Page last updated: 2024-10-26

valproic acid and Basal Ganglia Diseases

valproic acid has been researched along with Basal Ganglia Diseases in 21 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Basal Ganglia Diseases: Diseases of the BASAL GANGLIA including the PUTAMEN; GLOBUS PALLIDUS; claustrum; AMYGDALA; and CAUDATE NUCLEUS. DYSKINESIAS (most notably involuntary movements and alterations of the rate of movement) represent the primary clinical manifestations of these disorders. Common etiologies include CEREBROVASCULAR DISORDERS; NEURODEGENERATIVE DISEASES; and CRANIOCEREBRAL TRAUMA.

Research Excerpts

ExcerptRelevanceReference
"A retrospective study of the Massachusetts General Hospital Bipolar Clinic database was carried out to identify 50 consecutive treatment trials in patients with DSM-IV bipolar disorder type I who had received adjunctive treatment with risperidone, olanzapine, or clozapine, along with standard mood stabilizers."9.09A naturalistic comparison of clozapine, risperidone, and olanzapine in the treatment of bipolar disorder. ( Ghaemi, SN; Guille, C; Sachs, GS, 2000)
"Aripiprazole is an atypical antipsychotic compound that is approved by the U."6.73Aripiprazole therapy in 20 older adults with bipolar disorder: a 12-week, open-label trial. ( Blow, FC; Cassidy, KA; Coconcea, N; Hays, RW; Ignacio, RV; Meyer, WJ; Sajatovic, M, 2008)
"This 3-week randomized, double-blind, placebo-controlled study included 156 bipolar disorder patients with a current manic or mixed episode who received a mood stabilizer (lithium or divalproex) and placebo, risperidone, or haloperidol."5.10Combination of a mood stabilizer with risperidone or haloperidol for treatment of acute mania: a double-blind, placebo-controlled comparison of efficacy and safety. ( Bowden, CL; Ghaemi, SN; Grossman, F; Okamoto, A; Sachs, GS, 2002)
"A retrospective study of the Massachusetts General Hospital Bipolar Clinic database was carried out to identify 50 consecutive treatment trials in patients with DSM-IV bipolar disorder type I who had received adjunctive treatment with risperidone, olanzapine, or clozapine, along with standard mood stabilizers."5.09A naturalistic comparison of clozapine, risperidone, and olanzapine in the treatment of bipolar disorder. ( Ghaemi, SN; Guille, C; Sachs, GS, 2000)
"After a < or = 1-day screening period, 36 consecutive hospitalized patients with bipolar disorder, manic or mixed phase and with psychotic features, were randomly assigned to receive either divalproex 20 mg/kg/day or haloperidol 0."5.08A randomized comparison of divalproex oral loading versus haloperidol in the initial treatment of acute psychotic mania. ( Bennett, JA; Keck, PE; McElroy, SL; Stanton, SP; Strakowski, SM; Tugrul, KC, 1996)
" For 80 patients treated with sodium valproate, the mean ± SD dosage was 1541."2.80Efficacy and safety of valproic acid versus haloperidol in patients with acute agitation: results of a randomized, double-blind, parallel-group trial. ( Asadollahi, S; Azadbakht, A; Hatamabadi, H; Heidari, K; Mirmohseni, L; Vafaee, R; Yunesian, S, 2015)
"Ziprasidone was well tolerated."2.77Adjunctive oral ziprasidone in patients with acute mania treated with lithium or divalproex, part 1: results of a randomized, double-blind, placebo-controlled trial. ( Bachinsky, M; Cavus, I; Karayal, ON; Kolluri, S; Sachs, GS; Vanderburg, DG, 2012)
"Aripiprazole is an atypical antipsychotic compound that is approved by the U."2.73Aripiprazole therapy in 20 older adults with bipolar disorder: a 12-week, open-label trial. ( Blow, FC; Cassidy, KA; Coconcea, N; Hays, RW; Ignacio, RV; Meyer, WJ; Sajatovic, M, 2008)
" The aim of this study was to compare the effectiveness and tolerability of topiramate and divalproex in combination with risperidone for treating acute mania patients in a naturalistic treatment setting."2.71Topiramate and divalproex in combination with risperidone for acute mania: a randomized open-label study. ( Bahk, WM; Choi, SK; Chung, SK; Jon, DI; Lee, JS; Pae, CU; Paik, IH; Shin, YC; Woo, JM; Yoon, BH, 2005)
"Pediatric migraine is a common, chronic, and disabling neurological disorder in children and adolescents."2.66Intravenous Migraine Treatment in Children and Adolescents. ( Hershey, AD; Kabbouche, M; Maconochie, I; Murphy, B; Qaiser, S; Werner, K, 2020)
"Weight gain was found to be lower in the elderly for antipsychotic drugs, in particular for olanzapine."1.39Age and adverse drug reactions from psychopharmacological treatment: data from the AMSP drug surveillance programme in Switzerland. ( Baumann, P; Greil, W; Grohmann, R; Häberle, A; Schuhmann, T, 2013)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19903 (14.29)18.7374
1990's5 (23.81)18.2507
2000's8 (38.10)29.6817
2010's4 (19.05)24.3611
2020's1 (4.76)2.80

