Page last updated: 2024-10-30

lamotrigine and Acute Disease

lamotrigine has been researched along with Acute Disease in 42 studies

Acute Disease: Disease having a short and relatively severe course.

Research Excerpts

ExcerptRelevanceReference
"Topiramate appears to show promise as an addition to the agents available to treat bipolar disorder."10.19The evolving role of topiramate among other mood stabilizers in the management of bipolar disorder. ( Chengappa, KN; Gershon, S; Levine, J, 2001)
" There was no convincing evidence that lamotrigine is effective in treating neuropathic pain and fibromyalgia at doses of 200 mg to 400 mg daily."8.89Lamotrigine for chronic neuropathic pain and fibromyalgia in adults. ( Derry, S; Moore, RA; Wiffen, PJ, 2013)
"RCTs investigating the use of lamotrigine (any dose, by any route, and for any study duration) for the treatment of acute or chronic pain."8.87Lamotrigine for acute and chronic pain. ( Derry, S; Moore, RA; Wiffen, PJ, 2011)
"To assess the analgesic efficacy and adverse effects of the anticonvulsant lamotrigine for acute and chronic pain."8.84Lamotrigine for acute and chronic pain. ( Rees, J; Wiffen, PJ, 2007)
" We evaluated the neuroprotective effects of lamotrigine, a Nav blocker, in the acute and chronic rat ocular hypertension models."7.79Functional and structural evaluation of lamotrigine treatment in rat models of acute and chronic ocular hypertension. ( Bähr, M; Hein, K; Könnecke, B; Levkovitch-Verbin, H; Ofri, R; Sandalon, S; Sättler, MB; Simons, M, 2013)
"Lamotrigine has emerged as a first line treatment for bipolar depression, which is an area of weakness for other mood stabilizers."6.42Separate and concomitant use of lamotrigine, lithium, and divalproex in bipolar disorders. ( Goodwin, FK; Lieberman, DZ, 2004)
"Topiramate appears to show promise as an addition to the agents available to treat bipolar disorder."6.19The evolving role of topiramate among other mood stabilizers in the management of bipolar disorder. ( Chengappa, KN; Gershon, S; Levine, J, 2001)
"Acute interstitial nephritis is a mononuclear and sterile inflammation of the renal interstice caused by drugs, infections or immune phenomena."5.32[Acute interstitial nephritis associated to lamotrigine use. Report of one case]. ( Mönckeberg, G; Rosenberg, H; Valls, G; Vukusich, A, 2004)
"Preliminary data from case reports and small open trials suggest a role for lamotrigine in the treatment of bipolar disorder, although controlled data for the manic phase are lacking."5.09Lamotrigine compared with lithium in mania: a double-blind randomized controlled trial. ( Berk, M; Brook, S; Ichim, L, 2000)
"The 2 older FDA-approved treatments for bipolar depression, olanzapine-fluoxetine combination (OFC) and quetiapine (QTP) monotherapy, were efficacious (response NNT=4 for OFC, NNT=6 for QTP), but similarly likely to yield harms (OFC weight gain NNH=6; QTP sedation/somnolence NNH=5)."4.90Balancing benefits and harms of treatments for acute bipolar depression. ( Calabrese, JR; Citrome, L; Dell'Osso, B; Frye, MA; Ketter, TA; Miller, S, 2014)
" There was no convincing evidence that lamotrigine is effective in treating neuropathic pain and fibromyalgia at doses of 200 mg to 400 mg daily."4.89Lamotrigine for chronic neuropathic pain and fibromyalgia in adults. ( Derry, S; Moore, RA; Wiffen, PJ, 2013)
"RCTs investigating the use of lamotrigine (any dose, by any route, and for any study duration) for the treatment of acute or chronic pain."4.87Lamotrigine for acute and chronic pain. ( Derry, S; Moore, RA; Wiffen, PJ, 2011)
"To assess the analgesic efficacy and adverse effects of the anticonvulsant lamotrigine for acute and chronic pain."4.84Lamotrigine for acute and chronic pain. ( Rees, J; Wiffen, PJ, 2007)
