Page last updated: 2024-10-30

lamotrigine and Depression, Involutional

lamotrigine has been researched along with Depression, Involutional in 42 studies

Depression, Involutional: Form of depression in those MIDDLE AGE with feelings of ANXIETY.

Research Excerpts

ExcerptRelevanceReference
"83 weeks) in patients with unipolar depression (studies=4, n=187; monotherapy vs lithium=1, augmentation of antidepressants vs placebo=3) or bipolar depression (studies=14, n=1965; monotherapy vs placebo=5, monotherapy vs lithium or olanzapine+fluoxetine=2, augmentation of antidepressants vs placebo=1, augmentation of mood stabilizers vs placebo=3, augmentation of mood stabilizers vs trancylpromine, citalopram, or inositol=3) were meta-analyzed."8.93Lamotrigine compared to placebo and other agents with antidepressant activity in patients with unipolar and bipolar depression: a comprehensive meta-analysis of efficacy and safety outcomes in short-term trials. ( Anghelescu, IG; Correll, CU; Gao, K; Normann, C; Reis, C; Schaffer, A; Solmi, M; van der Loos, ML; Veronese, N; Zaninotto, L, 2016)
"Hemophagocytic lymphohistiocytosis is a rare hematological syndrome characterized by excessive and uncontrolled activation of the immune system."5.51Lamotrigine-induced hemophagocytic lymphohistiocytosis with Takotsubo cardiomyopathy: a case report. ( Martinez, JA; Shen, JP; Zhou, JY, 2019)
"The anti-epileptic drug lamotrigine (LTG) has been widely used to treat various neurological disorders, including epilepsy and bipolar disorder."5.41Understanding Lamotrigine's Role in the CNS and Possible Future Evolution. ( Costa, B; Vale, N, 2023)
"83 weeks) in patients with unipolar depression (studies=4, n=187; monotherapy vs lithium=1, augmentation of antidepressants vs placebo=3) or bipolar depression (studies=14, n=1965; monotherapy vs placebo=5, monotherapy vs lithium or olanzapine+fluoxetine=2, augmentation of antidepressants vs placebo=1, augmentation of mood stabilizers vs placebo=3, augmentation of mood stabilizers vs trancylpromine, citalopram, or inositol=3) were meta-analyzed."4.93Lamotrigine compared to placebo and other agents with antidepressant activity in patients with unipolar and bipolar depression: a comprehensive meta-analysis of efficacy and safety outcomes in short-term trials. ( Anghelescu, IG; Correll, CU; Gao, K; Normann, C; Reis, C; Schaffer, A; Solmi, M; van der Loos, ML; Veronese, N; Zaninotto, L, 2016)
"A 40-year old woman with a history of acute psychotic symptoms developed agranulocytosis and neutropenia after starting therapy that included lamotrigine, mirtazapine, quetiapine, and venlafaxine."3.78Fatal agranulocytosis associated with psychotropic medication use. ( Al-Najjar, T; Ali, BA; Nazer, LH; Shankar, G, 2012)
"Most studies suggested that LAM was safe and effective in pediatric patients with mood disorders."3.01Efficacy and safety of lamotrigine in pediatric mood disorders: A systematic review. ( Ahern, K; Athreya, AP; Croarkin, PE; Garzon, J; Hassett, LC; Kumar, R; Ozger, C; Oztosun, C; Saliba, M; Singh, B; Vande Voort, JL; Yuruk, D, 2023)
"The diagnoses were major depressive disorder (n = 15), bipolar I disorder (n = 6), and bipolar II disorder (n = 16)."2.82Prediction of an Optimal Dose of Lamotrigine for Augmentation Therapy in Treatment-Resistant Depressive Disorder From Plasma Lamotrigine Concentration at Week 2. ( Kagawa, S; Kondo, T; Mihara, K; Nagai, G; Nakamura, A; Nemoto, K; Suzuki, T, 2016)
"Lamotrigine was found effective and safe as add-on treatment to lithium in the acute treatment of bipolar depression."2.74Efficacy and safety of lamotrigine as add-on treatment to lithium in bipolar depression: a multicenter, double-blind, placebo-controlled trial. ( Blom, MB; de Keyzer, HJ; Hartong, EG; Luteijn, ML; Mulder, PG; Nolen, WA; Notten, PJ; Timmermans, MA; van der Loos, ML; Vergouwen, AC; Vieta, E, 2009)
