Page last updated: 2024-10-24

carbamazepine and Psychomotor Agitation

carbamazepine has been researched along with Psychomotor Agitation in 29 studies

Carbamazepine: A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties.
carbamazepine : A dibenzoazepine that is 5H-dibenzo[b,f]azepine carrying a carbamoyl substituent at the azepine nitrogen, used as an anticonvulsant.

Psychomotor Agitation: A feeling of restlessness associated with increased motor activity. This may occur as a manifestation of nervous system drug toxicity or other conditions.

Research Excerpts

ExcerptRelevanceReference
"To evaluate the efficacy of oxcarbazepine (OXC) in the treatment of agitation and aggression in patients with Alzheimer's disease, vascular dementia or both."9.14Effect of oxcarbazepine in the treatment of agitation and aggression in severe dementia. ( Aga, O; Cvancarova, M; Engedal, K; Olsen, IC; Selbaek, G; Sommer, OH, 2009)
"The aim of this study was to assess the effects of withdrawal from placebo and carbamazepine administered for agitation associated with dementia and to assess safety, tolerability, and efficacy of subsequent ongoing carbamazepine therapy."9.09Withdrawal from controlled carbamazepine therapy followed by further carbamazepine treatment in patients with dementia. ( Cox, C; Erb, R; Irvine, C; Jakimovich, LJ; Lanning, B; Podgorski, CA; Tariot, PN, 1999)
"The efficacy, safety, and tolerability of carbamazepine in the treatment of agitation and aggression associated with dementia were assessed."9.08Efficacy and tolerability of carbamazepine for agitation and aggression in dementia. ( Cox, C; Erb, R; Irvine, C; Jakimovich, L; Patel, S; Podgorski, CA; Tariot, PN, 1998)
"To determine the effects of carbamazepine versus placebo on ratings of behavior in agitated nursing home patients with dementia."9.07Carbamazepine treatment of agitation in nursing home patients with dementia: a preliminary study. ( Asnis, J; Cox, C; Erb, R; Irvine, C; Kolassa, J; Leibovici, A; Podgorski, CA; Tariot, PN, 1994)
" Risperidone is a widely accessible antipsychotic that can be used to manage psychosis-induced aggression or agitation."8.98Risperidone for psychosis-induced aggression or agitation (rapid tranquillisation). ( Adams, CE; Ahmed, U; Hussein, M; Miramontes, K; Ostinelli, EG; Rehman, FU, 2018)
"Treatment with carbamazepine was evaluated in an open study design in 29 gerontopsychiatric inpatients."5.29[Therapeutic use of carbamazepine for treatment of agitation and affective disorders in geriatric psychiatry patients]. ( Lemke, MR; Stuhlmann, W, 1994)
"To evaluate the efficacy of oxcarbazepine (OXC) in the treatment of agitation and aggression in patients with Alzheimer's disease, vascular dementia or both."5.14Effect of oxcarbazepine in the treatment of agitation and aggression in severe dementia. ( Aga, O; Cvancarova, M; Engedal, K; Olsen, IC; Selbaek, G; Sommer, OH, 2009)
"The aim of this study was to assess the effects of withdrawal from placebo and carbamazepine administered for agitation associated with dementia and to assess safety, tolerability, and efficacy of subsequent ongoing carbamazepine therapy."5.09Withdrawal from controlled carbamazepine therapy followed by further carbamazepine treatment in patients with dementia. ( Cox, C; Erb, R; Irvine, C; Jakimovich, LJ; Lanning, B; Podgorski, CA; Tariot, PN, 1999)
"The efficacy, safety, and tolerability of carbamazepine in the treatment of agitation and aggression associated with dementia were assessed."5.08Efficacy and tolerability of carbamazepine for agitation and aggression in dementia. ( Cox, C; Erb, R; Irvine, C; Jakimovich, L; Patel, S; Podgorski, CA; Tariot, PN, 1998)
"To determine the effects of carbamazepine versus placebo on ratings of behavior in agitated nursing home patients with dementia."5.07Carbamazepine treatment of agitation in nursing home patients with dementia: a preliminary study. ( Asnis, J; Cox, C; Erb, R; Irvine, C; Kolassa, J; Leibovici, A; Podgorski, CA; Tariot, PN, 1994)
" Risperidone is a widely accessible antipsychotic that can be used to manage psychosis-induced aggression or agitation."4.98Risperidone for psychosis-induced aggression or agitation (rapid tranquillisation). ( Adams, CE; Ahmed, U; Hussein, M; Miramontes, K; Ostinelli, EG; Rehman, FU, 2018)
