Anticonvulsants in Psychiatry (February)

Date of Issue: 02/01/2008 | Volume: 6 | Number: 2

Issue Links:Learning Objectives | Editorial Information

Teaser to be posted soon.

In This Issue

Article

Novel Anticonvulsants: An Update on Efficacy

In this article, we’ll review the clinical data on three of the most frequently used of the novel anticonvulsants: Trileptal (oxcarbazepine), Topamax (topiramate), and Neurontin (gabapentin). We cover Lamictal in this month’s expert interview with Nassir Ghaemi.

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Article

The Kindling Hypothesis: Is It Relevant in Psychiatry?

Over the past couple of decades, psychiatry has adopted a number of anticonvulsants that effectively treat psychiatric conditions. The “kindling hypothesis” has provided a rationale for their increasing use, but what is the evidence behind this theory, and is it actually applicable for psychiatric practice?

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Research Update

DEA changes rules to allow post-dating of schedule II substances

Topics: Practice Tools and Tips

In a ruling certain to make psychiatrists and their patients happy, the DEA has finally said that doctors may give patients 90 days worth of prescriptions for schedule II controlled substances, which includes stimulants and narcotics.

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Research Update

Placebo more effective than antipsychotics for aggression in mental retardation

Topics: Antipsychotics

In a multi-center study conducted in Great Britain and Australia, 86 adults with mental retardation (IQ < 75) and aggressive behavior were randomized to double-blind treatment with Risperdal (mean dose, 1.8 mg/day), Haldol (mean dose, 2.9 mg/day), or placebo. The primary outcome was score on the modified overt aggression scale (MOAS) at 4 weeks.

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Research Update

Criteria proposed to predict which prodromal patients will become psychotic

The North American Prodrome Longitudinal Study is a consortium of 8 academic centers (all but one in the U.S.) seeking to develop predictors of the development of psychosis in young patients who present with prodromal symptoms.

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Research Update

New lab test recommended before prescribing Tegretol or Lamictal to Asians

The FDA has issued a warning that Asian patients with a specific human leukocyte antigen (HLA) are at increased risk of developing life-threatening Stevens Johnson syndrome rash, and should be tested for this antigen before initiating treatment.

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Expert QA

The Use of Lamictal in Psychiatry

Dr. Ghaemi, Lamictal (lamotrigine) has become a very popular medication in psychiatry, but there remains some confusion about when to use it. What is its official FDA-approved indication?

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