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zonisamide and Bipolar Disorder

zonisamide has been researched along with Bipolar Disorder in 21 studies

Zonisamide: A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization.
zonisamide : A 1,2-benzoxazole compound having a sulfamoylmethyl substituent at the 3-position.

Bipolar Disorder: A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.

Research Excerpts

ExcerptRelevanceReference
"Weight gain is commonly observed with olanzapine treatment."9.16A randomized, placebo-controlled study of zonisamide to prevent olanzapine-associated weight gain. ( Guerdjikova, AI; Keck, PE; Martens, B; McCoy, J; McElroy, SL; Moeller, D; Mori, N; Winstanley, E, 2012)
"One hundred four patients with Bipolar Disorder, Type I, II or NOS, in a manic, hypomanic or mixed state of illness were randomized to either adjunctive zonisamide or placebo."9.15Zonisamide for bipolar disorder, mania or mixed states: a randomized, double blind, placebo-controlled adjunctive trial. ( Dauphinais, D; Knable, M; Polanski, M; Rosenthal, J; Rosenthal, N, 2011)
"To assess the effectiveness and safety of zonisamide in bipolar disorder."9.13Is adjunctive open-label zonisamide effective for bipolar disorder? ( Berv, DA; Filkowski, MM; Ghaemi, SN; Klugman, J; Pardo, TB; Shirzadi, AA, 2008)
"Adjunctive zonisamide was associated with beneficial effects on mood and body weight in some patients with bipolar disorders, but was also associated with a high discontinuation rate due to worsening mood symptoms."9.11Open-label adjunctive zonisamide in the treatment of bipolar disorders: a prospective trial. ( Altshuler, LL; Black, D; Frye, MA; Grunze, H; Keck, PE; Kupka, RW; Leverich, GS; McElroy, SL; Nolen, WA; Post, RM; Suppes, T; Walden, J, 2005)
" Open reports suggest usefulness of gabapentin as an adjunct in bipolar disorder, but double-blind trials failed to confirm efficacy in acute mania and treatment-resistant rapid-cycling bipolar disorder."6.20Third generation anticonvulsants in bipolar disorder: a review of efficacy and summary of clinical recommendations. ( Calabrese, JR; Kroeker, G; Kusumakar, V; Rao, R; Scarrow, G; Yatham, LN, 2002)
"Weight gain is commonly observed with olanzapine treatment."5.16A randomized, placebo-controlled study of zonisamide to prevent olanzapine-associated weight gain. ( Guerdjikova, AI; Keck, PE; Martens, B; McCoy, J; McElroy, SL; Moeller, D; Mori, N; Winstanley, E, 2012)
"One hundred four patients with Bipolar Disorder, Type I, II or NOS, in a manic, hypomanic or mixed state of illness were randomized to either adjunctive zonisamide or placebo."5.15Zonisamide for bipolar disorder, mania or mixed states: a randomized, double blind, placebo-controlled adjunctive trial. ( Dauphinais, D; Knable, M; Polanski, M; Rosenthal, J; Rosenthal, N, 2011)
"To assess the effectiveness and safety of zonisamide in bipolar disorder."5.13Is adjunctive open-label zonisamide effective for bipolar disorder? ( Berv, DA; Filkowski, MM; Ghaemi, SN; Klugman, J; Pardo, TB; Shirzadi, AA, 2008)
"Ten patients with DSM-IV bipolar disorder, depressed phase, who had either not tolerated or not responded to previous treatments were given zonisamide in this add-on open-label study."5.11A preliminary open-label study of zonisamide treatment for bipolar depression in 10 patients. ( Anand, A; Bukhari, L; Jennings, SA; Kamat, M; Lee, C; Lightfoot, J; Nurnberger, JI; Shekhar, A, 2005)