" We evaluated the neuroprotective effects of lamotrigine, a Nav blocker, in the acute and chronic rat ocular hypertension models."3.79Functional and structural evaluation of lamotrigine treatment in rat models of acute and chronic ocular hypertension. ( Bähr, M; Hein, K; Könnecke, B; Levkovitch-Verbin, H; Ofri, R; Sandalon, S; Sättler, MB; Simons, M, 2013)
"The novel anti-epileptic drugs lamotrigine, felbamate and gabapentin were compared in rat experimental models of acute (tail flick) and chronic pain: the chronic constriction injury and spinal nerve ligation models."3.69The effect of novel anti-epileptic drugs in rat experimental models of acute and chronic pain. ( Fontana, DJ; Gogas, KR; Hedley, LR; Hunter, JC; Jacobson, LO; Kassotakis, L; Thompson, J, 1997)
"Lamotrigine and lithium were effective monotherapy for BDII depression, with comparable response and remission rates."2.73A single blind comparison of lithium and lamotrigine for the treatment of bipolar II depression. ( Al Jurdi, R; Bernstein, IH; Fischer, EG; Gonzalez, R; Kelly, DI; Marangell, LB; Martinez, M; Shivakumar, G; Snow, DE; Suppes, T; Sureddi, S; Zboyan, HA, 2008)
"Persistence of invalidating action myoclonus is a major problem."2.72Lack of efficacy and potential aggravation of myoclonus with lamotrigine in Unverricht-Lundborg disease. ( Crespel, A; Gelisse, P; Genton, P, 2006)
"While both unipolar and bipolar depression have serious detrimental effects on patient QOL, our results suggest that some aspects of QOL may be worse in bipolar depression."2.71Quality of life in patients with bipolar I depression: data from 920 patients. ( Davis, KH; Fieve, RR; Harris, SD; Krishnan, AA; Lecrubier, Y; Yatham, LN, 2004)
"Lamotrigine was considered to have mixed support."2.47Pharmacotherapy for the treatment of acute bipolar II depression: current evidence. ( Swartz, HA; Thase, ME, 2011)
"Lamotrigine has also demonstrated significant efficacy in recent studies and has been approved by the FDA."2.42Bipolar depression: an overview. ( Oral, ET; Vahip, S, 2004)
"Lamotrigine has emerged as a first line treatment for bipolar depression, which is an area of weakness for other mood stabilizers."2.42Separate and concomitant use of lamotrigine, lithium, and divalproex in bipolar disorders. ( Goodwin, FK; Lieberman, DZ, 2004)
"Valproic acid is an effective anti-epileptic medication often used for long-term control of seizure disorders that has been implicated in hematological toxicities, including rare reports of myelodysplasia and acute leukemia."1.35Translocation-positive acute myeloid leukemia associated with valproic acid therapy. ( Ben-Ezra, J; Massey, GV; Riley, RS; Russell, EC; Williams, DC, 2008)
"For the management of bipolar depression, new data support quetiapine monotherapy as a first-line option."1.33Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of patients with bipolar disorder: update 2007. ( Beaulieu, S; Kennedy, SH; MacQueen, G; McIntyre, RS; O'Donovan, C; Parikh, SV; Sharma, V; Yatham, LN, 2006)
"Acute interstitial nephritis is a mononuclear and sterile inflammation of the renal interstice caused by drugs, infections or immune phenomena."1.32[Acute interstitial nephritis associated to lamotrigine use. Report of one case]. ( Mönckeberg, G; Rosenberg, H; Valls, G; Vukusich, A, 2004)
"In severe myoclonic epilepsy of infancy (SME), multiple drug-resistant focal and generalized seizure types occur."1.30Lamotrigine and seizure aggravation in severe myoclonic epilepsy. ( Belmonte, A; Dravet, C; Dulac, O; Genton, P; Guerrini, R; Kaminska, A, 1998)
" Seizures became diurnal and frequent, not modified by carbamazepine (CBZ) or valproate (VPA) but responding to VPA and lamotrigine (LTG) with recommended dosage schedules for this combination."1.30Paradoxic reaction to lamotrigine in a child with benign focal epilepsy of childhood with centrotemporal spikes. ( Boyd, S; Catania, S; Cross, H; de Sousa, C, 1999)

