation-wide population-based registers to investigate whether continued use of non-aspirin non-steroidal anti-inflammatory drugs (NSAIDs), low-dose aspirin, high-dose aspirin, statins, allopurinol, and angiotensin agents decrease the rate of incident mania/bipolar disorder."3.91New drug candidates for bipolar disorder-A nation-wide population-based study. ( Andersen, PK; Berk, M; Ekstrøm, CT; Gerds, TA; Kessing, LV; Rytgaard, HC, 2019)
"Antipsychotic drugs plus aspirin (acetylsalicylic acid), which targets prostaglandin-endoperoxide synthase 1 (PTGS1: COX1), improved therapeutic outcomes when treating schizophrenia."3.88Studies on Prostaglandin-Endoperoxide Synthase 1: Lower Levels in Schizophrenia and After Treatment with Antipsychotic Drugs in Conjunction with Aspirin. ( Dean, B; Gibbons, A; Gogos, A; Scarr, E; Thomas, E; Udawela, M, 2018)
"Neuropsychiatric disorders place a very high burden on the global health and economy."2.61Acetylsalicylic acid and its metabolite gentisic acid may act as adjunctive agents in the treatment of psychiatric disorders. ( Altinoz, MA; Ozpinar, A, 2019)
"In many individuals with major neuropsychiatric disorders including depression, bipolar disorder and schizophrenia, their disease characteristics are consistent with a neuroprogressive illness."2.49Putative neuroprotective agents in neuropsychiatric disorders. ( Anderson, G; Berk, M; Dean, OM; Dodd, S; Maes, M; Moylan, S, 2013)
"The pharmacologic treatment of schizophrenia and bipolar disorder leaves much to be desired."2.48Adjunct treatments for schizophrenia and bipolar disorder: what to try when you are out of ideas. ( Davis, JM; Torrey, EF, 2012)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19903 (15.00)18.7374
1990's1 (5.00)18.2507
2000's0 (0.00)29.6817
2010's13 (65.00)24.3611
2020's3 (15.00)2.80

Authors

AuthorsStudies
Philipsen, L1
Würtz, N1
Polcwiartek, C1
Kragholm, KH1
Torp-Pedersen, C1
Nielsen, RE1
Jensen, SE1
Attar, R1
Altinoz, MA1
Ozpinar, A1
Rapoport, SI3
Hibbeln, JR1
Savitz, JB1
Teague, TK1
Misaki, M1
Macaluso, M1
Wurfel, BE1
Meyer, M1
Drevets, D1
Yates, W1
Gleason, O1
Drevets, WC1
Preskorn, SH1
Dean, B1
Gibbons, A1
Gogos, A1
Udawela, M1
Thomas, E1
Scarr, E1
Bauer, IE1
Green, C1
Colpo, GD1
Teixeira, AL1
Selvaraj, S1
Durkin, K1
Zunta-Soares, GB1
Soares, JC1
Kessing, LV1
Rytgaard, HC1
Gerds, TA1
Berk, M2
Ekstrøm, CT1
Andersen, PK1
Saroukhani, S1
Emami-Parsa, M1
Modabbernia, A1
Ashrafi, M1
Farokhnia, M1
Hajiaghaee, R1
Akhondzadeh, S1
Riesselman, A1
Strobl, B1
Cooley, AT1
de Leon, J1
Fond, G2
Girerd, N2
Clavel, F1
Tamouza, R1
Leboyer, M2
Macgregor, A1
Bazinet, RP1
Stolk, P1
Souverein, PC1
Wilting, I1
Leufkens, HG1
Klein, DF1
Heerdink, ER1
Torrey, EF1
Davis, JM1
Dodd, S1
Maes, M1
Anderson, G1
Dean, OM1
Moylan, S1
Higgins, RM1
Connolly, JO1
Hendry, BM1
Ragheb, MA1
Lereboullet, J1
Rosa, A1
Olivier-Martin, R1
Friedman, D1
Moskowitz, MD1
Rosen, M1
Rossman, M1
Sheppard, C1
Merlis, S1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double-blind Randomized Placebo-controlled Study of Aspirin and N-acetyl Cysteine as Adjunctive Treatments for Bipolar Disorder Patients (SMRI 11T-009)[NCT01797575]Phase 238 participants (Actual)Interventional2013-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Patients Demonstrating a > 30% Decrease in Depression Scores on the Montgomery-Åsberg Depression Rating Scale (MADRS)