Authors

AuthorsStudies
Werner, K1
Qaiser, S1
Kabbouche, M1
Murphy, B1
Maconochie, I1
Hershey, AD1
Greil, W1
Häberle, A1
Schuhmann, T1
Grohmann, R1
Baumann, P1
Asadollahi, S1
Heidari, K1
Hatamabadi, H1
Vafaee, R1
Yunesian, S1
Azadbakht, A1
Mirmohseni, L1
Penot, JP1
Pradeau, F1
Sachs, GS3
Vanderburg, DG1
Karayal, ON1
Kolluri, S1
Bachinsky, M1
Cavus, I1
Murphy, JV1
Yatham, LN1
Grossman, F2
Augustyns, I1
Vieta, E1
Ravindran, A1
Bahk, WM1
Shin, YC1
Woo, JM1
Yoon, BH1
Lee, JS1
Jon, DI1
Chung, SK1
Choi, SK1
Paik, IH1
Pae, CU1
Nasrallah, HA1
Brecher, M1
Paulsson, B1
Tahiroglu, AY1
Avci, A1
Sajatovic, M1
Coconcea, N1
Ignacio, RV1
Blow, FC1
Hays, RW1
Cassidy, KA1
Meyer, WJ1
McElroy, SL1
Keck, PE1
Stanton, SP1
Tugrul, KC1
Bennett, JA1
Strakowski, SM1
Wils, V1
Golüke-Willemse, G1
Zarate, CA1
Baldessarini, RJ1
Siegel, AJ1
Nakamura, A1
McDonald, J1
Muir-Hutchinson, LA1
Cherkerzian, T1
Tohen, M1
Dose, M1
Hellweg, R1
Yassouridis, A1
Theison, M1
Emrich, HM1
Conforti, D1
Borgherini, G1
Fiorellini Bernardis, LA1
Magni, G1
Guille, C1
Ghaemi, SN2
Okamoto, A1
Bowden, CL1
Lautin, A1
Stanley, M1
Angrist, B1
Gershon, S1
Snoek, JW1
van Weerden, TW1
Teelken, AW1
van den Burg, W1
Lakke, JP1
Lang, AE1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Three-Week, Double-Blind, Multicenter, Placebo-Controlled Study Evaluating the Efficacy and Safety of Add-On Oral Ziprasidone in Subjects With Acute Mania Treated With Lithium or Divalproex[NCT00312494]Phase 3680 participants (Actual)Interventional2006-04-30Completed
The Safety And Efficacy Of Risperdal� (Risperidone) Versus Placebo As Add-On Therapy To Mood Stabilizers In The Treatment Of The Manic Phase Of Bipolar Disorder[NCT00250367]Phase 3151 participants (Actual)Interventional1997-10-31Completed
Aripiprazole in Late Life Bipolar Disorder[NCT00194038]Phase 420 participants (Actual)Interventional2004-04-30Completed
The Safety And Efficacy Of Risperdal� (Risperidone) Versus Placebo Versus Haloperidol As Add-On Therapy To Mood Stabilizers In The Treatment Of The Manic Phase Of Bipolar Disorder[NCT00253149]Phase 3158 participants (Actual)InterventionalCompleted
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Global Assessment of Functioning (GAF) Score