"Lamotrigine-augmentation was well tolerated."2.73Lithium versus lamotrigine augmentation in treatment resistant unipolar depression: a randomized, open-label study. ( Anghelescu, IG; Schindler, F, 2007)
"Lamotrigine has demonstrated efficacy for the acute treatment of depression in bipolar I patients in a placebo-controlled, monotherapy study."2.71A 52-week, open-label continuation study of lamotrigine in the treatment of bipolar depression. ( Ascher, J; Cookson, J; Greene, P; Huffman, RF; McElroy, SL; Suppes, T; Zarate, CA, 2004)
"Although mania defines bipolar I disorder, depressive episodes and symptoms dominate the longitudinal course of, and disproportionately account for morbidity and mortality in, bipolar disorders."2.66Bipolar disorders. ( Berk, M; Brietzke, E; Goldstein, BI; Kessing, LV; López-Jaramillo, C; Majeed, A; Malhi, GS; Mansur, RB; McIntyre, RS; Nierenberg, AA; Rosenblat, JD; Vieta, E; Vinberg, M; Young, AH, 2020)
" This article explores potential pharmacokinetic and pharmacodynamic drug interactions of relevance to the use of ketamine in depression."2.55Ketamine for Depression, 5: Potential Pharmacokinetic and Pharmacodynamic Drug Interactions. ( Andrade, C, 2017)
"Ms F's hereditary coproporphyria was diagnosed 9 years before the current admission."2.50Lamotrigine in the treatment of psychotic depression associated with hereditary coproporphyria -- case report and a brief review of the literature. ( Gazdag, G; Kassai-Farkas, Á; Makkos, Z; Pusztai, Á; Takács, R; Ungvári, GS, 2014)
"There were no cases of toxic epidermal necrolysis in any setting."2.41Rash in multicenter trials of lamotrigine in mood disorders: clinical relevance and management. ( Bowden, CL; Calabrese, JR; Frye, MA; Goldberg, JF; Goodwin, FK; Kusumakar, V; Sachs, GS; Shelton, MD; Sullivan, JR; Suppes, T, 2002)
"We present a case of a patient with major depressive disorder (MDD) and post-traumatic stress disorder (PTSD) who was diagnosed with PGAD shortly after she was started on lamotrigine for mood stabilization."1.91Lamotrigine-Induced Persistent Genital Arousal Disorder and a Potential Treatment. ( Artounian, K; Petty, A; Shah, N; Suwarno, S; Vedula, S, 2023)
"The diagnoses were major depressive disorder (n = 39), bipolar I disorder (n = 10), and bipolar II disorder (n = 35)."1.56A High Plasma Lamotrigine Concentration at Week 2 as a Risk Factor for Lamotrigine-Related Rash. ( Kagawa, S; Kondo, T; Mihara, K; Nagai, G; Nakamura, A; Nemoto, K; Suzuki, T, 2020)
"Hemophagocytic lymphohistiocytosis is a rare hematological syndrome characterized by excessive and uncontrolled activation of the immune system."1.51Lamotrigine-induced hemophagocytic lymphohistiocytosis with Takotsubo cardiomyopathy: a case report. ( Martinez, JA; Shen, JP; Zhou, JY, 2019)
"The diagnoses were major depressive disorder (n = 19), bipolar I disorder (n = 6), and bipolar II disorder (n = 22)."1.46Both Serum Brain-Derived Neurotrophic Factor and Interleukin-6 Levels Are Not Associated with Therapeutic Response to Lamotrigine Augmentation Therapy in Treatment-Resistant Depressive Disorder. ( Kagawa, S; Kondo, T; Mihara, K; Nagai, G; Nakamura, A; Nemoto, K; Suzuki, T, 2017)
" This was an open-label trial with a flexible dosing regimen."1.35Lamotrigine versus lithium augmentation of antidepressant therapy in treatment-resistant depression: efficacy and tolerability. ( Cvetić, T; Damjanović, A; Ivković, M; Jasović-Gasić, M; Jovanović, A, 2009)
"Lamotrigine is an anticonvulsant with antidepressant properties, and reported effectiveness in bipolar depression."1.34Lamotrigine in the treatment of recurrent brief depression. ( Ravindran, AV; Ravindran, LN, 2007)
"Lamotrigine has been shown in randomized controlled studies to be efficacious in preventing bipolar depression and rapid cycling states."1.33Sustained remission with lamotrigine augmentation or monotherapy in female resistant depressives with mixed cyclothymic-dysthymic temperament. ( Connor, PD; Cunningham, PD; Haykal, RF; Jackson, WC; Long, S; Manning, JS, 2005)

