Subscribe to RSS
DOI: 10.1055/s-2002-19836
© Georg Thieme Verlag Stuttgart · New York
The Use of Tiagabine in Affective Disorders
Publication History
28. 11. 2000 · Revised 2. 4. 2001
18. 4. 2001
Publication Date:
30 January 2002 (online)
We reviewed the available literature on the efficacy of a novel anticonvulsant, Tiagabine (TGB), in the treatment of bipolar disorder. Study results indicate that TGB does not represent a valid option in acute mania due its required slow, progressive titration. More rapid titration schemes may lead to severe complications. TGB may be an option as an adjunct long-term treatment approach in refractory patients, but further studies are clearly needed to support this.
References
- 1 Meldrum B S, Chapman A G. Basic mechanisms of gabitril (tiagabine) and future potential developments. Epilepsia. 1999; 40 ((Suppl 9)) S 2-S 6
- 2 Suzdak P D, Jansen J A. A review of the preclinical pharmacology of tiagabine: a potent and selective anticonvulsant GABA uptake inhibitor. Epilepsia. 1995; 36 612-626
- 3 Adkins J C, Noble S. Tiagabine a review of its pharmacodynamic and pharmacokinetic properties and terapeutic potential in the management of epilepsy. Drugs. 1998; 55 437-460
- 4 Loiseau P. Review of controlled trials of gabitril (tiagabine): a clinician's viewpoint. Epilepsia. 1999; 40 ((Suppl 9)) S 14-S 19
- 5 Krauss G, Carlson H A, Deaton R, Sommeville K W. Beneficial results of tiagabine therapy in patients with psychiatric history. Epilepsia. 1997; 37 ((Suppl 8)) S 105
- 6 Leppik I E. Tiagabine the safety landscape. Epilepsia. 1995; 36 ((Suppl 6)) S 10-S 13
- 7 Grunze H, Erfurth A, Marcuse A. Tiagabine appears not to be efficacious in the treatment of acute mania. Journal of Clinical Psychiatry. 1999; 60 759-762
- 8 Schaffer L C, Schaffer C B. Tiagabine and the treatment of refractory bipolar disorder. Am J Psychiatry. 1999; 156 2014-2015
- 9 Kaufman K R. Adjunctive tiagabine treatment of psychiatric disorders: three cases. Ann. Clin. Psychiatry. 1998; 10 181-184
Prof. Mauro G. Carta
Psychiatric Unit, Department of Public Health, University of Cagliari
Via Liguria 13
09127 Cagliari
Italy
Email: mgcarta@tiscalinet.it