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Published in: Psychiatric Quarterly 3/2010

01-09-2010 | Original Paper

Long-Term Use of Pramipexole in Bipolar Depression: A Naturalistic Retrospective Chart Review

Authors: Rif S. El-Mallakh, Praveen Penagaluri, Arun Kantamneni, Yonglin Gao, Rona J. Roberts

Published in: Psychiatric Quarterly | Issue 3/2010

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Abstract

A naturalistic retrospective chart review of all patients given pramipexole for bipolar depression in addition to their mood stabilizers was undertaken. Sixteen patients were followed for an average of 6.7 ± SD 9.0 months. Half of the patients stopped the pramipexole an average of 2 months after starting it. For all patients, depressed mood, and the total profile of depressive symptoms improved significantly within 4 weeks and remained significantly improved for as long as 36 weeks. Both global function (GAF), and global impression (CGI) improved with pramipexole. Irritability and insomnia both increased slightly initially, and then subsided. There were no changes in mania ratings for up to 36 months. Long-term outcome of adjunctive pramipexole appears to be adequate, with apparent maintenance of effect for over 9 months.
Literature
1.
go back to reference American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders-Text Revision, 4th edn., revised. Arlington, Virginia, American Psychiatric Press, 2000 American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders-Text Revision, 4th edn., revised. Arlington, Virginia, American Psychiatric Press, 2000
2.
go back to reference Calabrese JR, Bowden CL, Sachs GS, et al.: A double-blind placebo-controlled study of lamotrigine monotherapy in outpatients with bipolar I depression Lamictal 602 study group. Journal of Clinical Psychiatry 60:79–88, 1999PubMed Calabrese JR, Bowden CL, Sachs GS, et al.: A double-blind placebo-controlled study of lamotrigine monotherapy in outpatients with bipolar I depression Lamictal 602 study group. Journal of Clinical Psychiatry 60:79–88, 1999PubMed
3.
go back to reference Calabrese JR, Bowden CL, Sachs GS, et al.: A placebo-controlled 18-month trial of lamotrigine and lithium maintenance treatment in recently depressed patients with bipolar I disorder. Journal of Clinical Psychiatry 64:1013–1024, 2003CrossRefPubMed Calabrese JR, Bowden CL, Sachs GS, et al.: A placebo-controlled 18-month trial of lamotrigine and lithium maintenance treatment in recently depressed patients with bipolar I disorder. Journal of Clinical Psychiatry 64:1013–1024, 2003CrossRefPubMed
4.
go back to reference Calabrese JR, Keck PE Jr, Macfadden W, et al.: A randomized, double-blind, placebo-controlled trial of quetiapine in the treatment of bipolar I or II depression. American Journal of Psychiatry 162:1351–1360, 2005CrossRefPubMed Calabrese JR, Keck PE Jr, Macfadden W, et al.: A randomized, double-blind, placebo-controlled trial of quetiapine in the treatment of bipolar I or II depression. American Journal of Psychiatry 162:1351–1360, 2005CrossRefPubMed
5.
go back to reference Cassano P, Lattanzi L, Soldani F, et al.: Pramipexole in treatment-resistant depression: an extended follow up. Depression and Anxiety 20:131–138, 2004CrossRefPubMed Cassano P, Lattanzi L, Soldani F, et al.: Pramipexole in treatment-resistant depression: an extended follow up. Depression and Anxiety 20:131–138, 2004CrossRefPubMed
6.
go back to reference El-Mallakh RS, Huff MO: Mood stabilizers and ion regulation. Harvard Review of Psychiatry 9:23–32, 2001CrossRefPubMed El-Mallakh RS, Huff MO: Mood stabilizers and ion regulation. Harvard Review of Psychiatry 9:23–32, 2001CrossRefPubMed
7.
go back to reference El-Mallakh RS, Karippot A: Chronic depression in bipolar disorder. American Journal of Psychiatry 163:1137–1341, 2006CrossRef El-Mallakh RS, Karippot A: Chronic depression in bipolar disorder. American Journal of Psychiatry 163:1137–1341, 2006CrossRef
8.