Research

Studies (42)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's23 (54.76)29.6817
2010's13 (30.95)24.3611
2020's6 (14.29)2.80

Authors

AuthorsStudies
Matsuzaka, Y1
Urashima, K1
Sakai, S1
Morimoto, Y1
Kanegae, S1
Kinoshita, H1
Imamura, A1
Ozawa, H1
Suwarno, S1
Vedula, S1
Shah, N1
Artounian, K1
Petty, A1
Kumar, R1
Garzon, J1
Yuruk, D1
Hassett, LC1
Saliba, M1
Ozger, C1
Oztosun, C1
Ahern, K1
Athreya, AP1
Singh, B1
Croarkin, PE1
Vande Voort, JL1
Costa, B1
Vale, N1
Zhou, JY1
Martinez, JA1
Shen, JP1
Suzuki, T3
Mihara, K4
Nagai, G3
Kagawa, S3
Nakamura, A4
Nemoto, K3
Kondo, T4
McIntyre, RS1
Berk, M1
Brietzke, E1
Goldstein, BI1
López-Jaramillo, C1
Kessing, LV1
Malhi, GS1
Nierenberg, AA2
Rosenblat, JD1
Majeed, A1
Vieta, E2
Vinberg, M1
Young, AH1
Mansur, RB1
Andrade, C1
Jaffe, RJ2
Juneja, NS2
Coffey, BJ1
Takács, R1
Makkos, Z1
Kassai-Farkas, Á1
Pusztai, Á1
Ungvári, GS1
Gazdag, G1
Shon, SH1
Joo, Y1
Lee, JS1
Kim, HW1
Solmi, M1
Veronese, N1
Zaninotto, L1
van der Loos, ML2
Gao, K1
Schaffer, A1
Reis, C1
Normann, C2
Anghelescu, IG2
Correll, CU1
Mulder, PG1
Hartong, EG1
Blom, MB1
Vergouwen, AC1
de Keyzer, HJ1
Notten, PJ1
Luteijn, ML1
Timmermans, MA1
Nolen, WA1
Chuang, JY1
Tzeng, NS1
Ivković, M1
Damjanović, A1
Jovanović, A1
Cvetić, T1
Jasović-Gasić, M1
Vigo, DV1
Baldessarini, RJ1
Kuba, T1
Yakushi, T1
Hotta, H1
Kojima, M1
Warren, ZE1
Sanders, KB1
Veenstra-VanderWeele, J1
Barbee, JG1
Thompson, TR1
Jamhour, NJ1
Stewart, JW1
Conrad, EJ1
Reimherr, FW1
Thompson, PM1
Shelton, RC1
Sachs, GS3
Ice, KS1
Chappell, PB1
Schwartz, JH1
Gurtovaya, O1
Vanderburg, DG1
Kasuba, B1
Nazer, LH1
Shankar, G1
Ali, BA1
Al-Najjar, T1
Calabrese, JR3
Sullivan, JR1
Bowden, CL1
Suppes, T2
Goldberg, JF1
Shelton, MD1
Goodwin, FK1
Frye, MA1
Kusumakar, V1
Margolese, HC1
Beauclair, L1
Szkrumelak, N1
Chouinard, G1
Masters, KJ1
Melonas, JM1
McElroy, SL1
Zarate, CA1
Cookson, J1
Huffman, RF1
Greene, P1
Ascher, J1
Lieb, K1
Walden, J1
Grunze, H1
Fiebich, BL1
Berger, M1
Manning, JS2
Haykal, RF1
Connor, PD1
Cunningham, PD1
Jackson, WC1
Long, S1
Vajda, FJ1
Solinas, C1
Gutierrez, RL1
McKercher, RM1
Galea, J1
Jamison, KL1
Kugaya, A1
Sanacora, G1
Ostacher, MJ1
Ketter, TA1
Marangell, LB1
Miklowitz, DJ1
Miyahara, S1
Bauer, MS1
Thase, ME1
Wisniewski, SR1
Gabriel, A1
McIntyre, J1
Moral, MA1
Ravindran, LN1
Ravindran, AV1
Muzina, DJ1
Colangelo, E1
Schindler, F1
Selek, S1
Savas, HA1
da Rocha, FF1
Soares, FM1
Correa, H1
Teixeira, AL1
Derry, S1
Moore, RA1
Sagud, M1
Pivac, N1
Mustapic, M1
Nedic, G1
Peles, AM1
Kramaric, M1
Jakovljevic, M1
Muck-Seler, D1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The BrainDrugs-Epilepsy Study: A Prospective Open-label Cohort Precision Medicine Study in Epilepsy[NCT05450822]550 participants (Anticipated)Observational2022-02-18Recruiting
A Mulitcentre, Double-blind, Randomised, Fixed-dose Evaluation of the Safety and Efficacy of Lamictal (Lamotrigine) Compared to Placebo as an add-on Therapy to Lithium or Another Mood Stabiliser in the Treatment of Bipolar Depression, Followed by Long-ter[NCT00224510]Phase 3120 participants (Actual)Interventional2002-08-31Completed
A Preliminary Study of the Efficacy and Safety of Carbamazepine in Severe Liver Disease Due to Alpha-1 Antitrypsin Deficiency[NCT01379469]Phase 220 participants (Actual)Interventional2012-01-31Terminated
Lamotrigine as an Antidepressant Augmentation Agent in Treatment Refractory Unipolar Depression[NCT00901407]138 participants (Actual)Interventional2003-12-31Completed
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
Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD)[NCT00012558]5,000 participants Interventional1998-09-30Completed
[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 Depression, Involutional

