Page last updated: 2024-11-02

phenobarbital and Psychoses, Drug

phenobarbital has been researched along with Psychoses, Drug in 23 studies

Phenobarbital: A barbituric acid derivative that acts as a nonselective central nervous system depressant. It potentiates GAMMA-AMINOBUTYRIC ACID action on GABA-A RECEPTORS, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
phenobarbital : A member of the class of barbiturates, the structure of which is that of barbituric acid substituted at C-5 by ethyl and phenyl groups.

Research Excerpts

ExcerptRelevanceReference
"Decreased libido and impotence were more common in patients given primidone."2.66Comparison of carbamazepine, phenobarbital, phenytoin, and primidone in partial and secondarily generalized tonic-clonic seizures. ( Browne, TR; Collins, JF; Cramer, JA; Delgado-Escueta, AV; Mattson, RH; McCutchen, CB; McNamara, JO; Smith, DB; Treiman, DM; Williamson, PD, 1985)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-199019 (82.61)18.7374
1990's1 (4.35)18.2507
2000's1 (4.35)29.6817
2010's2 (8.70)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Shimura, M1
Yamada, H1
Takahashi, H1
Yamada, N1
Go, S1
Yamanaka, G1
Kawashima, H1
Puening, SE1
Wilson, MP1
Nordstrom, K1
Rosenberg, MH1
Deerfield, LJ1
Baruch, EM1
SHIKIROVA, D1
UZUNOV, G1
IVANOV, V1
VANDAM, LD1
COLLINS, WL1
Kulik, AV1
Wilbur, R1
Stores, G1
Sironi, VA1
Franzini, A1
Ravagnati, L1
Marossero, F1
Trimble, MR1
Reynolds, EH1
Zbinden, G1
Kugoh, T1
Inoue, T1
Utsumi, T1
Hamada, T1
Hosokawa, K1
Mattson, RH1
Cramer, JA1
Collins, JF1
Smith, DB1
Delgado-Escueta, AV1
Browne, TR1
Williamson, PD1
Treiman, DM1
McNamara, JO1
McCutchen, CB1
Tölle, R1
Gibberd, FB1
Flügel, KA1
Downham, TF1
Ramos, DP1
Knopp, W1
Blösch, M1
Espelin, DE1
Done, AK1
Cramond, WA1
Battegay, R1
Ladewig, D1
Utley, PM1
Lucas, JB1
Billings, TE1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open Prospective Randomised Long-Term Effectiveness Study, Comparing Best Medical Practice With or Without Adjunctive VNS Therapy in Patients 16 Years and Older With Pharmaco-resistant Partial Epilepsy[NCT00522418]Phase 4122 participants (Actual)Interventional2006-02-28Terminated (stopped due to Insufficient enrollment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Adverse Event Profile (AEP) Score

Adverse Events Profile (AEP) is a 19-item scale used as a systematic measure of adverse effects from antiepileptic drugs (AEDs). Scores range from 19-76; higher scores indicate high prevelance and severity of adverse events. (NCT00522418)
Timeframe: Mean change from baseline AEP Score at 12 months

InterventionUnits on a scale (Mean)
VNS Therapy-6.0
Best Medical Practice-3.2

Change From Baseline in Center for Epidemiologic Studies Depression Scale (CES-D) Score

The Center for Epidemiologic Studies Depression Scale (CES-D) includes 20 items comprising six scales reflecting major dimensions of depression: depressed mood, feelings of guilt and worthlessness, feelings of helplessness and hopelessness, psychomotor retardation, loss of appetite, and sleep disturbance. Possible range of scores is 0 to 60, higher scores indicate more depressive symptoms. (NCT00522418)
Timeframe: Mean change from baseline CES-D Score at 12 months

InterventionUnits on a Scale (Mean)
VNS Therapy-2.2
Best Medical Practice0.5

Change From Baseline in Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) Score

The Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) is a 6-item questionnaire validated to screen for depression in people with epilepsy. Scores range from 6 to 24, with higher scores indicating more depressive symptoms. (NCT00522418)
Timeframe: Mean change from baseline NDDI-E Score at 12 months

InterventionUnits on a Scale (Mean)
VNS Therapy-1.0
Best Medical Practice-0.2

Changes in Anti-epileptic Drugs (AEDs)

Change from baseline in number of AED medications by visit (NCT00522418)
Timeframe: Change from baseline in number of AEDs at 12 months

InterventionNumber of AEDs Taken (Median)
VNS Therapy0
Best Medical Practice0

Mean Change From Beginning of Intervention Clinical Global Impression-Improvement Scale (CGI-I) Score at 12 Months

The Clinical Global Impression scale (CGI-I) is a 7 point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention Scores range from 1-7: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. (NCT00522418)
Timeframe: Mean change from baseline CGI-I Score at 12 months

InterventionUnits on a Scale (Mean)
VNS Therapy-0.8
Best Medical Practice-0.3

Mean Percent Change in Seizure Frequency

Percent change in total seizuires per week from baseline at 12 months (NCT00522418)
Timeframe: Mean percent change from baseline in seizure frequency at 12 months

