Pramipexole Augmentation in the Treatment of Unipolar and Bipolar Depression: A Retrospective Chart Review

Abstract Objective: To assess the effectiveness and safety of pramipexole as an adjunctive medication in refractory bipolar and unipolar depression in a naturalistic setting. Methods: Retrospective chart review by psychiatrists on staff at a university hospital identified all patients who had receiv...

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Veröffentlicht in:Annals of clinical psychiatry 2000-09, Vol.12 (3), p.137-140
Hauptverfasser: Sporn, Jonathan, Ghaemi, S. Nassir, Sambur, Marnie R., Rankin, Meridith A., Recht, James, Sachs, Gary S., Rosenbaum, Jerrold F., Fava, Maurizio
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container_end_page 140
container_issue 3
container_start_page 137
container_title Annals of clinical psychiatry
container_volume 12
creator Sporn, Jonathan
Ghaemi, S. Nassir
Sambur, Marnie R.
Rankin, Meridith A.
Recht, James
Sachs, Gary S.
Rosenbaum, Jerrold F.
Fava, Maurizio
description Abstract Objective: To assess the effectiveness and safety of pramipexole as an adjunctive medication in refractory bipolar and unipolar depression in a naturalistic setting. Methods: Retrospective chart review by psychiatrists on staff at a university hospital identified all patients who had received pramipexole. Response was based on moderate to marked improvement in the Clinical Global Impression-Improvement (CGIT) scale. Results: Pramipexole (mean dose 0.70 mg/d, mean duration 24.4 weeks) was effective in 6/12 (50.0%) of patients with bipolar depression, and 8/20 (40%) of patients with unipolar depression, mean duration of follow-up of 24.4 weeks. One case of transient hypomania was noted. Eight patients discontinued pramipexole due to lack of response and four due to side effects. Conclusions: Pramipexole, used as an adjunct to antidepressants or mood stabilizers, appeared to be effective and safe in the treatment of unipolar and bipolar depression. These uncontrolled, retrospective, naturalistic pilot data require confirmation by controlled research before conclusions can be made.
doi_str_mv 10.3109/10401230009147102
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Nassir ; Sambur, Marnie R. ; Rankin, Meridith A. ; Recht, James ; Sachs, Gary S. ; Rosenbaum, Jerrold F. ; Fava, Maurizio</creator><creatorcontrib>Sporn, Jonathan ; Ghaemi, S. Nassir ; Sambur, Marnie R. ; Rankin, Meridith A. ; Recht, James ; Sachs, Gary S. ; Rosenbaum, Jerrold F. ; Fava, Maurizio</creatorcontrib><description>Abstract Objective: To assess the effectiveness and safety of pramipexole as an adjunctive medication in refractory bipolar and unipolar depression in a naturalistic setting. Methods: Retrospective chart review by psychiatrists on staff at a university hospital identified all patients who had received pramipexole. Response was based on moderate to marked improvement in the Clinical Global Impression-Improvement (CGIT) scale. Results: Pramipexole (mean dose 0.70 mg/d, mean duration 24.4 weeks) was effective in 6/12 (50.0%) of patients with bipolar depression, and 8/20 (40%) of patients with unipolar depression, mean duration of follow-up of 24.4 weeks. One case of transient hypomania was noted. Eight patients discontinued pramipexole due to lack of response and four due to side effects. Conclusions: Pramipexole, used as an adjunct to antidepressants or mood stabilizers, appeared to be effective and safe in the treatment of unipolar and bipolar depression. 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Nassir</au><au>Sambur, Marnie R.</au><au>Rankin, Meridith A.</au><au>Recht, James</au><au>Sachs, Gary S.</au><au>Rosenbaum, Jerrold F.</au><au>Fava, Maurizio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pramipexole Augmentation in the Treatment of Unipolar and Bipolar Depression: A Retrospective Chart Review</atitle><jtitle>Annals of clinical psychiatry</jtitle><addtitle>Ann Clin Psychiatry</addtitle><date>2000-09</date><risdate>2000</risdate><volume>12</volume><issue>3</issue><spage>137</spage><epage>140</epage><pages>137-140</pages><issn>1040-1237</issn><eissn>1547-3325</eissn><eissn>1573-3238</eissn><coden>APSYEZ</coden><abstract>Abstract Objective: To assess the effectiveness and safety of pramipexole as an adjunctive medication in refractory bipolar and unipolar depression in a naturalistic setting. Methods: Retrospective chart review by psychiatrists on staff at a university hospital identified all patients who had received pramipexole. 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subjects Adult
Benzothiazoles
Biological and medical sciences
Bipolar Disorder - drug therapy
Bipolar Disorder - psychology
Depressive Disorder - drug therapy
Depressive Disorder - psychology
Dopamine Agonists - pharmacology
Dopamine Agonists - therapeutic use
Drug Therapy, Combination
Female
Humans
Male
Medical sciences
Middle Aged
Neuropharmacology
Pharmacology. Drug treatments
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Retrospective Studies
Thiazoles - pharmacology
Thiazoles - therapeutic use
Treatment Outcome
title Pramipexole Augmentation in the Treatment of Unipolar and Bipolar Depression: A Retrospective Chart Review
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