Bipolar Disorder
Conditions
Keywords
bipolar affective disorder, African American, antimanic, lithium, depakote
Brief summary
It is hypothesized that Depakote will be better tolerated then lithium in treating African Americans with bipolar disorder.
Detailed description
This is a 14 week randomized open study of 50 inpatients or outpatients with bipolar I r II. African American subjects will receive lithium or depakote ER. Measures will be made of psychopathology, reported side effects, and study completers. Measures will also be made of RBC/plasma lithium to determine if this level is better predictive of lithium tolerability.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female * Females must be using a contraceptive * Understand and sing informed consent * Meet criteria for DSM IV bipolar I or II * Must have been receiving treatment with depakote or lithium for at least 4 weeks * Must not have used illicit substances 48 hours before the study
Exclusion criteria
* Not takin g lithium o valproate at time of screening * Alcohol intoxicated or using drugs of abuse other then cannibis * Presence of psychotic features * Participation in clinical trail within 1 month of study * Female subjects pregnant or nursing * Serious unstable medical or psychiatric illness * Uncorrected hypothyroidism or hyperthyroidism * Seizures without a clear and resolved etiology * Hypersensitivity or intolerance to lithium or valproic acid * Treatment with injectable depot neuroleptic less then one dosing interval * Treatment with reversible MAOI, guanethidine, or guanadrel within i week of study * Treatment with fluoxetine within 8 weekS of study * treatment with clozapine or ECT 3 months prior to study * current diagnosis of schizophrenia or other psychotic disorder * judged to be at serious suicidal risk
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| psychopathology: YMRS, MADRS | — |
| Tolerability: Uku side effect rating, drop out rate, failure to switch rate | — |
Secondary
| Measure | Time frame |
|---|---|
| HAMD, CGI-BP, HAM A,CORE, MADRS | — |
Countries
United States