InterventionPercent Change (Mean)
VNS Therapy-19.1
Best Medical Practice-1.0

Overall Quality of Life in Epilepsy-89 (QOLIE-89) Score in Patients With Baseline & at Least One Post-baseline QOLIE Assessment

QOLIE-89 contains 17 multi-item measures of overall quality of life, emotional well-being, role limitations due to emotional problems, social support, social isolation, energy/fatigue, worry about seizure, medication effects, health discouragement, work/driving/social function, attention/concentration, language, memory, physical function, pain, role limitations due to physical problems, and health perceptions. Range of values 0-100. Higher scores reflect better quality of life; lower ones, worse quality of life. (NCT00522418)
Timeframe: Mean change from baseline QOLIE-89 Overall Score at 12 months

Interventionunits on a scale (Mean)
VNS Therapy5.5
Best Medical Practice1.2

Response Rate

Response Rate is defined as the percent of participants who are responders. A Responder is defined as participants with a reduction of at least 50% or 75% in seizure frequency from baseline to the seizure count evaluation period. (NCT00522418)
Timeframe: Number of Responders at 12 Months

Interventionparticipants (Number)
VNS Therapy10
Best Medical Practice7

Change From Baseline in QOLIE-89 Measures: Subgroup Analysis of Population With Baseline Adverse Event Profile Score < 40

QOLIE-89 contains 17 multi-item measures of overall quality of life. Range of values 0-100. Higher scores reflect better quality of life; lower ones, worse quality of life. Adverse Events Profile (AEP) is a 19-item scale used as a systematic measure of adverse effects from antiepileptic drugs (AEDs). Scores range from 19-76; higher scores indicate high prevelance and severity of adverse events. (NCT00522418)
Timeframe: Change from baseline up to 12 months

Interventionunits on a scale (Least Squares Mean)
VNS TherapyBest Medical Practice
Baseline Adverse Event Profile Score < 403.30.5

Change From Baseline in QOLIE-89 Measures: Subgroup Analysis of Population With Baseline Adverse Event Profile Score >= 40

QOLIE-89 contains 17 multi-item measures of overall quality of life. Range of values 0-100. Higher scores reflect better quality of life; lower ones, worse quality of life. Adverse Events Profile (AEP) is a 19-item scale used as a systematic measure of adverse effects from antiepileptic drugs (AEDs). Scores range from 19-76; higher scores indicate high prevelance and severity of adverse events. (NCT00522418)
Timeframe: Change from baseline up to 12 months

InterventionUnits on a Scale (Least Squares Mean)
VNS TherapyBest Medical Practice
Baseline Adverse Event Profile Score >= 403.30.7

Reviews

1 review available for phenobarbital and Psychoses, Drug

ArticleYear
Behavioural effects of anti-epileptic drugs.
    Developmental medicine and child neurology, 1975, Volume: 17, Issue:5

    Topics: Anti-Anxiety Agents; Anticonvulsants; Benzodiazepines; Carbamazepine; Confusion; Disorders of Excess

1975

Trials

2 trials available for phenobarbital and Psychoses, Drug

ArticleYear
Comparison of carbamazepine, phenobarbital, phenytoin, and primidone in partial and secondarily generalized tonic-clonic seizures.
    The New England journal of medicine, 1985, Jul-18, Volume: 313, Issue:3

    Topics: Adolescent; Adult; Aged; Carbamazepine; Clinical Trials as Topic; Double-Blind Method; Epilepsies, P

1985
Psychiatric changes in patients treated with levodopa. I. The clinical experiment.
    Neurology, 1970, Volume: 20, Issue:12

    Topics: Activities of Daily Living; Adjustment Disorders; Aged; Amitriptyline; Clinical Trials as Topic; Dia

1970

Other Studies

20 other studies available for phenobarbital and Psychoses, Drug

ArticleYear
Antiepileptic drug-induced psychosis associated with MTHFR C677T: a case report.
    Journal of medical case reports, 2019, Aug-12, Volume: 13, Issue:1

    Topics: Adolescent; Anticonvulsants; Avitaminosis; Epilepsy; Humans; Male; Methylenetetrahydrofolate Reducta

2019
Psychiatric Emergencies for Clinicians: Emergency Department Management of Benzodiazepine Withdrawal.
    The Journal of emergency medicine, 2017, Volume: 52, Issue:1

    Topics: Aged; Benzodiazepines; Emergency Service, Hospital; Emergency Services, Psychiatric; Female; Flumaze

2017
Two cases of severe gamma-hydroxybutyrate withdrawal delirium on a psychiatric unit: recommendations for management.
    The American journal of drug and alcohol abuse, 2003, Volume: 29, Issue:2

    Topics: Adult; Anticonvulsants; Antihypertensive Agents; Clonazepam; Clonidine; Delirium; Hospitalization; H