" The purpose of this review of the literature is to assess the interest and the limits of anticonvulsant mood stabilizers (carbamazepine, valproic acid, gabapentin, lamotrigine, topiramate, oxcarbazepine) in the treatment of the so-called "noncognitive" symptoms of dementia."4.84[Anticonvulsant mood stabilizers in the treatment of behavioral and psychological symptoms of dementia (BPSD)]. ( Pinheiro, D, 2008)
" Lower doses of valproate and carbamazepine were required to prevent hyperactivity compared to doses required to block tonic-clonic seizures induced by pentylenetetrazole."3.73Evaluation of the effects of lamotrigine, valproate and carbamazepine in a rodent model of mania. ( Arban, R; Brackenborough, K; Gerrard, P; Large, C; Maraia, G; Wilson, A; Winyard, L, 2005)
"Carbamazepine has been reported to decrease agitation associated with various psychiatric disorders and to reduce neuroleptic side effects."2.68Effect of carbamazepine on agitation in Alzheimer's inpatients refractory to neuroleptics. ( Lemke, MR, 1995)
" Carbamazepine at a dosage of 800 mg daily was the most effective medication used."1.33Auditory hallucinations after right temporal gyri resection. ( Brennan, DM; Stewart, B, 2005)
"The woman experienced ataxia and agitation while receiving quetiapine, which resolved after carbamazepine was switched to oxcarbazepine."1.31Elevation of carbamazepine-10,11-epoxide by quetiapine. ( Fitzgerald, BJ; Okos, AJ, 2002)
"Treatment with carbamazepine was evaluated in an open study design in 29 gerontopsychiatric inpatients."1.29[Therapeutic use of carbamazepine for treatment of agitation and affective disorders in geriatric psychiatry patients]. ( Lemke, MR; Stuhlmann, W, 1994)
"Carbamazepine was used to treat two patients with paroxysmal behavioral episodes and preexisting psychiatric disease."1.27Is carbamazepine helpful in paroxysmal behavior disorders? ( Garbutt, JC; Loosen, PT, 1983)
"Carbamazepine treatment was effective in all patients."1.26Hypnogenic paroxysmal dystonia: epileptic seizure or a new syndrome? ( Cirignotta, F; Lugaresi, E, 1981)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-19905 (17.24)18.7374
1990's10 (34.48)18.2507
2000's11 (37.93)29.6817
2010's3 (10.34)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Ostinelli, EG1
Hussein, M1
Ahmed, U1
Rehman, FU1
Miramontes, K1
Adams, CE1
Pinheiro, D1
Sommer, OH1
Aga, O1
Cvancarova, M1
Olsen, IC1
Selbaek, G1
Engedal, K1
Waters, E1
Morrall, MC1
Murdoch-Eaton, D1
Douglas, JF1
Sanders, KB1
Benneyworth, MH1
Smith, JL1
Dejean, VM1
McGrew, SG1
Veenstra-Vanderweele, J1
Fitzgerald, BJ1
Okos, AJ1
Richard, I1
Perrouin-Verbe, B1
Rome, J1
Bernat, C1
Mathé, JF1
Ogihara, T1
Takahashi, T1
Hanihara, T1
Amano, N1
Matsumoto, K1
Heveling, T1
Emrich, HM1
Dietrich, DE1
Cummings, MR1
Miller, BD1
Arban, R1
Maraia, G1
Brackenborough, K1
Winyard, L1
Wilson, A1
Gerrard, P1
Large, C1
Stewart, B1
Brennan, DM1
Nagata, T1
Harada, D1
Aoki, K1
Kada, H1
Miyata, H1
Kasahara, H1
Nakayama, K1
Kolstee, HJ1
Garbutt, JC1
Loosen, PT1
Lugaresi, E1
Cirignotta, F1
Lemke, MR2
Stuhlmann, W1
Tariot, PN3
Erb, R3
Leibovici, A1
Podgorski, CA3
Cox, C3
Asnis, J1
Kolassa, J1
Irvine, C3
Zayas, EM1
Grossberg, GT1
Mintzer, JE1
Brawman-Mintzer, O1
Patel, S1
Jakimovich, L1
Jakimovich, LJ1
Lanning, B1
Azouvi, P1
Jokic, C1
Attal, N1
Denys, P1
Markabi, S1
Bussel, B1
Olin, JT1
Fox, LS1
Pawluczyk, S1
Taggart, NA1
Schneider, LS2
Signer, SF1
Gleason, RP1
Marin, DB1
Greenwald, BS1
Deutsch, SI1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Effect of Oxcarbazepine in the Treatment of Agitation / Aggression in Dementia (OBAD) - An Eight Week Prospective, Randomized, Double-Blind, Placebo-Controlled, Multi Center Trial. A Phase III Study[NCT00145691]Phase 3100 participants Interventional2005-09-30Completed
Carbamazepine for the Treatment of Chronic Post-Traumatic Brain Injury Irritability and Aggression: A 42-Day, Single-Site, Forced-Titration, Parallel Group, Randomized, Double-Blind, Placebo Controlled Trial[NCT00621751]70 participants (Actual)Interventional2008-02-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinicians Global Impression of Change

