Page last updated: 2024-10-26

valproic acid and Clerambault Syndrome

valproic acid has been researched along with Clerambault Syndrome in 23 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.

Research Excerpts

ExcerptRelevanceReference
"Valproic acid (VPA) use during pregnancy increases fetal risk of major congenital malformations and cognitive impairment."4.93Guideline adherence for mentally ill reproductive-aged women on treatment with valproic acid: a retrospective chart review. ( Gotlib, D; Kurlander, J; Muzik, M; Perelstein, E; Riba, M; Zivin, K, 2016)
"An experimental and clinico-pharmacological study of sodium valproate, a GABA-ergic drug, was conducted to elucidate the role of gamma-aminobutyric acid in the mechanisms responsible for affective disturbances, in particular for anxiety."3.67[Anxiolytic action of sodium valproate (possible role of gamma-aminobutyric acid in affective disorders)]. ( Aleksandrovskiĭ, IuA; Kharlamov, AN; Neznamov, GG; Poiurovskiĭ, MV; Raevskiĭ, KS, 1985)
"Medulloblastoma is the most common malignant brain tumor in children."1.43Successful Use of Dose Dense Neoadjuvant Chemotherapy and Sodium Valproate with Minimal Toxicity in an Infant with Medulloblastoma in Extremely Poor General Condition. ( Abrari, A; Gupta, A; Kumar, A; Patir, R; Vaishya, S, 2016)
"The case of an adolescent with severe mental retardation, blindness, and a complex of behavioral symptoms consistent with mania is reported."1.28Verapamil and valproic acid treatment of prolonged mania. ( Friedman, DL; Kastner, T, 1992)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19903 (13.04)18.7374
1990's17 (73.91)18.2507
2000's1 (4.35)29.6817
2010's2 (8.70)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Gotlib, D1
Perelstein, E1
Kurlander, J1
Zivin, K1
Riba, M1
Muzik, M1
Gupta, A1
Kumar, A1
Abrari, A1
Patir, R1
Vaishya, S1
Greiner, C1
Wittmann, M1
Haen, E1
Puryear, LJ1
Kunik, ME1
Molinari, V1
Workman, RH1
Horne, M1
Lindley, SE1
DasGupta, K1
Jefferson, JW1
Stoll, AL1
Banov, M1
Kolbrener, M1
Mayer, PV1
Tohen, M2
Strakowski, SM1
Castillo, J2
Suppes, T1
Cohen, BM1
Geracioti, TD1
Nizamie, SH1
Chatterjee, S1
Pope, HG1
Herbstein, J1
Gnam, W1
Flint, AJ1
Wroblewski, BA1
Joseph, AB1
Kupfer, J1
Kalliel, K1
Hardy-Baylé, MC1
Mazure, CM2
Druss, BG1
Cellar, JS1
Kastner, T1
Friedman, DL1
Nasser, D1
Thomas, B1
Turner, WJ1
Schneier, HA1
Kahn, D1
Giakas, WJ1
Seibyl, JP1
Ruser, I1
Pies, R1
Adler, DA1
Ehrenberg, BL1
Raevskiĭ, KS1
Aleksandrovskiĭ, IuA1
Poiurovskiĭ, MV1
Kharlamov, AN1
Neznamov, GG1
Chan, K1
Teoh, R1
Lok, S1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Carbamazepine for the Treatment of Chronic Post-Traumatic Brain Injury Irritability and Aggression: A 42-Day, Single-Site, Forced-Titration, Parallel Group, Randomized, Double-Blind, Placebo Controlled Trial[NCT00621751]70 participants (Actual)Interventional2008-02-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinicians Global Impression of Change

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

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

Global Impression of Change -- Observer

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

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

Global Impression of Change -- Participant

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

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

Neuropsychiatric Inventory Irritability-Aggression Domains Composite Measure -- Observer

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

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

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

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

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

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

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

InterventionParticipants (Count of Participants)
Carbamazepine20
Placebo26

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

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

InterventionParticipants (Count of Participants)
Carbamazepine21
Placebo16

Reviews

2 reviews available for valproic acid and Clerambault Syndrome

ArticleYear
Guideline adherence for mentally ill reproductive-aged women on treatment with valproic acid: a retrospective chart review.
    The Journal of clinical psychiatry, 2016, Volume: 77, Issue:4

    Topics: Abnormalities, Drug-Induced; Contraception Behavior; Female; Folic Acid; Guideline Adherence; Humans

2016
Treatment of mania in the medically ill.
    Advances in psychosomatic medicine, 1994, Volume: 21

    Topics: Bipolar Disorder; Carbamazepine; Comorbidity; Humans; Lithium; Metabolic Clearance Rate; Neurocognit

1994

Trials

1 trial available for valproic acid and Clerambault Syndrome

ArticleYear
[Clinical and experimental control of optimal therapy in epilepsy].
    Psychiatrie, Neurologie, und medizinische Psychologie, 1990, Volume: 42, Issue:9

    Topics: Anticonvulsants; Carbamazepine; Drug Therapy, Combination; Epilepsy; Humans; Neurocognitive Disorder

1990

Other Studies

20 other studies available for valproic acid and Clerambault Syndrome

ArticleYear
Successful Use of Dose Dense Neoadjuvant Chemotherapy and Sodium Valproate with Minimal Toxicity in an Infant with Medulloblastoma in Extremely Poor General Condition.
    World neurosurgery, 2016, Volume: 93

    Topics: Antineoplastic Combined Chemotherapy Protocols; Carboplatin; Cerebellar Neoplasms; Child; Child, Pre

