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Dr. Bob is Robert Hsiung, MD,
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Posted by PeterMartin on October 28, 2019, at 2:31:06
I hadn't even heard of this anticonvulsant medication until today, but has anyone ever tried Lacosamide?
There was a small study done last December that suggested it could be helpful for bipolar (depression/anxiety/mania). https://www.ncbi.nlm.nih.gov/pubmed/30251375
Lacosamide in bipolar disorder: A 30-day comparison to a retrospective control group treated with other antiepileptics
AIM:
Bipolar disorder (BD) is often treated with anticonvulsants. Lacosamide has not been tested in BD. We assessed its effects in a hospital setting in patients with BD without epilepsy.METHODS:
We treated 102 consecutive hospitalized patients with acute BD with lacosamide 50-300 mg/day. We compared this sample with a retrospective sample treated with other antiepileptics (OAE). We rated patients after 3, 7, 15, and 30 days of treatment with the Brief Psychiatric Rating Scale, Young Mania Rating Scale, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Clinical Global Impressions - Severity, and Global Assessment of Functioning.RESULTS:
Patients receiving lacosamide were significantly younger and had fewer mixed episodes at intake, and less substance use disorder comorbidity than those receiving OAE. Both groups showed positive effects on all measures. The two groups did not differ on any clinical measure at baseline, but from the 3rd day on, lacosamide patients fared better than OAE patients on the Young Mania Rating Scale and Clinical Global Impressions - Severity and worse on the Hamilton Anxiety Rating Scale. From the 15th day, OAE patients scored better on the Brief Psychiatric Rating Scale. Global Assessment of Functioning scores were significantly more improved in the lacosamide patients. Age, substance use disorder comorbidity, episode type, and educational level significantly affected results. No interactions were found amongst these parameters.CONCLUSION:
Lacosamide was effective in reducing psychopathology, mania, depression, and anxiety and in improving global functioning in patients with BD-I/II disorder in the short term, with few side-effects. Lacosamide improved mania, clinical severity, and global functioning better than OAE at doses lower than those used in epilepsy.
Posted by Lamdage22 on October 28, 2019, at 8:44:16
In reply to Anyone tri Lacosamide? 2018 study: Good for BPolar, posted by PeterMartin on October 28, 2019, at 2:31:06
Thanks
Posted by PeterMartin on October 28, 2019, at 22:47:43
In reply to Re: Anyone tri Lacosamide? 2018 study: Good for BPolar, posted by Lamdage22 on October 28, 2019, at 8:44:16
I looked into it further (drugs.com reviews) and while it seems very effective for epilepsy people say the cost is unbearable ($1000+ a month w/o insurance).
Would still love to hear whether or not it helps w/ mood issues.
This is the end of the thread.
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