Research

Studies (42)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's7 (16.67)18.2507
2000's25 (59.52)29.6817
2010's10 (23.81)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Woodcock, IR1
Taylor, LE1
Ruddle, JB1
Freeman, JL1
Dabscheck, G1
Sandalon, S1
Könnecke, B1
Levkovitch-Verbin, H1
Simons, M1
Hein, K1
Sättler, MB1
Bähr, M1
Ofri, R1
Wiffen, PJ3
Derry, S2
Moore, RA2
Ketter, TA1
Miller, S1
Dell'Osso, B1
Calabrese, JR3
Frye, MA1
Citrome, L1
Nwogbe, B1
Ferié, J1
Smith, H1
Gunawardena, I1
Dhatariya, K1
Swartz, HA1
Thase, ME1
Sachs, GS1
Ice, KS1
Chappell, PB1
Schwartz, JH1
Gurtovaya, O1
Vanderburg, DG1
Kasuba, B1
Waldo, SW1
Treit, K1
Goldschlager, N1
Wittebole, X1
Hantson, P1
Guerry, MJ1
Lemyze, M1
Laughlin, TM1
Tram, KV1
Wilcox, GL1
Birnbaum, AK1
Grunze, H3
Dittmann, S1
French, JA1
Kanner, AM1
Bautista, J1
Abou-Khalil, B1
Browne, T1
Harden, CL1
Theodore, WH1
Bazil, C1
Stern, J1
Schachter, SC1
Bergen, D1
Hirtz, D1
Montouris, GD1
Nespeca, M1
Gidal, B1
Marks, WJ1
Turk, WR1
Fischer, JH1
Bourgeois, B1
Wilner, A1
Faught, RE1
Sachdeo, RC1
Beydoun, A1
Glauser, TA1
Hsu, D1
Sandborg, C1
Hahn, JS1
Mönckeberg, G1
Vukusich, A1
Valls, G1
Rosenberg, H1
Holzer, L1
Halfon, O1
Yatham, LN2
Lecrubier, Y1
Fieve, RR1
Davis, KH1
Harris, SD1
Krishnan, AA1
Oral, ET1
Vahip, S1
Lieb, K1
Walden, J2
Fiebich, BL1
Berger, M1
Normann, C2
Lieberman, DZ1
Goodwin, FK1
Muzina, DJ1
Elhaj, O1
Gajwani, P1
Gao, K1
Patrizi, A1
Savoia, F1
Negosanti, F1
Posar, A1
Santucci, M1
Neri, I1
Kennedy, SH1
O'Donovan, C1
Parikh, SV1
MacQueen, G1
McIntyre, RS1
Sharma, V1
Beaulieu, S1
Genton, P2
Gelisse, P1
Crespel, A1
Williams, DC1
Massey, GV1
Russell, EC1
Riley, RS1
Ben-Ezra, J1
Rees, J1
Konstantakopoulos, G1
Oulis, P1
Koulouris, GC1
Masdrakis, VG1
Michalopoulou, PG1
Suppes, T1
Marangell, LB1
Bernstein, IH1
Kelly, DI1
Fischer, EG1
Zboyan, HA1
Snow, DE1
Martinez, M1
Al Jurdi, R1
Shivakumar, G1
Sureddi, S1
Gonzalez, R1
Jadresic, D1
Nakamura-Craig, M1
Follenfant, RL1
Hunter, JC1
Gogas, KR1
Hedley, LR1
Jacobson, LO1
Kassotakis, L1
Thompson, J1
Fontana, DJ1
Feeney, J1
Guerrini, R1
Dravet, C1
Belmonte, A1
Kaminska, A1
Dulac, O1
Gómez Caturla, A1
Arteta Jiménez, M1
Fernández Planelles, C1
Portillo, J1
Catania, S1
Cross, H1
de Sousa, C1
Boyd, S1
Ichim, L1
Berk, M1
Brook, S1
Sauvé, G1
Bresson-Hadni, S1
Prost, P1
Le Calvez, S1
Becker, MC1
Galmiche, J1
Carbillet, JP1
Miguet, JP1
Wensween, CA1
Bouwes Bavinck, JN1
Shelton, MD1
Rapport, DJ1
Kujawa, M1
Kimmel, SE1
Caban, S1
Chengappa, KN1
Gershon, S1
Levine, J1
Hummel, B1
Schärer, LO1
Hörn, M1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Six-Week, Double-Blind, Multicenter, Placebo Controlled Study Evaluating The Efficacy And Safety Of Flexible Doses Of Oral Ziprasidone As Add-On, Adjunctive Therapy With Lithium, Valproate Or Lamotrigine In Bipolar I Depression[NCT00483548]Phase 3298 participants (Actual)Interventional2007-10-31Completed
Light-Therapy in the Treatment of the Acute Phase of the Bipolar Type II Depression: Double-Blind, Placebo-Controlled Study to Establish Efficacy and Safety[NCT00590265]50 participants (Anticipated)Interventional2008-01-31Active, not recruiting
Acute Treatment of Bipolar II Depression[NCT00074776]Phase 3102 participants (Actual)Interventional2003-05-31Completed
Comparison of Oral Lamotrigine Versus Pregabalin for Control of Acute and Chronic Pain Following Modified Radical Mastectomy: Controlled Double-blind Study[NCT03419949]0 participants Expanded AccessAvailable
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline to Week 6 in Clinical Global Impression - Severity Scale (CGI-Severity or CGI-S)

CGI-S is a single-item clinician rated scale used to assess global severity of bipolar illness based on an overall evaluation of symptoms of bipolar mania, associated behavioral symptoms, and condition of the subject. Scored from 1 (normal, not at all ill) to 7 (among the most severely ill subjects). Higher score = more affected. Change calculated as a difference between post-baseline observation and baseline CGI-S score values. (NCT00483548)
Timeframe: Baseline, Week 6

Interventionscores on scale (Mean)
Ziprasidone-1.5
Placebo-1.5

Change From Baseline to Week 6 in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts); rated on a 7-point Likert scale 0 (normal) to 6 (most abnormal); total score 0 to 44 (higher score indicates greater severity of symptoms). Change calculated as a difference between post-baseline observation and baseline MADRS score values. (NCT00483548)
Timeframe: Baseline, Week 6

Interventionscores on scale (Mean)
Ziprasidone-14.7
Placebo-13.2

Clinical Global Impression - Improvement Scale (CGI-Improvement or CGI-I): Number of Subjects With Response (Much Improved or Very Much Improved) at Week 6