ArticleYear
Efficacy and safety of lamotrigine in pediatric mood disorders: A systematic review.
    Acta psychiatrica Scandinavica, 2023, Volume: 147, Issue:3

    Topics: Adolescent; Bipolar Disorder; Child; Depressive Disorder, Major; Humans; Lamotrigine; Triazines

2023
Understanding Lamotrigine's Role in the CNS and Possible Future Evolution.
    International journal of molecular sciences, 2023, Mar-23, Volume: 24, Issue:7

    Topics: Anticonvulsants; Central Nervous System; Depressive Disorder, Major; Epilepsy; Glutamic Acid; Humans

2023
Bipolar disorders.
    Lancet (London, England), 2020, 12-05, Volume: 396, Issue:10265

    Topics: Adolescent; Adult; Anticonvulsants; Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; B

2020
Ketamine for Depression, 5: Potential Pharmacokinetic and Pharmacodynamic Drug Interactions.
    The Journal of clinical psychiatry, 2017, Volume: 78, Issue:7

    Topics: Antidepressive Agents; Benzodiazepines; Cytochrome P-450 CYP2B6; Cytochrome P-450 CYP3A; Depressive

2017
Lamotrigine in the treatment of psychotic depression associated with hereditary coproporphyria -- case report and a brief review of the literature.
    Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology, 2014, Volume: 16, Issue:1

    Topics: Adult; Antipsychotic Agents; Coproporphyria, Hereditary; Depressive Disorder, Major; Female; Humans;

2014
Lamotrigine compared to placebo and other agents with antidepressant activity in patients with unipolar and bipolar depression: a comprehensive meta-analysis of efficacy and safety outcomes in short-term trials.
    CNS spectrums, 2016, Volume: 21, Issue:5

    Topics: Anticonvulsants; Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; Benzodiazepines; Bip

2016
Sjögren's syndrome precipitated by lamotrigine treatment.
    Progress in neuro-psychopharmacology & biological psychiatry, 2009, Aug-31, Volume: 33, Issue:6

    Topics: Depressive Disorder, Major; Female; Humans; Lamotrigine; Middle Aged; Sjogren's Syndrome; Treatment

2009
Anticonvulsants in the treatment of major depressive disorder: an overview.
    Harvard review of psychiatry, 2009, Volume: 17, Issue:4

    Topics: Anticonvulsants; Antidepressive Agents; Carbamazepine; Clinical Trials as Topic; Depressive Disorder

2009
Rash in multicenter trials of lamotrigine in mood disorders: clinical relevance and management.
    The Journal of clinical psychiatry, 2002, Volume: 63, Issue:11

    Topics: Anticonvulsants; Antimanic Agents; Bipolar Disorder; Cross-Sectional Studies; Depressive Disorder, M

2002
Beyond monoamines: glutamatergic function in mood disorders.
    CNS spectrums, 2005, Volume: 10, Issue:10

    Topics: Bipolar Disorder; Brain; Clinical Trials as Topic; Depressive Disorder, Major; Excitatory Amino Acid

2005
Spotlight on lamotrigine for depression.
    Drug news & perspectives, 2006, Volume: 19, Issue:7

    Topics: Antidepressive Agents; Clinical Trials as Topic; Depressive Disorder, Major; Drug Resistance; Drug T

2006
Differentiating bipolar disorder from depression in primary care.
    Cleveland Clinic journal of medicine, 2007, Volume: 74, Issue:2