Study physician's impression of change since study onset. Clinicians Global Impressions of Change (CGI) is a sensitive, standardized tool to assess psychopharmacologic treatment response completed by the study physician. The Global Improvement (GI) CGI subscale documented the clinician's impression of change. The GI uses a 7-point scale to assess beneficial and negative effects. Low GI values (1 -3) indicate improvement; higher values (4-7) represent worsening. (NCT00621751)
Timeframe: 42 days

Interventionunits on a scale (Mean)
Carbamazepine3.1
Placebo2.9

Global Impression of Change -- Observer

Global Impression of Change (GIC) is a 5-item Likert Scale rated participants and observer impression of change in the person with TBI. Responses range 1 = much improved to 5 = much worse. (NCT00621751)
Timeframe: 42 days

Interventionunits on a scale (Mean)
Carbamazepine3.3
Placebo3.1

Global Impression of Change -- Participant

Global Impression of Change (GIC) is a 5-item Likert Scale rated participants and observer impression of change in the person with TBI. Responses range 1 = much improved to 5 = much worse. (NCT00621751)
Timeframe: Day-42

Interventionscore on a scale (Mean)
Carbamazepine3.1
Placebo3.1

Neuropsychiatric Inventory Irritability-Aggression Domains Composite Measure -- Observer

Neuropsychiatry Inventory-Irritability (NPI-I) & Aggression domains (NPI-A): NPI is a 40-item assessment of 12 behavioral domains (NPI-I & NPI-A domains used in this study). The most problematic aspect of each domain is graded for severity (1=mild, to 3=severe) and frequency (1-4 with 4 representing highest frequency); the domain scores (0-12) are the product of severity and frequency. To best reflect treatment target intent and meet parametric statistical method criteria, the primary outcome was a composite measure of observer-rated NPI-I & -A domains transformed to a Rasch logit scale running from 0 (best) to 100 (worse) units (i.e., observer-rated NPI-I/A Rasch construct scores). Mean day-42 observer-rated NPI-I/A Rasch construct scores were compared between placebo vs. carbamazepine using ANCOVA with baseline score as covariate. (NCT00621751)
Timeframe: 42 days

