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首页> 外文期刊>The journal of clinical psychiatry >Lack of mania prophylaxis associated with lamotrigine monotherapy in manic-predominant bipolar I disorder.
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Lack of mania prophylaxis associated with lamotrigine monotherapy in manic-predominant bipolar I disorder.

机译:在以躁狂为主的双相性I障碍中缺乏与拉莫三嗪单药治疗相关的躁狂预防。

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摘要

Sir: Unlike all other mood-stabilizing drugs, lamotrigine does not have an indication for acute mania. The maintenance indication for lamotrigine is based on two 18-month studies evaluating time to occurrence of mood episodes (depression, mania, hypomania, mixed episodes) in bipolar I patients treated for acute mood episodes with standard therapy. Only when these 2 studies were analyzed together (a priori determined to increase statistical power) was the superiority of lamotrigine over placebo in delaying the time to intervention for a manic episode evident. As the following case reports highlight, lamotrigine may have limitations as monotherapy for mania prophylaxis in DSM-IV manic-predominant bipolar I disorder.
机译:主席先生:与所有其他稳定情绪的药物不同,拉莫三嗪没有急性躁狂症的征兆。拉莫三嗪的维持适应症基于两项18个月的研究,评估了接受标准疗法治疗的急性情感发作的双相I患者的情感发作(抑郁,躁狂,轻躁狂,混合发作)发生的时间。只有同时分析了这两项研究(先验确定可提高统计功效),拉莫三嗪在安慰剂发作的延迟时间上才优于安慰剂。正如以下病例报道所强调的那样,拉莫三嗪作为单一疗法在预防DSM-IV躁狂为主的双相性I型躁狂中可能存在局限性。

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