GAF measures the severity of illness-related impairment in psychological, social, and occupational functioning; rated on a 100-point scale (single score of 1 to 100) with 100 indicating superior functioning. Change calculated as mean of (value of GAF score at observation minus baseline value). (NCT00312494)
Timeframe: Baseline, Week 3

Interventionscores on scale (Least Squares Mean)
Ziprasidone (Higher Dose)8.79
Ziprasidone (Lower Dose)9.62
Placebo7.79

Change From Baseline in Longitudinal Interval Follow-up Evaluation Range of Impaired Functioning (LIFE-RIFT) Score

LIFE-RIFT measures severity of illness-related impairment in 4 domains: work, interpersonal relations, recreation, and global satisfaction; has a total score and individual domain scores. Domain scores range from 1 to 5 (scores ≥ 2 reflect impaired functioning). Total score is sum of the 4 domains with range of 4 (very good) to 20 (very poor): higher scores indicate greater impairment. Change calculated as mean of (value of LIFE-RIFT score at observation minus baseline value). (NCT00312494)
Timeframe: Baseline, Week 3

Interventionscores on scale (Least Squares Mean)
Ziprasidone (Higher Dose)-1.68
Ziprasidone (Lower Dose)-1.58
Placebo-1.27

Change From Baseline to Week 3 in Young Mania Rating Scale (YMRS)

YMRS is an 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. Total possible score 0 to 60: higher scores indicate greater severity. Change calculated as mean of (value of YMRS score at observation minus baseline value). (NCT00312494)
Timeframe: Baseline, Week 3

Interventionscores on scale (Least Squares Mean)
Ziprasidone (Higher Dose)-10.19
Ziprasidone (Lower Dose)-10.95
Placebo-9.47

Change From Baseline in Clinical Global Impression Scale - Severity (CGI-S) Score

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. Rating ranges from 1 (normal, not at all ill) to 7 (among the most severely ill subjects); higher score = more affected. Change calculated as mean of (value of CGI-S score at observation minus baseline value). (NCT00312494)
Timeframe: Baseline, Week 1, Week 2, Week 3

,,
Interventionscores on scale (Least Squares Mean)
Week 1 (n=202, 206, 200)Week 2 (n=178, 188, 186)Week 3 (n=163, 172, 171)
Placebo-0.39-0.73-1.00
Ziprasidone (Higher Dose)-0.35-0.70-0.94
Ziprasidone (Lower Dose)-0.43-0.74-1.13

Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Scores

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) with anchors at 2-point intervals; total score 0 to 44 (higher score indicates greater severity of symptoms). Change calculated as mean of (value of MADRS score at observation minus baseline value). (NCT00312494)
Timeframe: Baseline, Week 1, Week 2, Week 3

,,
Interventionscores on scale (Least Squares Mean)
Week 1 (n=202, 205, 200)Week 2 (n=178, 188, 186)Week 3 (n=163, 172, 170)
Placebo-1.11-1.71-2.90
Ziprasidone (Higher Dose)-2.16-3.27-4.20
Ziprasidone (Lower Dose)-2.47-3.24-3.79

Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Score

PANSS is a 30-item scale to measure severity of psychopathology (16 items); positive scale (7 items); negative scale (7 items); summarized as positive score, negative score, and total score. Scores rated 1 (absent symptoms) to 7 (extreme); total score range 30 to 210: higher score indicates greater severity. Change calculated as mean of (value of PANSS score at observation minus baseline value). (NCT00312494)
Timeframe: Baseline, Week 3

,,
Interventionscores on scale (Least Squares Mean)
Week 3 total score (n=198, 199, 189)Week 3 positive score (n=198, 199, 189)Week 3 negative score (n=198, 199, 189)
Placebo-3.44-1.56-0.20
Ziprasidone (Higher Dose)-4.87-1.94-0.58
Ziprasidone (Lower Dose)-5.34-2.26-0.43