Number of subjects with improvement defined as CGI-I response of 1 (very much improved) or 2 (much improved). CGI-I is a single-item clinician rated scale used to assess global improvement in the subject's clinical state (bipolar mania) in response to study treatment and as compared to their status at pre-treatment baseline. Scores range from 1 (very much improved) to 4 (no change) to 7 (very much worse). Higher score = more affected. (NCT00483548)
Timeframe: Baseline, Week 6

Interventionparticipants (Number)
Ziprasidone66
Placebo69

MADRS Remission: Number of Subjects With Total MADRS Score ≤ 12 at Week 6

Number of subjects with MADRS total score ≤ 12 (indicates remission). MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts); rated on a 7-point Likert scale 0 (normal) to 6 (most abnormal); total score 0 to 44 (higher score indicates greater severity of symptoms). (NCT00483548)
Timeframe: Week 6

Interventionparticipants (Number)
Ziprasidone48
Placebo54

MADRS Response: Number of Subjects With Total MADRS Score Reduction ≥ 50 Percent From Baseline at Week 6

Number of subjects with reduction of ≥50 percent (%) in MADRS total score (indicates response). MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts); rated on a 7-point Likert scale 0 (normal) to 6 (most abnormal); total score 0 to 44 (higher score indicates greater severity of symptoms). Reduction calculated as ([A-B]/B*100): A=value at observation; B=baseline value. (NCT00483548)
Timeframe: Week 6

Interventionparticipants (Number)
Ziprasidone62
Placebo65

CGI-Improvement Score

CGI-I is a single-item clinician rated scale used to assess global improvement in the subject's clinical state (bipolar mania) in response to study treatment and as compared to their status at pre-treatment baseline. Scores range from 1 (very much improved) to 4 (no change) to 7 (very much worse). Higher score = more affected. Week 6 is the primary timepoint. (NCT00483548)
Timeframe: Week 1, Week 2, Week 3, Week 4, Week 5, Week 6

,
Interventionscores on scale (Mean)
Week 1 (n=142, 141)Week 2 (n=120, 138)Week 3 (n=115, 130)Week 4 (n=106, 122)Week 5 (n=103, 112)Week 6 (n=92, 108)
Placebo3.43.12.92.82.62.4
Ziprasidone3.22.92.72.62.52.4

Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Scores

AIMS is a clinician rated 12-item scale to rate 7 body areas and global judgments on the severity of abnormal movements, incapacitation and subject's awareness of abnormal movements. Items 1 to 10 scored 0 (none) to 4 (severe); items 11 to 14 are No or Yes response to dental status and sleep movements and are assessed separately. AIMS total score is sum of first 7 items. Change calculated as a difference between post-baseline observation and baseline AIMS score values. (NCT00483548)
Timeframe: Baseline, Week 2, Week 4, Week 6

,
Interventionscores on scale (Mean)
Total score: Week 2 (n=136, 142)Total score: Week 4 (n=111, 127)Total score: Week 6 (n=100, 111)Global severity score: Week 2 (n=136, 142)Global severity score: Week 4 (n=111, 127)Global severity score: Week 6 (n=100, 111)Incapacitation score: Week 2 (n=136, 142)Incapacitation score: Week 4 (n=111, 127)Incapacitation score: Week 6 (n=100, 111)
Placebo-0.1-0.0-0.0-0.00.00.0-0.0-0.00.0
Ziprasidone0.1-0.0-0.00.00.00.00.00.00.0

Change From Baseline in Barnes Akathisia Rating Scale (BARS or BAS)

BARS is a clinician rated scale to evaluate akathisia associated with use of antipsychotic medications: objective motor restlessness, range 0 to 3; subjective complaints of restlessness and associated distress, range 0 to 3; global clinical assessment of akathisia, range 0 to 5. Higher scores indicate more affected. Change calculated as a difference between post-baseline observation and baseline BARS score values. (NCT00483548)
Timeframe: Baseline, Week 2, Week 4, Week 6

,
Interventionscores on scale (Mean)
Week 2 (n=135, 139)Week 4 (n=111, 125)Week 6 (n=100, 110)
Placebo-0.00.0-0.0
Ziprasidone0.10.00.0

Change From Baseline in CGI-Severity Score (Post-baseline Excluding Week 6)

CGI-S is a single-item clinician rated scale used to assess global severity of bipolar illness based on an overall evaluation of symptoms of bipolar mania, associated behavioral symptoms, and condition of the subject. Scores range from 1 (normal, not at all ill) to 7 (among the most severely ill subjects). Higher score = more affected. Change calculated as a difference between post-baseline observation and baseline CGI-S score values. (NCT00483548)
Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5

,
Interventionscores on scale (Mean)
Week 1 (n=142, 141)Week 2 (n=120, 139)Week 3 (n=115, 130)Week 4 (n=106, 122)Week 5 (n=103, 112)
Placebo-0.4-0.7-0.9-1.1-1.3
Ziprasidone-0.5-0.9-0.9-1.1-1.3

Change From Baseline in Global Assessment of Functioning (GAF) Scale at Week 6

GAF is a clinician rated scale to measure the severity of illness-related impairment in psychological, social, and occupational functioning using a 100-point scale (single score of 1 to 100) with 100 indicating a superior level of function. Change calculated as a difference between post-baseline observation and baseline GAF score values. (NCT00483548)
Timeframe: Baseline, Week 6