"Adjunctive zonisamide was associated with beneficial effects on mood and body weight in some patients with bipolar disorders, but was also associated with a high discontinuation rate due to worsening mood symptoms."5.11Open-label adjunctive zonisamide in the treatment of bipolar disorders: a prospective trial. ( Altshuler, LL; Black, D; Frye, MA; Grunze, H; Keck, PE; Kupka, RW; Leverich, GS; McElroy, SL; Nolen, WA; Post, RM; Suppes, T; Walden, J, 2005)
"On the basis of six randomized controlled trials, zonisamide (ZNS) can be prescribed as add-on treatment in focal adulthood epilepsy in USA and Europe."4.85[Role of zonisamid in treating epilepsy, Parkinson disorders and other neurological diseases]. ( Janszky, J, 2009)
"Zonisamide has been proven to have a pharmacological profile that is very similar to that of carbamazepine."2.67The first open study of zonisamide, a novel anticonvulsant, shows efficacy in mania. ( Arata, E; Kamijima, K; Kanba, S; Kinoshita, N; Koshikawa, H; Nibuya, M; Otaki, J; Suzuki, T; Tajima, O; Yagi, G, 1994)
"Zonisamide was found to have a very low switch rate and modest effectiveness."2.44Zonisamide for bipolar depression. ( Findling, RL; Wilson, MS, 2007)
"Eating disorders are commonly associated with depressive symptoms."1.35Treatment emergent mania responding to valproate in a Chinese female adolescent population with eating disorders: a case series. ( Lee, EL; Tor, PC, 2008)
" Patients received a mean (+/- SD) zonisamide dosage of 236 (+/- 68) mg/day."1.32Acute treatment of bipolar depression with adjunctive zonisamide: a retrospective chart review. ( Baldassano, CF; Chang, A; Ghaemi, SN; Lipari, M; Lyman, A, 2004)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (9.52)18.2507
2000's17 (80.95)29.6817
2010's2 (9.52)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Tor, PC1
Lee, EL1
Janszky, J1
McElroy, SL3
Winstanley, E1
Mori, N1
Martens, B1
McCoy, J1
Moeller, D1
Guerdjikova, AI1
Keck, PE3
Dauphinais, D1
Knable, M1
Rosenthal, J1
Polanski, M1
Rosenthal, N1
Berigan, TR1
Shelton, RC1
Ozawa, K1
Kobayashi, K1
Noda, S1
Iyo, M1
Yatham, LN2
Baldassano, CF2
Ghaemi, SN3
Chang, A1
Lyman, A1
Lipari, M1
Majeres, KD1
Suppes, T2
Anand, A1
Bukhari, L1
Jennings, SA1
Lee, C1
Kamat, M1
Shekhar, A1
Nurnberger, JI1
Lightfoot, J1
Black, D1
Frye, MA1
Altshuler, LL1
Nolen, WA1
Kupka, RW1
Leverich, GS1
Walden, J1
Grunze, H1
Post, RM1
Howland, RH1
Zablotsky, B1
Filkowski, MM2
Dunn, RT1
Pardo, TB2
Isenstein, E1
Sullivan, KL1
Ward, CL1
Zesiewicz, TA1
Kotwal, R1
Wilson, MS1
Findling, RL1
Shirzadi, AA1
Klugman, J1
Berv, DA1
Kanba, S1
Yagi, G1
Kamijima, K1
Suzuki, T1
Tajima, O1
Otaki, J1
Arata, E1
Koshikawa, H1
Nibuya, M1
Kinoshita, N1
Kusumakar, V1
Calabrese, JR1
Rao, R1
Scarrow, G1
Kroeker, G1
Charles, CL1
Stoesz, L1
Tollefson, G1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double-Blind, Placebo-Controlled Study of Zonisamide to Prevent Olanzapine-Associated Weight Gain[NCT00363376]Phase 342 participants (Actual)Interventional2008-01-31Completed
Orally-Disintegrating vs. Regular Olanzapine Tablets: Effects on Weight and GI Hormones[NCT00384332]Phase 420 participants (Actual)Interventional2007-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline Montgomery Asberg Depression Rating Scale