The MADRS is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. The questionnaire includes questions on the following symptoms: 1. Apparent sadness; 2. Reported sadness; 3. Inner tension; 4. Reduced sleep; 5. Reduced appetite; 6. Concentration difficulties; 7. Lassitude; 8. Inability to feel; 9. Pessimistic thoughts; and 10. Suicidal thoughts. This 30% MADRS reduction was analyzed in addition to initial outcome measures of 50% MADRS reduction due to the smaller than expected study sample size. (NCT01797575)
Timeframe: Received drug for 8 weeks during week 0 to week 8 of the study

InterventionParticipants (Count of Participants)
Aspirin and NAC3
Aspirin2
N-Acetyl Cysteine (NAC)6
Placebo7

Number of Patients Demonstrating a > 30% Decrease in Depression Scores on the Montgomery-Åsberg Depression Rating Scale (MADRS)

The MADRS is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. The questionnaire includes questions on the following symptoms: 1. Apparent sadness; 2. Reported sadness; 3. Inner tension; 4. Reduced sleep; 5. Reduced appetite; 6. Concentration difficulties; 7. Lassitude; 8. Inability to feel; 9. Pessimistic thoughts; and 10. Suicidal thoughts. This 30% MADRS reduction was analyzed in addition to initial outcome measures of 50% MADRS reduction due to the smaller than expected study sample size. (NCT01797575)
Timeframe: Received drug for 8 weeks during week 9 to week 16 of the study

InterventionParticipants (Count of Participants)
Aspirin and NAC4
Aspirin3
N-Acetyl Cysteine (NAC)3
Placebo4

Number of Patients Demonstrating a > 50% Decrease in Depression Scores on the Montgomery-Åsberg Depression Rating Scale (MADRS)

The MADRS is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. The questionnaire includes questions on the following symptoms: 1. Apparent sadness; 2. Reported sadness; 3. Inner tension; 4. Reduced sleep; 5. Reduced appetite; 6. Concentration difficulties; 7. Lassitude; 8. Inability to feel; 9. Pessimistic thoughts; and 10. Suicidal thoughts. (NCT01797575)
Timeframe: Received drug for 8 weeks during week 0 to week 8 of the study

InterventionParticipants (Count of Participants)
Aspirin and NAC3
Aspirin2
N-Acetyl Cysteine (NAC)5
Placebo6

Number of Patients Demonstrating a > 50% Decrease in Depression Scores on the Montgomery-Åsberg Depression Rating Scale (MADRS)

The MADRS is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. The questionnaire includes questions on the following symptoms: 1. Apparent sadness; 2. Reported sadness; 3. Inner tension; 4. Reduced sleep; 5. Reduced appetite; 6. Concentration difficulties; 7. Lassitude; 8. Inability to feel; 9. Pessimistic thoughts; and 10. Suicidal thoughts. (NCT01797575)
Timeframe: Received drug for 8 weeks during week 9 to week 16 of the study

InterventionParticipants (Count of Participants)
Aspirin and NAC3
Aspirin1
N-Acetyl Cysteine (NAC)3
Placebo4

Inflammation as Indicated by C-reactive Protein (CRP) Levels

C-reactive protein (CRP) levels are blood test markers of inflammation. Higher CRP corresponds with higher levels of inflammation. CRP is measured in milligrams per liter. (NCT01797575)
Timeframe: baseline, week 8, week 16