,
Interventionscores on scale (Mean)
Week 6 (n=100, 110)ET (n=34, 27)
Placebo11.22.8
Ziprasidone14.70.0

Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score

HAM-A is a clinician rated 14-item scale that rates the intensity of psychic anxiety (items 1 to 6 and item 14) and somatic anxiety (items 7 to 13) on a 5-point severity scale; scores range from 0 (not present) to 4 (very severe); lower score indicates less affected. Change calculated as a difference between post-baseline observation and baseline HAM-A score values. Week 6 is the primary timepoint. (NCT00483548)
Timeframe: Baseline, Week 2, Week 4, Week 6

,
Interventionscores on scale (Mean)
Week 2 (n=136, 141)Week 4 (n=111, 127)Week 6 (n=100, 111)
Placebo-5.9-7.4-8.6
Ziprasidone-5.6-7.1-8.5

Change From Baseline in MADRS Total Score (Post-baseline Excluding Week 6)

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts); rated on a 7-point Likert scale 0 (normal) to 6 (most abnormal); total score 0 to 44 (higher score indicates greater severity of symptoms). Change calculated as a difference between post-baseline observation and baseline MADRS score values. (NCT00483548)
Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5

,
Interventionscores on scale (Mean)
Week 1 (n=142, 141)Week 2 (n=121, 139)Week 3 (n=115, 130)Week 4 (n=106, 122)Week 5 (n=103, 112)
Placebo-6.1-9.0-11.0-11.8-13.3
Ziprasidone-8.1-11.7-13.0-14.1-14.9

Change From Baseline in Quality of Life, Enjoyment, and Satisfaction Scale (Q-LES-Q) Scores at Week 6

Q-LES-Q is a 16-item subject rated scale to measure satisfaction with areas of daily functioning (physical health, social relationships, medication, and overall life satisfaction); rated on a 5-point Likert scale: higher scores indicate greater enjoyment and satisfaction with general life activities. Scores for items 1 to 14 are summed for a total score and converted to 0 to 100 range. Items 15 and 16 measure satisfaction with medication and overall satisfaction and are analyzed separately. Change calculated as a difference between post-baseline observation and baseline Q-LES-Q score values. (NCT00483548)
Timeframe: Baseline, Week 6

,
Interventionscores on scale (Mean)
Total Q-LES-Q: Week 6 (n=82, 94)Total Q-LES-Q: ET (n=27, 17)Medications: Week 6 (n=91, 93)Medications: ET (n=27, 20)Overall life satisfaction: Week 6 (n=94, 103)Overall life satisfaction: ET (n=31, 23)
Placebo11.61.60.3-0.40.50.0
Ziprasidone15.2-0.10.4-0.30.80.1

Change From Baseline in Sheehan Disability Scale (SDS) at Week 6 (Items 1 Through 3)

SDS is a 5-item subject rated scale to measure the extent to which work and or school, social life and or leisure activities, and home life and or family responsibilities were impaired by psychiatric illness. Items 1 to 3 rated on 11-point scale ranging 0 (not at all) to 10 (extremely affected). Total score 0 to 30; higher score indicates greater impairment; items 4 and 5 report number of days in the last month (0 to 31) subject missed work or school or was unproductive and are rated separately. Change calculated as a difference between post-baseline observation and baseline SDS score values. (NCT00483548)
Timeframe: Baseline, Week 6

,
Interventionscores on scale (Mean)
Total SDS: Week 6 (n=58, 63)Total SDS: ET (n=19, 14)Work/School: Week 6 (n=58, 64)Work/School: ET (n=19, 14)Social life: Week 6 (n=94, 102)Social life: ET (n=31, 23)Family/Home: Week 6 (n=94, 102)Family/Home: ET (n=31, 23)
Placebo-3.7-1.4-1.6-0.1-1.70.1-1.7-0.6
Ziprasidone-8.50.2-2.10.4-2.5-0.5-2.60.2

Change From Baseline in Sheehan Disability Scale (SDS) at Week 6 (Items 4 and 5)

SDS is a 5-item subject rated scale to measure the extent to which work and or school, social life and or leisure activities, and home life and or family responsibilities were impaired by psychiatric illness. Items 1 to 3 rated on 11-point scale ranging 0 (not at all) to 10 (extremely affected). Total score 0 to 30; higher score indicates greater impairment; items 4 and 5 report number of days in the last month (0 to 31) subject missed work or school or was unproductive and are rated separately. Change calculated as a difference between post-baseline observation and baseline SDS score values. (NCT00483548)
Timeframe: Baseline, Week 6

,
Interventiondays (Mean)
Days lost: Week 6 (n=85, 93)Days lost: ET (n=29, 21)Days unproductive: Week 6 (n=87, 89)Days unproductive: ET (n=29, 21)
Placebo-0.70.0-1.3-0.1
Ziprasidone-1.20.5-1.6-0.2

