The use of anticonvulsants to augment
antidepressant medication
by
Dietrich DE, Emrich HM
Abteilung Klinische Psychiatrie und Psychotherapie,
Medizinische Hochschule
Hannover, Germany.
J Clin Psychiatry 1998; 59 Suppl 5:51-8; discussion 59
ABSTRACT
Combination therapy that couples classical antidepressants with other
psychoactive compounds is one of the major therapeutic strategies in
therapy-resistant depression. The authors review reports on the antidepressive
effects of the mood stabilizers carbamazepine and valproate and focus on the
pharmacodynamic and clinical aspects of combining these compounds with
antidepressant drugs. In addition, a pivotal study (N=10 outpatients)
demonstrates the use and efficacy of a low-dose combination therapy of
carbamazepine and amitriptyline. It is concluded that low-dose combination of
classical antidepressants and mood stabilizers appears to be well tolerated and
highly effective.
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