Bipolar Disorder
Conditions
Keywords
mixed mania, depression, irritability
Brief summary
The study aims to assess the efficacy and tolerability of risperidone added to lithium, valproate or lamotrigine in patients experiencing a manic episode with depressive or irritable features.
Detailed description
* The study aims to assess the efficacy and tolerability of risperidone added to lithium, valproate or lamotrigine, or any combination of the three, in patients experiencing a manic episode with depressive or irritable symptoms. * To assess the back ground and baseline features associated with response/non-response to risperidone plus mood stabilizer in patients with mania with depressive or irritable features. * To assess the symptomatic dimensions of response of risperidone added to mood stabilizers in patients with mania with depressive or irritable features.
Interventions
risperidone will be administered 1-3mg pills, each night, for up to 20 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* DSM IV diagnosis of bipolar disorder, currently manic, or mixed manic * YMRS score\>/= 16 * One or more of following: 1. 3 MADRS depression items scoring \>/=3 2. 3 BISS depression items scoring \>/=3 3. YMRS irritability and aggressive items sum score\>/=4 * Taking lithium, valproate or lamotrigine at stable dose for 4 wks or longer, with adequate serum level * age 18 and over * Male or female * Inpatient or outpatient
Exclusion criteria
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Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Forty percent reduction in YMRS | 20 weeks |
Secondary
| Measure | Time frame |
|---|---|
| twenty percent reduction in MADRS | 20 weeks |
| Remission rate, defined as final score of plus or minus eight on YMRS and MADRS | 20 weeks |
Countries
United States