Change From Baseline to Week 1 and Week 2 in YMRS

YMRS is an 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. Total possible score 0 to 60: higher scores indicate greater severity. Change calculated as mean of (value of YMRS score at observation minus baseline value). (NCT00312494)
Timeframe: Baseline, Week 1, Week 2

,,
Interventionscores on scale (Least Squares Mean)
Week 1 (n=202, 205, 200)Week 2 (n=178, 188, 186)
Placebo-5.10-8.24
Ziprasidone (Higher Dose)-4.38-7.10
Ziprasidone (Lower Dose)-4.56-7.56

Clinical Global Impression - Improvement (CGI-I) Scale Scores

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. (NCT00312494)
Timeframe: Week 1, Week 2, Week 3

,,
Interventionscores on scale (Least Squares Mean)
Week 1 (n=202, 206, 200)Week 2 (n=178, 188, 186)Week 3 (n=163, 172, 171)
Placebo3.382.982.72
Ziprasidone (Higher Dose)3.343.022.65
Ziprasidone (Lower Dose)3.342.912.57

Reviews

1 review available for valproic acid and Basal Ganglia Diseases

ArticleYear
Intravenous Migraine Treatment in Children and Adolescents.
    Current pain and headache reports, 2020, Jul-08, Volume: 24, Issue:8

    Topics: Administration, Intravenous; Adolescent; Akathisia, Drug-Induced; Anesthetics, Local; Anti-Inflammat

2020

Trials

10 trials available for valproic acid and Basal Ganglia Diseases

ArticleYear
Efficacy and safety of valproic acid versus haloperidol in patients with acute agitation: results of a randomized, double-blind, parallel-group trial.
    International clinical psychopharmacology, 2015, Volume: 30, Issue:3

    Topics: Adult; Antimanic Agents; Antipsychotic Agents; Basal Ganglia Diseases; Double-Blind Method; Female;

2015
Adjunctive oral ziprasidone in patients with acute mania treated with lithium or divalproex, part 1: results of a randomized, double-blind, placebo-controlled trial.
    The Journal of clinical psychiatry, 2012, Volume: 73, Issue:11

    Topics: Administration, Oral; Adolescent; Adult; Antimanic Agents; Basal Ganglia Diseases; Bipolar Disorder;

2012
Mood stabilisers plus risperidone or placebo in the treatment of acute mania. International, double-blind, randomised controlled trial.
    The British journal of psychiatry : the journal of mental science, 2003, Volume: 182

    Topics: Adult; Aged; Antimanic Agents; Antipsychotic Agents; Basal Ganglia Diseases; Bipolar Disorder; Brief

2003
Topiramate and divalproex in combination with risperidone for acute mania: a randomized open-label study.
    Progress in neuro-psychopharmacology & biological psychiatry, 2005, Volume: 29, Issue:1

    Topics: Acute Disease; Adolescent; Adult; Aged; Antimanic Agents; Antipsychotic Agents; Basal Ganglia Diseas

2005
Aripiprazole therapy in 20 older adults with bipolar disorder: a 12-week, open-label trial.
    The Journal of clinical psychiatry, 2008, Volume: 69, Issue:1

    Topics: Aged; Aged, 80 and over; Antipsychotic Agents; Aripiprazole; Basal Ganglia Diseases; Bipolar Disorde

2008
A randomized comparison of divalproex oral loading versus haloperidol in the initial treatment of acute psychotic mania.
    The Journal of clinical psychiatry, 1996, Volume: 57, Issue:4

    Topics: Acute Disease; Administration, Oral; Adult; Basal Ganglia Diseases; Bipolar Disorder; Haloperidol; H

1996
Combined treatment of schizophrenic psychoses with haloperidol and valproate.
    Pharmacopsychiatry, 1998, Volume: 31, Issue:4

    Topics: Adult; Antipsychotic Agents; Basal Ganglia Diseases; Biperiden; Brief Psychiatric Rating Scale; Chlo