Change From Baseline in Simpson Angus Scale (SAS) Score

SAS is a clinician rated 10-item scale to measure extrapyramidal side effects (Parkinsonism or Parkinsonian side effects induced with antipsychotics); rated on a 5-point scale with range 0 (absence of condition) to 4 (presence of condition in extreme form). Global score is sum of all scores divided by the total number of items. Change calculated as a difference between post-baseline observation and baseline SAS score values. (NCT00483548)
Timeframe: Baseline, Week 2, Week 4, Week 6

,
Interventionscores on scale (Mean)
Week 2 (n=136, 141)Week 4 (n=111, 126)Week 6 (n=100, 110)
Placebo-0.10.0-0.1
Ziprasidone0.10.00.0

Change From Baseline in Young Mania Rating Scale (YMRS) Total Score

YMRS is clinician rated 11-item scale (elevated mood, increased motor activity-energy, sexual interest, sleep, irritability, speech [rate and amount], language-thought disorder, content, disruptive-aggressive behavior, appearance, and insight) used to assess the severity of manic symptoms and effect of treatment on mania severity. Seven items ranked on scale from 0 to 4; 4 items ranked 0 to 8. Higher scores indicate greater severity. Change calculated as a difference between post-baseline observation and baseline YMRS score values. Week 6 is the primary timepoint. (NCT00483548)
Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6

,
Interventionscores on scale (Mean)
Week 1 (n=142, 141)Week 2 (n=121, 139)Week 3 (n=115, 130)Week 4 (n=106, 122)Week 5 (n=103, 112)Week 6 (n=92, 108)
Placebo-0.2-0.2-0.2-1.1-1.3-0.9
Ziprasidone0.70.5-0.0-0.9-0.9-1.0

Reviews

13 reviews available for lamotrigine and Acute Disease

ArticleYear
Lamotrigine for chronic neuropathic pain and fibromyalgia in adults.
    The Cochrane database of systematic reviews, 2013, Dec-03, Issue:12

    Topics: Acute Disease; Adult; Analgesics; Anticonvulsants; Chronic Disease; Fibromyalgia; Humans; Lamotrigin

2013
Balancing benefits and harms of treatments for acute bipolar depression.
    Journal of affective disorders, 2014, Volume: 169 Suppl 1

    Topics: Acute Disease; Antidepressive Agents; Antipsychotic Agents; Benzodiazepines; Bipolar Disorder; Diben

2014
Pharmacotherapy for the treatment of acute bipolar II depression: current evidence.
    The Journal of clinical psychiatry, 2011, Volume: 72, Issue:3

    Topics: Acute Disease; Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Benzothiazoles; Bipola

2011
Lamotrigine for acute and chronic pain.
    The Cochrane database of systematic reviews, 2011, Feb-16, Issue:2

    Topics: Acute Disease; Analgesics; Chronic Disease; Humans; Lamotrigine; Pain; Randomized Controlled Trials

2011
Use of the molecular adsorbent recirculating system (MARS™) for the management of acute poisoning with or without liver failure.
    Clinical toxicology (Philadelphia, Pa.), 2011, Volume: 49, Issue:9

    Topics: Acetaminophen; Acute Disease; Albumins; Amanita; Amphetamine; Calcium Channel Blockers; Cocaine; Hea

2011
[Treatment of acute bipolar disorder. Intriguing balancing act between mania and depression].
    MMW Fortschritte der Medizin, 2003, May-26, Volume: 145 Suppl 2

    Topics: Acute Disease; Algorithms; Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; Benzodiaze

2003
Efficacy and tolerability of the new antiepileptic drugs I: treatment of new onset epilepsy: report of the Therapeutics and Technology Assessment Subcommittee and Quality Standards Subcommittee of the American Academy of Neurology and the American Epileps
    Neurology, 2004, Apr-27, Volume: 62, Issue:8

    Topics: Acetates; Acute Disease; Adolescent; Adult; Amines; Anticonvulsants; Carbamazepine; Child; Controlle

2004
Bipolar depression: an overview.
    IDrugs : the investigational drugs journal, 2004, Volume: 7, Issue:9

    Topics: Acute Disease; Antidepressive Agents; Antimanic Agents; Benzodiazepines; Bipolar Disorder; Chemoprev

2004
Separate and concomitant use of lamotrigine, lithium, and divalproex in bipolar disorders.
    Current psychiatry reports, 2004, Volume: 6, Issue:6

    Topics: Acute Disease; Administration, Oral; Antimanic Agents; Bipolar Disorder; Drug Therapy, Combination;

2004
Lamotrigine and antiepileptic drugs as mood stabilizers in bipolar disorder.
    Acta psychiatrica Scandinavica. Supplementum, 2005, Issue:426

    Topics: Acute Disease; Amines; Anticonvulsants; Antimanic Agents; Bipolar Disorder; Carbamazepine; Cyclohexa

2005
Lamotrigine for acute and chronic pain.
    The Cochrane database of systematic reviews, 2007, Apr-18, Issue:2

    Topics: Acute Disease; Analgesics; Anticonvulsants; Chronic Disease; Humans; Lamotrigine; Pain; Randomized C