2016
Lamotrigine serum concentrations under valproate comedication: "contraindication" or "safe combination"? A case report.
    Pharmacopsychiatry, 2007, Volume: 40, Issue:6

    Topics: Adult; Anticonvulsants; Antimanic Agents; Chromatography, High Pressure Liquid; Contraindications; D

2007
Psychiatric manifestations of temporal lobe epilepsy in older adults.
    The Journal of neuropsychiatry and clinical neurosciences, 1995,Spring, Volume: 7, Issue:2

    Topics: Aged; Dementia; Depressive Disorder; Diagnosis, Differential; Electroencephalography; Epilepsy, Temp

1995
Divalproex sodium in the treatment of aggressive behavior and dysphoria in patients with organic brain syndromes.
    The Journal of clinical psychiatry, 1995, Volume: 56, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Aggression; Anger; Depression; Humans; Middle Aged; Neurocognitive D

1995
Neurologic factors predict a favorable valproate response in bipolar and schizoaffective disorders.
    Journal of clinical psychopharmacology, 1994, Volume: 14, Issue:5

    Topics: Bipolar Disorder; Brain Damage, Chronic; Cohort Studies; Double-Blind Method; Electroencephalography

1994
Valproic acid treatment of episodic explosiveness related to brain injury.
    The Journal of clinical psychiatry, 1994, Volume: 55, Issue:9

    Topics: Adolescent; Aggression; Brain Injuries; Humans; Male; Neurocognitive Disorders; Valproic Acid

1994
Affective psychosis in Eales' disease and response to sodium valproate.
    General hospital psychiatry, 1994, Volume: 16, Issue:5

    Topics: Adult; Affective Disorders, Psychotic; Combined Modality Therapy; Electroconvulsive Therapy; Humans;

1994
Concomitant use of valproate and carbamazepine in bipolar and schizoaffective disorders.
    Journal of clinical psychopharmacology, 1994, Volume: 14, Issue:1

    Topics: Adult; Bipolar Disorder; Carbamazepine; Dose-Response Relationship, Drug; Drug Therapy, Combination;

1994
New onset rapid cycling bipolar disorder in an 87 year old woman.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1993, Volume: 38, Issue:5

    Topics: Aged; Aged, 80 and over; Bipolar Disorder; Cerebral Infarction; Female; Humans; Hypothyroidism; Lith

1993
Effectiveness of valproic acid on destructive and aggressive behaviours in patients with acquired brain injury.
    Brain injury, 1997, Volume: 11, Issue:1

    Topics: Activities of Daily Living; Adult; Aggression; Anticonvulsants; Brain Concussion; Brain Damage, Chro

1997
[Manic syndrome: diagnostic trends and principles of treatment].
    La Revue du praticien, 1998, Apr-01, Volume: 48, Issue:7

    Topics: Adult; Anticonvulsants; Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Carbamazepine; Chl

1998
Valproate treatment of older psychotic patients with organic mental syndromes and behavioral dyscontrol.
    Journal of the American Geriatrics Society, 1992, Volume: 40, Issue:9

    Topics: Age Factors; Aged; Aggression; Comorbidity; Drug Therapy, Combination; Female; Humans; Neurocognitiv

1992
Verapamil and valproic acid treatment of prolonged mania.
    Journal of the American Academy of Child and Adolescent Psychiatry, 1992, Volume: 31, Issue:2

    Topics: Adolescent; Arousal; Bipolar Disorder; Drug Therapy, Combination; Humans; Intellectual Disability; M

1992
Anticonvulsant treatment of psychoses.
    The Australian and New Zealand journal of psychiatry, 1990, Volume: 24, Issue:2

    Topics: Adult; Chronic Disease; Female; Humans; Male; Neurocognitive Disorders; Psychotic Disorders; Schizop

1990
Importance of treatment follow-up.
    Biological psychiatry, 1990, Sep-15, Volume: 28, Issue:6

    Topics: Adult; Drug Therapy, Combination; Female; Follow-Up Studies; Haloperidol; Humans; Neurocognitive Dis

1990
Selective response to carbamazepine in a case of organic mood disorder.
    The Journal of clinical psychiatry, 1990, Volume: 51, Issue:11

    Topics: Aged; Carbamazepine; Depressive Disorder; Female; Humans; Neurocognitive Disorders; Phenobarbital; P

1990
Valproate in the treatment of temper outbursts.
    The Journal of clinical psychiatry, 1990, Volume: 51, Issue:12

    Topics: Epilepsy, Temporal Lobe; Humans; Male; Middle Aged; Neurocognitive Disorders; Psychiatric Status Rat

1990
Sleep disorders and depression with atypical features: response to valproate.
    Journal of clinical psychopharmacology, 1989, Volume: 9, Issue:5

    Topics: Adult; Depressive Disorder; Electroencephalography; Epilepsies, Partial; Female; Humans; Male; Neuro

1989
[Anxiolytic action of sodium valproate (possible role of gamma-aminobutyric acid in affective disorders)].
    Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia : 1952), 1985, Volume: 85, Issue:4

    Topics: Adult; Animals; Anti-Anxiety Agents; Anxiety; Brain; Cats; Female; gamma-Aminobutyric Acid; Humans;

1985
An improved gas liquid chromatographic assay for plasma valproic acid concentrations in mentally handicapped epileptic children.
    Methods and findings in experimental and clinical pharmacology, 1985, Volume: 7, Issue:11

    Topics: Child; Chromatography, Gas; Epilepsy; Humans; Neurocognitive Disorders; Valproic Acid

1985