1998
A naturalistic comparison of clozapine, risperidone, and olanzapine in the treatment of bipolar disorder.
    The Journal of clinical psychiatry, 2000, Volume: 61, Issue:9

    Topics: Adult; Antipsychotic Agents; Basal Ganglia Diseases; Benzodiazepines; Bipolar Disorder; Body Weight;

2000
Combination of a mood stabilizer with risperidone or haloperidol for treatment of acute mania: a double-blind, placebo-controlled comparison of efficacy and safety.
    The American journal of psychiatry, 2002, Volume: 159, Issue:7

    Topics: Acute Disease; Adolescent; Adult; Aged; Antimanic Agents; Antiparkinson Agents; Antipsychotic Agents

2002
Meige syndrome: double-blind crossover study of sodium valproate.
    Journal of neurology, neurosurgery, and psychiatry, 1987, Volume: 50, Issue:11

    Topics: Basal Ganglia Diseases; Double-Blind Method; Female; gamma-Aminobutyric Acid; Humans; Male; Meige Sy

1987

Other Studies

10 other studies available for valproic acid and Basal Ganglia Diseases

ArticleYear
Age and adverse drug reactions from psychopharmacological treatment: data from the AMSP drug surveillance programme in Switzerland.
    Swiss medical weekly, 2013, Volume: 143

    Topics: Adolescent; Adult; Adverse Drug Reaction Reporting Systems; Age Factors; Aged; Aged, 80 and over; An

2013
[Iatrogenic dementia and extrapyramidal syndrome: rare adverse effect of valproic acid-aspirin combination].
    Presse medicale (Paris, France : 1983), 2010, Volume: 39, Issue:2

    Topics: Aged; Anticonvulsants; Aspirin; Basal Ganglia Diseases; Dementia; Drug Interactions; Drug Therapy, C

2010
Valproate-induced hyperammonemic encephalopathy.
    Epilepsia, 2003, Volume: 44, Issue:2

    Topics: Ammonia; Anticonvulsants; Basal Ganglia Diseases; Brain Diseases, Metabolic; Diagnosis, Differential

2003
Placebo-level incidence of extrapyramidal symptoms (EPS) with quetiapine in controlled studies of patients with bipolar mania.
    Bipolar disorders, 2006, Volume: 8, Issue:5 Pt 1

    Topics: Adult; Akathisia, Drug-Induced; Anticonvulsants; Antimanic Agents; Antipsychotic Agents; Basal Gangl

2006
Imipramine, methylphenidate and valproic acid-related EPS in a child: a case report.
    The international journal of neuropsychopharmacology, 2007, Volume: 10, Issue:5

    Topics: Basal Ganglia Diseases; Child; Female; Humans; Imipramine; Methylphenidate; Valproic Acid

2007
Extrapyramidal syndrome due to valproate administration as an adjunct to lithium in an elderly manic patient.
    International journal of geriatric psychiatry, 1997, Volume: 12, Issue:2

    Topics: Aged; Antimanic Agents; Basal Ganglia Diseases; Bipolar Disorder; Drug Therapy, Combination; Female;

1997
Risperidone in the elderly: a pharmacoepidemiologic study.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:7

    Topics: Age Factors; Aged; Aged, 80 and over; Basal Ganglia Diseases; Cardiovascular Diseases; Comorbidity;

1997
Extrapyramidal symptoms associated with the adjunct of nortriptyline to a venlafaxine-valproic acid combination.
    International clinical psychopharmacology, 1999, Volume: 14, Issue:3

    Topics: Aged; Anticonvulsants; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; B

1999
Extrapyramidal syndrome with sodium valproate.
    British medical journal, 1979, Oct-27, Volume: 2, Issue:6197

    Topics: Basal Ganglia Diseases; Humans; Male; Middle Aged; Schizophrenia; Valproic Acid

1979
Persistent hemiballismus with lesions outside the subthalamic nucleus.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 1985, Volume: 12, Issue:2

    Topics: Aged; Basal Ganglia Diseases; Corpus Striatum; Humans; Male; Middle Aged; Movement Disorders; Pimozi

1985