Interventionscore on a scale (Least Squares Mean)
Carbamazepine37.7
Placebo36.7

Neuropsychiatric Inventory Irritability-Aggression Domains Composite Measure Completed by Participant [Time Frame: 42 Days]

Neuropsychiatry Inventory-Irritability (NPI-I) & Aggression domains (NPI-A): NPI is a 40-item assessment of 12 behavioral domains (NPI-I & NPI-A domains used in this study). The most problematic aspect of each domain is graded for severity (1=mild, to 3=severe) and frequency (1-4 with 4 representing highest frequency); the domain scores (0-12) are the product of severity and frequency. To best reflect treatment target intent and meet parametric statistical method criteria, a composite measure of participant-rated NPI-I & -A domains transformed to a Rasch logit scale running from 0 (best) to 100 (worse) units (i.e., participant-rated NPI-I/A Rasch construct scores). Mean day-42 participant-rated NPI-I/A Rasch construct scores were compared between placebo vs. CBZ using ANCOVA with baseline score as covariate. (NCT00621751)
Timeframe: Day 42

Interventionscore on a scale (Least Squares Mean)
Carbamazepine37.5
Placebo36.4

Proportion of Participants With Minimal Clinically Important Difference -- Observer Rating

Proportion of participants with Minimal Clinically Important Difference (MCID) on Neuropsychiatric Inventory Irritability-Aggression Composite Measure completed by Observer. Specifically, the proportion of participants that experienced a decrease of > 1 (MCID) in the NPI-I/A Rasch construct score (i.e., participants that are considered to have meaningful reduction in irritability/aggression) from baseline to day-42 between the groups using a chi-square test. MCID was defined as 0.5 times the standard deviation of baseline scores. (NCT00621751)
Timeframe: 42-day

InterventionParticipants (Count of Participants)
Carbamazepine20
Placebo26

Proportion of Participants With Minimal Clinically Important Difference (MCID) -- Participant

Proportion of participants with Minimal Clinically Important Difference (MCID) on Neuropsychiatric Inventory Irritability-Aggression Composite Measure completed by Participant. Specifically, the proportion of participants that experienced a decrease of > 1 (MCID) in the NPI-I/A Rasch construct score (i.e., participants that are considered to have meaningful reduction in irritability/aggression) from baseline to day-42 between the groups using a chi-square test. MCID was defined as 0.5 times the standard deviation of baseline scores. (NCT00621751)
Timeframe: Day-42

InterventionParticipants (Count of Participants)
Carbamazepine21
Placebo16

Reviews

6 reviews available for carbamazepine and Psychomotor Agitation

ArticleYear
Risperidone for psychosis-induced aggression or agitation (rapid tranquillisation).
    The Cochrane database of systematic reviews, 2018, 04-10, Volume: 4

    Topics: Administration, Oral; Aggression; Antipsychotic Agents; Carbamazepine; Humans; Oxcarbazepine; Psycho

2018
[Anticonvulsant mood stabilizers in the treatment of behavioral and psychological symptoms of dementia (BPSD)].
    L'Encephale, 2008, Volume: 34, Issue:4

    Topics: Aged; Amines; Anticonvulsants; Carbamazepine; Cyclohexanecarboxylic Acids; Dementia; Fructose; Gabap

2008
Archimedes. Question 3. Should carbamazepine be administered to manage agitation and aggressive behaviour following paediatric acquired brain injury?
    Archives of disease in childhood, 2010, Volume: 95, Issue:11

    Topics: Adolescent; Anticonvulsants; Brain Injuries; Carbamazepine; Child Behavior Disorders; Evidence-Based

2010
[Pharmacological treatment of post-traumatic behavioural disorders].
    Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique, 2003, Volume: 46, Issue:1

    Topics: Adrenergic beta-Antagonists; Aggression; Anti-Anxiety Agents; Antidepressive Agents; Antimanic Agent