2007
Current research on rapid cycling bipolar disorder and its treatment.
    Journal of affective disorders, 2001, Volume: 67, Issue:1-3

    Topics: Acute Disease; Antimanic Agents; Bipolar Disorder; Carbamazepine; Drug Administration Schedule; Drug

2001
The evolving role of topiramate among other mood stabilizers in the management of bipolar disorder.
    Bipolar disorders, 2001, Volume: 3, Issue:5

    Topics: Acetates; Acute Disease; Amines; Anticonvulsants; Antimanic Agents; Bipolar Disorder; Carbamazepine;

2001

Trials

8 trials available for lamotrigine and Acute Disease

ArticleYear
Efficacy and safety of adjunctive oral ziprasidone for acute treatment of depression in patients with bipolar I disorder: a randomized, double-blind, placebo-controlled trial.
    The Journal of clinical psychiatry, 2011, Volume: 72, Issue:10

    Topics: Acute Disease; Adolescent; Adult; Aged; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Maj

2011
Quality of life in patients with bipolar I depression: data from 920 patients.
    Bipolar disorders, 2004, Volume: 6, Issue:5

    Topics: Acute Disease; Adult; Antipsychotic Agents; Bipolar Disorder; Depressive Disorder; Double-Blind Meth

2004
Serum levels of substance P and response to antidepressant pharmacotherapy.
    Pharmacopsychiatry, 2004, Volume: 37, Issue:5

    Topics: Acute Disease; Adult; Antidepressive Agents; Depressive Disorder, Major; Humans; Lamotrigine; Paroxe

2004
Lack of efficacy and potential aggravation of myoclonus with lamotrigine in Unverricht-Lundborg disease.
    Epilepsia, 2006, Volume: 47, Issue:12

    Topics: Acute Disease; Adult; Age of Onset; Anticonvulsants; Dose-Response Relationship, Drug; Drug Therapy,

2006
A single blind comparison of lithium and lamotrigine for the treatment of bipolar II depression.
    Journal of affective disorders, 2008, Volume: 111, Issue:2-3

    Topics: Acute Disease; Adolescent; Adult; Aged; Ambulatory Care; Anticonvulsants; Bipolar Disorder; Diagnost

2008
Lamotrigine compared with lithium in mania: a double-blind randomized controlled trial.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2000, Volume: 12, Issue:1

    Topics: Acute Disease; Adolescent; Adult; Antimanic Agents; Bipolar Disorder; Double-Blind Method; Female; H

2000
The evolving role of topiramate among other mood stabilizers in the management of bipolar disorder.
    Bipolar disorders, 2001, Volume: 3, Issue:5

    Topics: Acetates; Acute Disease; Amines; Anticonvulsants; Antimanic Agents; Bipolar Disorder; Carbamazepine;

2001
Lamotrigine as adjunct to paroxetine in acute depression: a placebo-controlled, double-blind study.
    The Journal of clinical psychiatry, 2002, Volume: 63, Issue:4

    Topics: Acute Disease; Adolescent; Adult; Aged; Anticonvulsants; Depressive Disorder; Double-Blind Method; D

2002

Other Studies

22 other studies available for lamotrigine and Acute Disease

ArticleYear
Acute bilateral myopia caused by lamotrigine-induced uveal effusions.
    Journal of paediatrics and child health, 2017, Volume: 53, Issue:10

    Topics: Acute Disease; Adolescent; Anticonvulsants; Female; Humans; Lamotrigine; Myopia; Treatment Outcome;

2017
Functional and structural evaluation of lamotrigine treatment in rat models of acute and chronic ocular hypertension.
    Experimental eye research, 2013, Volume: 115

    Topics: Acute Disease; Administration, Topical; Animals; Axons; Chronic Disease; Disease Models, Animal; Ele

2013
Significant lamotrigine overdose associated with acute pancreatitis.
    Journal of the Royal Society of Medicine, 2009, Volume: 102, Issue:3

    Topics: Acute Disease; Antidepressive Agents; Drug Overdose; Female; Humans; Lamotrigine; Pancreatitis; Tria

2009
Possible acute myocardial infarction in a hypothermic patient.
    Archives of internal medicine, 2011, Sep-12, Volume: 171, Issue:16

    Topics: Acute Disease; Anticonvulsants; Antimanic Agents; Benzodiazepines; Bipolar Disorder; Drug Overdose;

2011
Acute skin failure.
    BMJ (Clinical research ed.), 2012, Aug-06, Volume: 345

    Topics: Acute Disease; Amoxicillin; Anti-Bacterial Agents; Anticonvulsants; Biopsy; Diagnosis, Differential;

2012
Comparison of antiepileptic drugs tiagabine, lamotrigine, and gabapentin in mouse models of acute, prolonged, and chronic nociception.
    The Journal of pharmacology and experimental therapeutics, 2002, Volume: 302, Issue:3