,,,
Interventionmilligrams per liter (Mean)
CRP at BaselineCRP at Week 8CRP at Week 16
Aspirin6.856.8210.76
Aspirin and NAC5.117.029.39
N-acetyl-cysteine17.6541.0917.69
Sugar Pill17.307.413.10

Inflammation as Indicated by Interleukin 6 (IL-6) Levels

Interleukin 6 (IL-6) is an interleukin that acts as a pro-inflammatory cytokine and an anti-inflammatory myokine. IL-6 is measured in picograms (pg) per milliliter (mL). Elevated interleukin-6 indicates potential immune system dysregulation and increased inflammation. (NCT01797575)
Timeframe: baseline, week 8, week 16

,,,
Interventionpicograms per milliliter (Mean)
IL-6 at BaselineIL-6 at Week 8IL-6 at Week 16
Aspirin1.27.78.90
Aspirin and NAC.851.761.72
N-acetyl-cysteine3.223.532.6
Sugar Pill2.31.871.71

Reviews

6 reviews available for aspirin and Bipolar Disorder

ArticleYear
Acetylsalicylic acid and its metabolite gentisic acid may act as adjunctive agents in the treatment of psychiatric disorders.
    Behavioural pharmacology, 2019, Volume: 30, Issue:8

    Topics: Anti-Inflammatory Agents; Antioxidants; Aspirin; Bipolar Disorder; Gentisates; Humans; Inflammation;

2019
THERAPEUTIC TARGETING OF BRAIN ARACHIDONIC ACID CASCADE IN BIPOLAR DISORDER BY LOW DOSE ASPIRIN AND CELECOXIB.
    Prostaglandins, leukotrienes, and essential fatty acids, 2020, Volume: 159

    Topics: Arachidonic Acid; Aspirin; Bipolar Disorder; Brain; Celecoxib; Humans; Randomized Controlled Trials

2020
Aspirin and celecoxib may help to rectify a neurotransmission imbalance in bipolar disorder.
    Medical hypotheses, 2021, Volume: 149

    Topics: Animals; Antimanic Agents; Aspirin; Bipolar Disorder; Celecoxib; Humans; Rats; Synaptic Transmission

2021
Adjunct treatments for schizophrenia and bipolar disorder: what to try when you are out of ideas.
    Clinical schizophrenia & related psychoses, 2012, Volume: 5, Issue:4

    Topics: Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Steroidal; Antidepressive Agents, Tricyclic; An

2012
Putative neuroprotective agents in neuropsychiatric disorders.
    Progress in neuro-psychopharmacology & biological psychiatry, 2013, Apr-05, Volume: 42

    Topics: Animals; Aspirin; Bipolar Disorder; Depressive Disorder; Humans; Lithium; Mental Disorders; Nerve Gr

2013
Alkalinization and hemodialysis in severe salicylate poisoning: comparison of elimination techniques in the same patient.
    Clinical nephrology, 1998, Volume: 50, Issue:3

    Topics: Acute Disease; Adult; Alcoholic Intoxication; Aspirin; Bipolar Disorder; Drug Overdose; Epilepsy, To

1998

Trials

4 trials available for aspirin and Bipolar Disorder

ArticleYear
Treatment of bipolar depression with minocycline and/or aspirin: an adaptive, 2×2 double-blind, randomized, placebo-controlled, phase IIA clinical trial.
    Translational psychiatry, 2018, 01-24, Volume: 8, Issue:1

    Topics: Adult; Antidepressive Agents; Aspirin; Bipolar Disorder; C-Reactive Protein; Dose-Response Relations

2018
A Double-Blind, Randomized, Placebo-Controlled Study of Aspirin and N-Acetylcysteine as Adjunctive Treatments for Bipolar Depression.
    The Journal of clinical psychiatry, 2018, 12-04, Volume: 80, Issue:1