2003
[Manic syndrome in severe luminal poisoning].
    Suvremenna meditsina, 1957, Volume: 8, Issue:12

    Topics: Barbiturates; Humans; Mental Disorders; Phenobarbital; Psychoses, Substance-Induced; Psychotic Disor

1957
[On luminal psychoses].
    Nauchni trudove na Visshiia meditsinski institut, Sofiia, 1960, Volume: 39(6)

    Topics: Mental Disorders; Phenobarbital; Psychoses, Substance-Induced; Psychotic Disorders

1960
Recovery from acute phenobarbital intoxication after prolonged coma.
    JAMA, 1963, Apr-20, Volume: 184

    Topics: Barbiturates; Coma; Drug-Related Side Effects and Adverse Reactions; Phenobarbital; Psychoses, Subst

1963
Delirium and stereotypy from anticholinergic antiparkinson drugs.
    Progress in neuro-psychopharmacology & biological psychiatry, 1982, Volume: 6, Issue:1

    Topics: Adult; Aged; Benztropine; Delirium; Diazepam; Drug Therapy, Combination; Dyskinesia, Drug-Induced; E

1982
Interictal acute psychoses in temporal lobe epilepsy during withdrawal of anticonvulsant therapy.
    Journal of neurology, neurosurgery, and psychiatry, 1979, Volume: 42, Issue:8

    Topics: Adult; Carbamazepine; Clonazepam; Drug Therapy, Combination; Electroencephalography; Epilepsy, Tempo

1979
Anticonvulsant drugs and mental symptoms: a review.
    Psychological medicine, 1976, Volume: 6, Issue:2

    Topics: Anticonvulsants; Carbamazepine; Dose-Response Relationship, Drug; Epilepsy; Ethosuximide; Folic Acid

1976
[Dangers of drug combinations (author's transl)].
    Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis, 1976, Mar-23, Volume: 65, Issue:11

    Topics: Anticoagulants; Barbiturates; Contraceptives, Oral, Hormonal; Drug Antagonism; Drug Interactions; Dr

1976
Five epileptic cases who manifested psychotic states under the toxic levels of antiepileptic drugs.
    The Japanese journal of psychiatry and neurology, 1990, Volume: 44, Issue:2

    Topics: Anticonvulsants; Dose-Response Relationship, Drug; Drug Therapy, Combination; Epilepsy; Humans; Phen

1990
[Unexpected complications by anticholinergics contained in hypnotics and analgesics].
    Arzneimittel-Forschung, 1974, Volume: 24, Issue:8

    Topics: Adult; Analgesics; Benactyzine; Codeine; Diphenhydramine; Drug Combinations; Female; Humans; Hypnoti

1974
Epilepsy.
    British medical journal, 1969, Nov-01, Volume: 4, Issue:5678

    Topics: Adult; Child; Epilepsies, Partial; Epilepsy; Epilepsy, Absence; Epilepsy, Temporal Lobe; Epilepsy, T

1969
[Treatment of acute emotional disturbances].
    Deutsche medizinische Wochenschrift (1946), 1974, Oct-18, Volume: 99, Issue:42

    Topics: Alcohol Withdrawal Delirium; Chlormethiazole; Chlorpromazine; Chlorprothixene; Diazepam; Family Char

1974
More about acute psychotic reactions to aqueous procaine penicillin G.
    Archives of dermatology, 1973, Volume: 107, Issue:3

    Topics: Female; Humans; Male; Oxygen Inhalation Therapy; Penicillin G Procaine; Phenobarbital; Psychoses, Su

1973
[Influence of phenobarbital on breeding behavior of the herring gull (Larus argentatus argentatus Pontopp)].
    Zeitschrift fur Tierpsychologie, 1971, Volume: 28, Issue:5

    Topics: Animal Communication; Animals; Behavior, Animal; Bird Diseases; Birds; Female; Humans; Male; Nesting

1971
Amphetamine poisoning. Effectiveness of chlorpromazine.
    The New England journal of medicine, 1968, Jun-20, Volume: 278, Issue:25

    Topics: Amphetamine; Barbiturates; Child, Preschool; Chlorpromazine; Drug Antagonism; Emetics; Female; Gastr

1968
Organic psychosis.
    British medical journal, 1968, Nov-30, Volume: 4, Issue:5630

    Topics: Adolescent; Adult; Aged; Barbiturates; Brain Neoplasms; Bronchopneumonia; Carbon Monoxide Poisoning;

1968
[On psychoses caused by drugs against motion sickness--current drug addiction trends in adolescents].
    Praxis, 1968, Jul-02, Volume: 57, Issue:26

    Topics: Adolescent; Amphetamine; Atropine; Female; Humans; Male; Phenobarbital; Psychoses, Substance-Induced

1968
Acute psychotic reactions to aqueous procaine penicillin.
    Southern medical journal, 1966, Volume: 59, Issue:11

    Topics: Adult; Gonorrhea; Humans; Injections, Intramuscular; Male; Penicillin G Procaine; Phenobarbital; Psy

1966