    Topics: Bipolar Disorder; Depression; Depressive Disorder, Major; Diagnosis, Differential; Humans; Lamotrigi

2007
Atypical antipsychotics in bipolar disorder: systematic review of randomised trials.
    BMC psychiatry, 2007, Aug-16, Volume: 7

    Topics: Antipsychotic Agents; Basal Ganglia Diseases; Benzodiazepines; Bipolar Disorder; Depressive Disorder

2007

Trials

8 trials available for lamotrigine and Depression, Involutional

ArticleYear
Prediction of an Optimal Dose of Lamotrigine for Augmentation Therapy in Treatment-Resistant Depressive Disorder From Plasma Lamotrigine Concentration at Week 2.
    Therapeutic drug monitoring, 2016, Volume: 38, Issue:3

    Topics: Adult; Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Chromatograp

2016
Efficacy and safety of lamotrigine as add-on treatment to lithium in bipolar depression: a multicenter, double-blind, placebo-controlled trial.
    The Journal of clinical psychiatry, 2009, Volume: 70, Issue:2

    Topics: Adult; Anticonvulsants; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Major; Dose-Respons

2009
A double-blind placebo-controlled trial of lamotrigine as an antidepressant augmentation agent in treatment-refractory unipolar depression.
    The Journal of clinical psychiatry, 2011, Volume: 72, Issue:10

    Topics: Adult; Anticonvulsants; Antidepressive Agents, Second-Generation; Depressive Disorder, Major; Depres

2011
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
A 52-week, open-label continuation study of lamotrigine in the treatment of bipolar depression.
    The Journal of clinical psychiatry, 2004, Volume: 65, Issue:2

    Topics: Adult; Anticonvulsants; Bipolar Disorder; Depressive Disorder, Major; Dose-Response Relationship, Dr

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
Treatment-resistant bipolar depression: a STEP-BD equipoise randomized effectiveness trial of antidepressant augmentation with lamotrigine, inositol, or risperidone.
    The American journal of psychiatry, 2006, Volume: 163, Issue:2

    Topics: Adult; Anticonvulsants; Antidepressive Agents; Antipsychotic Agents; Bipolar Disorder; Depressive Di

2006
Lithium versus lamotrigine augmentation in treatment resistant unipolar depression: a randomized, open-label study.
    International clinical psychopharmacology, 2007, Volume: 22, Issue:3

    Topics: Adult; Anticonvulsants; Antidepressive Agents; Antimanic Agents; Depressive Disorder, Major; Drug Re

2007

Other Studies

21 other studies available for lamotrigine and Depression, Involutional

ArticleYear
The effectiveness of lamotrigine for persistent depressive disorder: A case report.
    Neuropsychopharmacology reports, 2022, Volume: 42, Issue:1

    Topics: Antidepressive Agents; Anxiety Disorders; Depressive Disorder, Major; Female; Humans; Lamotrigine; S

2022
Lamotrigine-Induced Persistent Genital Arousal Disorder and a Potential Treatment.
    Journal of sex & marital therapy, 2023, Volume: 49, Issue:1

    Topics: Arousal; Depressive Disorder, Major; Female; Genitalia; Humans; Lamotrigine; Sexual Dysfunction, Phy

2023
Lamotrigine-induced hemophagocytic lymphohistiocytosis with Takotsubo cardiomyopathy: a case report.
    Journal of medical case reports, 2019, Nov-26, Volume: 13, Issue:1

    Topics: Antipsychotic Agents; Anxiety Disorders; Bone Marrow; Depressive Disorder, Major; Dexamethasone; Fem

2019
A High Plasma Lamotrigine Concentration at Week 2 as a Risk Factor for Lamotrigine-Related Rash.
    Therapeutic drug monitoring, 2020, Volume: 42, Issue:4

    Topics: Antipsychotic Agents; Depressive Disorder, Major; Depressive Disorder, Treatment-Resistant; Exanthem

2020
Both Serum Brain-Derived Neurotrophic Factor and Interleukin-6 Levels Are Not Associated with Therapeutic Response to Lamotrigine Augmentation Therapy in Treatment-Resistant Depressive Disorder.
    Neuropsychobiology, 2017, Volume: 75, Issue:3

    Topics: Adult; Antidepressive Agents; Bipolar Disorder; Brain-Derived Neurotrophic Factor; Depressive Disord