2003
Pharmacologic management of behavioral instability in medically ill pediatric patients.
    Current opinion in pediatrics, 2004, Volume: 16, Issue:5

    Topics: Adolescent; Adrenergic alpha-Agonists; Aggression; Analgesics, Non-Narcotic; Behavior Therapy; Behav

2004
Agitation as a possible expression of generalized anxiety disorder in demented elderly patients: toward a treatment approach.
    The Journal of clinical psychiatry, 1996, Volume: 57 Suppl 7

    Topics: Aged; Aggression; Antipsychotic Agents; Anxiety Disorders; Behavior Therapy; Buspirone; Carbamazepin

1996

Trials

7 trials available for carbamazepine and Psychomotor Agitation

ArticleYear
Effect of oxcarbazepine in the treatment of agitation and aggression in severe dementia.
    Dementia and geriatric cognitive disorders, 2009, Volume: 27, Issue:2

    Topics: Aged; Aged, 80 and over; Aggression; Alzheimer Disease; Anticonvulsants; Carbamazepine; Dementia; De

2009
Effect of carbamazepine on agitation in Alzheimer's inpatients refractory to neuroleptics.
    The Journal of clinical psychiatry, 1995, Volume: 56, Issue:8

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Carbamazepine; Drug Therapy, Combination; Female; Follow

1995
Carbamazepine treatment of agitation in nursing home patients with dementia: a preliminary study.
    Journal of the American Geriatrics Society, 1994, Volume: 42, Issue:11

    Topics: Aged; Aged, 80 and over; Carbamazepine; Cross-Over Studies; Dementia; Female; Homes for the Aged; Hu

1994
Efficacy and tolerability of carbamazepine for agitation and aggression in dementia.
    The American journal of psychiatry, 1998, Volume: 155, Issue:1

    Topics: Aged; Aged, 80 and over; Aggression; Alzheimer Disease; Carbamazepine; Dementia; Dementia, Vascular;

1998
Withdrawal from controlled carbamazepine therapy followed by further carbamazepine treatment in patients with dementia.
    The Journal of clinical psychiatry, 1999, Volume: 60, Issue:10

    Topics: Aggression; Anticonvulsants; Brief Psychiatric Rating Scale; Carbamazepine; Dementia; Drug Administr

1999
A pilot randomized trial of carbamazepine for behavioral symptoms in treatment-resistant outpatients with Alzheimer disease.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2001,Fall, Volume: 9, Issue:4

    Topics: Aged; Alzheimer Disease; Antipsychotic Agents; Brief Psychiatric Rating Scale; Carbamazepine; Double

2001
Carbamazepine treatment of agitation in Alzheimer's outpatients refractory to neuroleptics.
    The Journal of clinical psychiatry, 1990, Volume: 51, Issue:3

    Topics: Aged; Aged, 80 and over; Alzheimer Disease; Ambulatory Care; Antipsychotic Agents; Carbamazepine; Cl

1990

Other Studies

16 other studies available for carbamazepine and Psychomotor Agitation

ArticleYear
Brief report: retrospective case series of oxcarbazepine for irritability/agitation symptoms in autism spectrum disorder.
    Journal of autism and developmental disorders, 2013, Volume: 43, Issue:5

    Topics: Adolescent; Carbamazepine; Child; Child Development Disorders, Pervasive; Child, Preschool; Female;

2013
Elevation of carbamazepine-10,11-epoxide by quetiapine.
    Pharmacotherapy, 2002, Volume: 22, Issue:11

    Topics: Ataxia; Carbamazepine; Dibenzothiazepines; Drug Synergism; Female; Humans; Male; Middle Aged; Psycho

2002
Carbamazepine-induced hypersensitivity syndrome, associated with human herpesvirus 6 reactivation.
    Journal of clinical psychopharmacology, 2004, Volume: 24, Issue:1

    Topics: Adult; Carbamazepine; Drug Hypersensitivity; Female; Herpesvirus 6, Human; Humans; Psychomotor Agita