    Topics: Acetylcysteine; Adult; Aged; Analysis of Variance; Anti-Inflammatory Agents, Non-Steroidal; Aspirin;

2018
Aspirin for treatment of lithium-associated sexual dysfunction in men: randomized double-blind placebo-controlled study.
    Bipolar disorders, 2013, Volume: 15, Issue:6

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Bipolar Disorder; Double-Blind Method; Huma

2013
Effects of chlormezanone on anxiety and tension: a double blind study.
    Current therapeutic research, clinical and experimental, 1966, Volume: 8, Issue:1

    Topics: Adolescent; Adult; Aged; Anxiety; Anxiety Disorders; Aspirin; Bipolar Disorder; Chlormezanone; Clini

1966

Other Studies

10 other studies available for aspirin and Bipolar Disorder

ArticleYear
Time trends of coronary procedures, guideline-based drugs and all-cause mortality following acute coronary syndrome in patients with bipolar disorder.
    Nordic journal of psychiatry, 2023, Volume: 77, Issue:3

    Topics: Acute Coronary Syndrome; Aspirin; Bipolar Disorder; Humans; Lipids; Percutaneous Coronary Interventi

2023
Studies on Prostaglandin-Endoperoxide Synthase 1: Lower Levels in Schizophrenia and After Treatment with Antipsychotic Drugs in Conjunction with Aspirin.
    The international journal of neuropsychopharmacology, 2018, 03-01, Volume: 21, Issue:3

    Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Antipsychotic Agents; Aspirin; Bipolar Disorder; B

2018
New drug candidates for bipolar disorder-A nation-wide population-based study.
    Bipolar disorders, 2019, Volume: 21, Issue:5

    Topics: Adult; Allopurinol; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Bipolar Disorder; Denmark; Dru

2019
A case report that suggested that aspirin's effects on valproic acid metabolism may contribute to valproic acid's inducer effects on clozapine metabolism.
    Journal of clinical psychopharmacology, 2013, Volume: 33, Issue:6

    Topics: Adult; Antimanic Agents; Antipsychotic Agents; Aspirin; Bipolar Disorder; Clozapine; Dose-Response R

2013
Recently discovered properties of aspirin may be doubly helpful in bipolar disorders.
    Medical hypotheses, 2014, Volume: 82, Issue:5

    Topics: Aspirin; Bipolar Disorder; Humans; Models, Theoretical

2014
Aspirin for prevention of cardiovascular events in bipolar disorders.
    Psychiatry research, 2014, Sep-30, Volume: 219, Issue:1

    Topics: Antimanic Agents; Antipsychotic Agents; Aspirin; Bipolar Disorder; Cardiovascular Diseases; Humans

2014
Aspirin, arachidonic acid and the regulation of mood.
    Prostaglandins, leukotrienes, and essential fatty acids, 2010, Volume: 82, Issue:1

    Topics: Affect; Anti-Inflammatory Agents, Non-Steroidal; Antipsychotic Agents; Arachidonic Acid; Aspirin; Bi

2010
Is aspirin useful in patients on lithium? A pharmacoepidemiological study related to bipolar disorder.
    Prostaglandins, leukotrienes, and essential fatty acids, 2010, Volume: 82, Issue:1

    Topics: Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Antipsychotic Agents; Aspirin; Bip

2010
Aspirin does not significantly affect patients' serum lithium levels.
    The Journal of clinical psychiatry, 1987, Volume: 48, Issue:10

    Topics: Aspirin; Bipolar Disorder; Female; Humans; Lithium; Lithium Carbonate; Male; Middle Aged; Psychotic

1987
[Neuropsychiatry in 1973].
    La Revue du praticien, 1973, Apr-21, Volume: 23, Issue:23

    Topics: Aspirin; Bipolar Disorder; Dipyridamole; Heart Diseases; Humans; Hydrocephalus; Hypoxia, Brain; Isch

1973