2017
Fourteen-Pound Fluvoxamine-Associated Weight Gain in a Young Woman with Depression and Multiple Anxiety Symptoms.
    Journal of child and adolescent psychopharmacology, 2018, Volume: 28, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Antidepressive Agents; Antidepressive Agents, Second-Generation; Anxiety

2018
Lamotrigine treatment of adolescents with unipolar and bipolar depression: a retrospective chart review.
    Journal of child and adolescent psychopharmacology, 2014, Volume: 24, Issue:5

    Topics: Adolescent; Anticonvulsants; Bipolar Disorder; Depressive Disorder, Major; Dose-Response Relationshi

2014
Lamotrigine versus lithium augmentation of antidepressant therapy in treatment-resistant depression: efficacy and tolerability.
    Psychiatria Danubina, 2009, Volume: 21, Issue:2

    Topics: Adult; Anticonvulsants; Antidepressive Agents; Depressive Disorder, Major; Dose-Response Relationshi

2009
Ropinirole augmentation therapy in a case with treatment-resistant unipolar depression.
    Progress in neuro-psychopharmacology & biological psychiatry, 2010, May-30, Volume: 34, Issue:4

    Topics: Aged; Antidepressive Agents; Clomipramine; Depressive Disorder, Major; Dopamine Agonists; Drug Thera

2010
Identity crisis involving body image in a young man with autism.
    The American journal of psychiatry, 2010, Volume: 167, Issue:11

    Topics: Adolescent; Anticonvulsants; Anxiety Disorders; Autistic Disorder; Behavior Therapy; Body Dysmorphic

2010
Fatal agranulocytosis associated with psychotropic medication use.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2012, May-15, Volume: 69, Issue:10

    Topics: Adult; Agranulocytosis; Antidepressive Agents, Second-Generation; Antimanic Agents; Antipsychotic Ag

2012
Hypomania induced by adjunctive lamotrigine.
    The American journal of psychiatry, 2003, Volume: 160, Issue:1

    Topics: Adult; Antidepressive Agents; Bipolar Disorder; Bupropion; Depressive Disorder, Major; Dose-Response

2003
Lamotrigine and informed consent.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2004, Volume: 43, Issue:2

    Topics: Antimanic Agents; Child; Clinical Trials as Topic; Depressive Disorder, Major; Humans; Informed Cons

2004
Sustained remission with lamotrigine augmentation or monotherapy in female resistant depressives with mixed cyclothymic-dysthymic temperament.
    Journal of affective disorders, 2005, Volume: 84, Issue:2-3

    Topics: Adult; Antidepressive Agents; Bipolar Disorder; Cyclothymic Disorder; Depressive Disorder, Major; Di

2005
Potential risks associated with high-dose valproate in pregnancy in psychiatric patients.
    The Australian and New Zealand journal of psychiatry, 2005, Volume: 39, Issue:6

    Topics: Adult; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Major; Dose-Response Relationship, D

2005
Lamotrigine augmentation strategy for patients with treatment-resistant depression.
    CNS spectrums, 2005, Volume: 10, Issue:10

    Topics: Adult; Anticonvulsants; Antidepressive Agents; Depressive Disorder, Major; Drug Resistance; Drug The

2005
Lamotrigine adjunctive treatment in resistant unipolar depression: an open, descriptive study.
    Depression and anxiety, 2006, Volume: 23, Issue:8

    Topics: Adult; Anticonvulsants; Antidepressive Agents; Depressive Disorder, Major; Drug Resistance; Drug The

2006
Lamotrigine in the treatment of recurrent brief depression.
    International clinical psychopharmacology, 2007, Volume: 22, Issue:2

    Topics: Adult; Anticonvulsants; Antidepressive Agents; Depressive Disorder, Major; Humans; Lamotrigine; Male

2007
Lamotrigine-induced manic switches have already been reported.
    The Australian and New Zealand journal of psychiatry, 2007, Volume: 41, Issue:2

    Topics: Antimanic Agents; Bipolar Disorder; Depressive Disorder, Major; Humans; Lamotrigine; Triazines

2007
Addition of lamotrigine to valproic acid: a successful outcome in a case of rapid-cycling bipolar affective disorder.
    Progress in neuro-psychopharmacology & biological psychiatry, 2007, Oct-01, Volume: 31, Issue:7

    Topics: Adult; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Major; Female; Humans; Lamotrigine;

2007
The effect of lamotrigine on platelet serotonin concentration in patients with bipolar depression.
    Psychopharmacology, 2008, Volume: 197, Issue:4

    Topics: Adult; Anticonvulsants; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Bipolar Diso

2008