Montgomery Asberg Depression Rating Scale (MADRS) total score. Construct: Depression severity. Scores below represent mean change scores, endpoint minus baseline. Minimum total score: 0 (no depression). Maximum total score: 60 (severe depression). Lower (more negative) scores indicate a better outcome. There are no subscales. (NCT00384332)
Timeframe: 10 weeks

Interventionunits on a scale (Mean)
Arm 1-15.5
Arm 2-15.5

Weight in Kilograms at Baseline, Weeks 1, 4, 6, and 8

Change in weight from baseline to endpoint in kilograms. Reported as weight in Kilograms at Baseline, Weeks 1, 4, 6, and 8 (NCT00384332)
Timeframe: 10 weeks

,
Interventionkilograms (Mean)
BaselineWeek 1Week 4Week 6Week 8
Arm 1- ODT76.077.477.878.979.1
Arm 2- SOT76.177.678.379.480.1

Reviews

7 reviews available for zonisamide and Bipolar Disorder

ArticleYear
[Role of zonisamid in treating epilepsy, Parkinson disorders and other neurological diseases].
    Ideggyogyaszati szemle, 2009, Nov-30, Volume: 62, Issue:11-12

    Topics: Anticonvulsants; Bipolar Disorder; Calcium Channels, T-Type; Cholinergic Agents; Dopamine Agents; Dy

2009
Treating bipolar depression.
    The Journal of family practice, 2003, Volume: Suppl

    Topics: Acetates; Affect; Amines; Anticonvulsants; Antipsychotic Agents; Benzodiazepines; Bipolar Disorder;

2003
Newer anticonvulsants in the treatment of bipolar disorder.
    The Journal of clinical psychiatry, 2004, Volume: 65 Suppl 10

    Topics: Acetates; Amines; Anticonvulsants; Bipolar Disorder; Carbamazepine; Cyclohexanecarboxylic Acids; Dep

2004
Anticonvulsant drug therapies.
    Journal of psychosocial nursing and mental health services, 2005, Volume: 43, Issue:6

    Topics: Amines; Anticonvulsants; Bipolar Disorder; Carbamazepine; Cyclohexanecarboxylic Acids; Depressive Di

2005
Comorbidity of eating disorders with bipolar disorder and treatment implications.
    Bipolar disorders, 2006, Volume: 8, Issue:6

    Topics: Antidepressive Agents; Antipsychotic Agents; Bipolar Disorder; Comorbidity; Disruptive, Impulse Cont

2006
Zonisamide for bipolar depression.
    Expert opinion on pharmacotherapy, 2007, Volume: 8, Issue:1

    Topics: Bipolar Disorder; Humans; Isoxazoles; Pilot Projects; Zonisamide

2007
Third generation anticonvulsants in bipolar disorder: a review of efficacy and summary of clinical recommendations.
    The Journal of clinical psychiatry, 2002, Volume: 63, Issue:4

    Topics: Acetates; Amines; Anticonvulsants; Bipolar Disorder; Cyclohexanecarboxylic Acids; Double-Blind Metho

2002

Trials

8 trials available for zonisamide and Bipolar Disorder

ArticleYear
A randomized, placebo-controlled study of zonisamide to prevent olanzapine-associated weight gain.
    Journal of clinical psychopharmacology, 2012, Volume: 32, Issue:2

    Topics: Adult; Anticonvulsants; Antipsychotic Agents; Benzodiazepines; Bipolar Disorder; Cognition Disorders

2012
Zonisamide for bipolar disorder, mania or mixed states: a randomized, double blind, placebo-controlled adjunctive trial.
    Psychopharmacology bulletin, 2011, Volume: 44, Issue:1

    Topics: Adult; Antipsychotic Agents; Bipolar Disorder; Cyclothymic Disorder; Double-Blind Method; Drug Admin

2011
A preliminary open-label study of zonisamide treatment for bipolar depression in 10 patients.
    The Journal of clinical psychiatry, 2005, Volume: 66, Issue:2