    Topics: Acetates; Acute Disease; Adrenergic alpha-Agonists; Amines; Analgesics, Non-Narcotic; Analgesics, Op

2002
Frontal lobe seizures and uveitis associated with acute human parvovirus B19 infection.
    Journal of child neurology, 2004, Volume: 19, Issue:4

    Topics: Acute Disease; Anti-Inflammatory Agents; Anticonvulsants; Brain; Carbamazepine; Child, Preschool; El

2004
[Acute interstitial nephritis associated to lamotrigine use. Report of one case].
    Revista medica de Chile, 2004, Volume: 132, Issue:6

    Topics: Acute Disease; Adult; Antidepressive Agents; Granuloma; Humans; Kidney; Lamotrigine; Male; Nephritis

2004
Normalization of impaired cognitive functions failed to improve clinical symptomatology in a schizophrenic patient.
    European psychiatry : the journal of the Association of European Psychiatrists, 2004, Volume: 19, Issue:6

    Topics: Acute Disease; Adolescent; Antipsychotic Agents; Benzodiazepines; Brain; Cognition Disorders; Electr

2004
Telogen effluvium caused by magnesium valproate and lamotrigine.
    Acta dermato-venereologica, 2005, Volume: 85, Issue:1

    Topics: Acute Disease; Adolescent; Adult; Alopecia; Anticonvulsants; Epilepsy; Female; Humans; Lamotrigine;

2005
Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of patients with bipolar disorder: update 2007.
    Bipolar disorders, 2006, Volume: 8, Issue:6

    Topics: Acute Disease; Antidepressive Agents; Antipsychotic Agents; Anxiety Disorders; Benzodiazepines; Bipo

2006
Translocation-positive acute myeloid leukemia associated with valproic acid therapy.
    Pediatric blood & cancer, 2008, Volume: 50, Issue:3

    Topics: Acute Disease; Anticonvulsants; Cell Differentiation; Cell Division; Child, Preschool; Chromosomes,

2008
Lamotrigine-associated exacerbation of positive symptoms in paranoid schizophrenia.
    Schizophrenia research, 2008, Volume: 98, Issue:1-3

    Topics: Acute Disease; Adult; Anticonvulsants; Diagnostic and Statistical Manual of Mental Disorders; Humans

2008
Acute pancreatitis associated with dual vigabatrin and lamotrigine therapy.
    Seizure, 1994, Volume: 3, Issue:4

    Topics: Acute Disease; Adult; Amylases; Anticonvulsants; Epilepsy, Complex Partial; gamma-Aminobutyric Acid;

1994
Effect of lamotrigine in the acute and chronic hyperalgesia induced by PGE2 and in the chronic hyperalgesia in rats with streptozotocin-induced diabetes.
    Pain, 1995, Volume: 63, Issue:1

    Topics: Acute Disease; Analgesics; Animals; Anticonvulsants; Chronic Disease; Diabetes Mellitus, Experimenta

1995
The effect of novel anti-epileptic drugs in rat experimental models of acute and chronic pain.
    European journal of pharmacology, 1997, Apr-18, Volume: 324, Issue:2-3

    Topics: Acetates; Acute Disease; Amines; Analgesics; Animals; Anticonvulsants; Chronic Disease; Cyclohexanec

1997
Diaminopyrimidines and severe cutaneous adverse reactions.
    Archives of dermatology, 1997, Volume: 133, Issue:9

    Topics: Acute Disease; Anticonvulsants; Antimalarials; Drug Eruptions; Humans; Lamotrigine; Pyrimethamine; P

1997
Lamotrigine and seizure aggravation in severe myoclonic epilepsy.
    Epilepsia, 1998, Volume: 39, Issue:5

    Topics: Acute Disease; Adolescent; Adult; Anticonvulsants; Child; Comorbidity; Drug Therapy, Combination; Ep

1998
[Acute hepatitis associated with lamotrigine administration].
    Medicina clinica, 1998, Nov-21, Volume: 111, Issue:17

    Topics: Acute Disease; Adult; Anticonvulsants; Chemical and Drug Induced Liver Injury; Humans; Lamotrigine;

1998
Paradoxic reaction to lamotrigine in a child with benign focal epilepsy of childhood with centrotemporal spikes.
    Epilepsia, 1999, Volume: 40, Issue:11

    Topics: Acute Disease; Anticonvulsants; Carbamazepine; Child; Electroencephalography; Epilepsy, Absence; Epi

1999
Acute hepatitis after lamotrigine administration.
    Digestive diseases and sciences, 2000, Volume: 45, Issue:9

    Topics: Acute Disease; Adult; Anticonvulsants; Chemical and Drug Induced Liver Injury; Disseminated Intravas

2000
[Overlapping acute disseminated exanthematous pustulosis and toxic epidermal necrolysis].
    Nederlands tijdschrift voor geneeskunde, 2001, Aug-04, Volume: 145, Issue:31

    Topics: Acute Disease; Adult; Anticonvulsants; Diagnosis, Differential; Exanthema; Female; Fever; Humans; La

2001