2004
Treatment of a rare psychopathological phenomenon: tactile hallucinations and the delusional other.
    European psychiatry : the journal of the Association of European Psychiatrists, 2004, Volume: 19, Issue:6

    Topics: Aged; Anticonvulsants; Antipsychotic Agents; Carbamazepine; Chronic Disease; Delusions; Drug Therapy

2004
Evaluation of the effects of lamotrigine, valproate and carbamazepine in a rodent model of mania.
    Behavioural brain research, 2005, Mar-07, Volume: 158, Issue:1

    Topics: Animals; Anti-Anxiety Agents; Anticonvulsants; Bipolar Disorder; Carbamazepine; Central Nervous Syst

2005
Auditory hallucinations after right temporal gyri resection.
    The Journal of neuropsychiatry and clinical neurosciences, 2005,Spring, Volume: 17, Issue:2

    Topics: Adult; Affect; Anticonvulsants; Antipsychotic Agents; Brain Injuries; Carbamazepine; Electroencephal

2005
Effectiveness of carbamazepine for benzodiazepine-resistant impulsive aggression in a patient with frontal infarctions.
    Psychiatry and clinical neurosciences, 2007, Volume: 61, Issue:6

    Topics: Aggression; Antimanic Agents; Benzodiazepines; Carbamazepine; Cerebral Infarction; Drug Resistance;

2007
[A patient with disseminated lupus erythematosus caused by the use of carbamazepine (Tegretol)].
    Nederlands tijdschrift voor geneeskunde, 1983, Aug-27, Volume: 127, Issue:35

    Topics: Adult; Antibodies, Antinuclear; Carbamazepine; Humans; Lupus Erythematosus, Systemic; Male; Psychomo

1983
Is carbamazepine helpful in paroxysmal behavior disorders?
    The American journal of psychiatry, 1983, Volume: 140, Issue:10

    Topics: Adult; Carbamazepine; Drug Therapy, Combination; Epilepsy, Temporal Lobe; Humans; Male; Middle Aged;

1983
Hypnogenic paroxysmal dystonia: epileptic seizure or a new syndrome?
    Sleep, 1981, Volume: 4, Issue:2

    Topics: Adult; Aged; Carbamazepine; Child; Diagnosis, Differential; Dystonia; Electroencephalography; Epilep

1981
[Therapeutic use of carbamazepine for treatment of agitation and affective disorders in geriatric psychiatry patients].
    Psychiatrische Praxis, 1994, Volume: 21, Issue:4

    Topics: Aged; Carbamazepine; Dementia; Dose-Response Relationship, Drug; Drug Administration Schedule; Femal

1994
Treating the agitated Alzheimer patient.
    The Journal of clinical psychiatry, 1996, Volume: 57 Suppl 7

    Topics: Adrenergic beta-Antagonists; Aged; Aggression; Alzheimer Disease; Antipsychotic Agents; Buspirone; C

1996
Carbamazepine in agitation and aggressive behaviour following severe closed-head injury: results of an open trial.
    Brain injury, 1999, Volume: 13, Issue:10

    Topics: Adult; Aged; Aggression; Anger; Antimanic Agents; Carbamazepine; Dose-Response Relationship, Drug; F

1999
Controlling agitation in patients with cognitive impairment.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1991, Volume: 36, Issue:4

    Topics: Aphasia, Broca; Carbamazepine; Depressive Disorder; Drug Therapy, Combination; Epilepsy, Temporal Lo

1991
Carbamazepine for aggressive agitation in demented patients during nursing care.
    The American journal of psychiatry, 1989, Volume: 146, Issue:6

    Topics: Aged; Aggression; Alzheimer Disease; Carbamazepine; Female; Humans; Male; Psychomotor Agitation

1989
Managing behavior in mentally retarded residential populations.
    Hospital & community psychiatry, 1986, Volume: 37, Issue:3

    Topics: Adrenergic beta-Antagonists; Aggression; Antipsychotic Agents; Carbamazepine; Humans; Institutionali

1986