    Topics: Adult; Anticonvulsants; Bipolar Disorder; Drug Administration Schedule; Drug Therapy, Combination; F

2005
Open-label adjunctive zonisamide in the treatment of bipolar disorders: a prospective trial.
    The Journal of clinical psychiatry, 2005, Volume: 66, Issue:5

    Topics: Adult; Ambulatory Care; Anticonvulsants; Bipolar Disorder; Body Mass Index; Body Weight; Drug Therap

2005
An open prospective study of zonisamide in acute bipolar depression.
    Journal of clinical psychopharmacology, 2006, Volume: 26, Issue:4

    Topics: Acute Disease; Adult; Anticonvulsants; Bipolar Disorder; Depressive Disorder; Female; Humans; Isoxaz

2006
Is adjunctive open-label zonisamide effective for bipolar disorder?
    Journal of affective disorders, 2008, Volume: 105, Issue:1-3

    Topics: Adolescent; Adult; Anticonvulsants; Antimanic Agents; Bipolar Disorder; Diagnostic and Statistical M

2008
The first open study of zonisamide, a novel anticonvulsant, shows efficacy in mania.
    Progress in neuro-psychopharmacology & biological psychiatry, 1994, Volume: 18, Issue:4

    Topics: Adult; Aged; Anticonvulsants; Bipolar Disorder; Female; Humans; Isoxazoles; Male; Middle Aged; Psych

1994
Third generation anticonvulsants in bipolar disorder: a review of efficacy and summary of clinical recommendations.
    The Journal of clinical psychiatry, 2002, Volume: 63, Issue:4

    Topics: Acetates; Amines; Anticonvulsants; Bipolar Disorder; Cyclohexanecarboxylic Acids; Double-Blind Metho

2002

Other Studies

7 other studies available for zonisamide and Bipolar Disorder

ArticleYear
Treatment emergent mania responding to valproate in a Chinese female adolescent population with eating disorders: a case series.
    European eating disorders review : the journal of the Eating Disorders Association, 2008, Volume: 16, Issue:6

    Topics: Adolescent; Anorexia Nervosa; Anticonvulsants; Antimanic Agents; Bipolar Disorder; Bulimia Nervosa;

2008
Zonisamide treatment of bipolar disorder: a case report.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2002, Volume: 47, Issue:9

    Topics: Acute Disease; Anticonvulsants; Bipolar Disorder; Humans; Isoxazoles; Male; Middle Aged; Zonisamide

2002
Zonisamide-induced depression and mania in patients with epilepsy.
    Journal of clinical psychopharmacology, 2004, Volume: 24, Issue:1

    Topics: Adult; Bipolar Disorder; Depression; Epilepsy; Humans; Isoxazoles; Male; Polypharmacy; Treatment Out

2004
Acute treatment of bipolar depression with adjunctive zonisamide: a retrospective chart review.
    Bipolar disorders, 2004, Volume: 6, Issue:5

    Topics: Acute Disease; Adult; Anticonvulsants; Antipsychotic Agents; Bipolar Disorder; Diagnostic and Statis

2004
A cautionary note when using zonisamide in youths: a case report of association with toxic epidermal necrolysis.
    The Journal of clinical psychiatry, 2004, Volume: 65, Issue:12

    Topics: Adolescent; Anticonvulsants; Bipolar Disorder; Drug Hypersensitivity; Female; Humans; Isoxazoles; St

2004
Zonisamide-induced mania in an essential tremor patient.
    Journal of clinical psychopharmacology, 2006, Volume: 26, Issue:4

    Topics: Adult; Anticonvulsants; Bipolar Disorder; Essential Tremor; Female; Humans; Isoxazoles; Zonisamide

2006
Zonisamide-induced mania.
    Psychosomatics, 1990,Spring, Volume: 31, Issue:2

    Topics: Adult; Anticonvulsants; Bipolar Disorder; Dose-Response Relationship, Drug; Epilepsy, Post-Traumatic

1990