go back to reference El-Mallakh RS, Karippot A, Ghaemi SN: Antidepressants in Bipolar Depression. In: El-Mallakh RS, Ghaemi SN (Eds) Bipolar Depression: A Comprehensive Guide. Washington, DC, American Psychiatric Publishing, Inc., pp. 167–183, 2006 El-Mallakh RS, Karippot A, Ghaemi SN: Antidepressants in Bipolar Depression. In: El-Mallakh RS, Ghaemi SN (Eds) Bipolar Depression: A Comprehensive Guide. Washington, DC, American Psychiatric Publishing, Inc., pp. 167–183, 2006
9.
go back to reference El-Mallakh RS, Weisler RH, Townsend MH, et al.: Bipolar II disorder: current and future treatment options. Annals of Clinical Psychiatry 18:259–266, 2006CrossRefPubMed El-Mallakh RS, Weisler RH, Townsend MH, et al.: Bipolar II disorder: current and future treatment options. Annals of Clinical Psychiatry 18:259–266, 2006CrossRefPubMed
10.
go back to reference Frye MA, Ketter TA, Kimbrell TA, et al.: A placebo-controlled study of lamotrigine and gabapentin monotherapy in refractory mood disorders. Journal of Clinical Psychopharmacology 20:607–614, 2000CrossRefPubMed Frye MA, Ketter TA, Kimbrell TA, et al.: A placebo-controlled study of lamotrigine and gabapentin monotherapy in refractory mood disorders. Journal of Clinical Psychopharmacology 20:607–614, 2000CrossRefPubMed
11.
go back to reference Ghaemi SN, Boiman EE, Goodwin FK: Diagnosing bipolar disorder and the effect of antidepressants: a naturalistic study. Journal of Clinical Psychiatry 61:804–808, 2000PubMed Ghaemi SN, Boiman EE, Goodwin FK: Diagnosing bipolar disorder and the effect of antidepressants: a naturalistic study. Journal of Clinical Psychiatry 61:804–808, 2000PubMed
12.
go back to reference Ghaemi SN, Ostacher MM, El-Mallakh RS, Borrelli D, Baldassano CF, Kelley ME, Filkowski MM, Hennen J, Sachs G, Goodwin FK, Baldessarini RJ: A randomized clinical trial of long-term effectiveness and safety of modern antidepressants combined with mood-stabilizers. Journal of Clinical Psychiatry, 2010 (in press) Ghaemi SN, Ostacher MM, El-Mallakh RS, Borrelli D, Baldassano CF, Kelley ME, Filkowski MM, Hennen J, Sachs G, Goodwin FK, Baldessarini RJ: A randomized clinical trial of long-term effectiveness and safety of modern antidepressants combined with mood-stabilizers. Journal of Clinical Psychiatry, 2010 (in press)
13.
go back to reference Ghaemi SN, Lenox MS, Baldessarini RJ: Effectiveness and safety of long-term antidepressant treatment in bipolar disorder. Journal of Clinical Psychiatry 62:565–569, 2001PubMedCrossRef Ghaemi SN, Lenox MS, Baldessarini RJ: Effectiveness and safety of long-term antidepressant treatment in bipolar disorder. Journal of Clinical Psychiatry 62:565–569, 2001PubMedCrossRef
14.
go back to reference Goldberg JF, Burdick KE, Endick CJ: Preliminary randomized, double blind, placebo controlled trial of pramipexole added to mood stabilizers for treatment resistant bipolar depression. American Journal of Psychiatry 161(3):564–566, 2004CrossRefPubMed Goldberg JF, Burdick KE, Endick CJ: Preliminary randomized, double blind, placebo controlled trial of pramipexole added to mood stabilizers for treatment resistant bipolar depression. American Journal of Psychiatry 161(3):564–566, 2004CrossRefPubMed
15.
go back to reference Jensen NH, Rodriguiz RM, Caron MG, et al.: N-desalkylquetiapine, a potent norepinephrine reuptake inhibitor and partial 5-HT1A agonist, as a putative mediator of quetiapine’s antidepressant activity. Neuropsychopharmacology 33:2303–2312, 2008CrossRefPubMed Jensen NH, Rodriguiz RM, Caron MG, et al.: N-desalkylquetiapine, a potent norepinephrine reuptake inhibitor and partial 5-HT1A agonist, as a putative mediator of quetiapine’s antidepressant activity. Neuropsychopharmacology 33:2303–2312, 2008CrossRefPubMed
16.
go back to reference Judd LL, Akiskal HS, Schettler PJ, et al.: A prospective investigation of the natural history of the long-term weekly symptomatic status of bipolar II disorder. Archives of General Psychiatry 60:261–269, 2003CrossRefPubMed Judd LL, Akiskal HS, Schettler PJ, et al.: A prospective investigation of the natural history of the long-term weekly symptomatic status of bipolar II disorder. Archives of General Psychiatry 60:261–269, 2003CrossRefPubMed
17.
go back to reference Judd LL, Akiskal HS, Schettler PJ, et al.: The long-term natural history of the weekly symptomatic status of bipolar I disorder. Archives of General Psychiatry 59:530–537, 2002CrossRefPubMed Judd LL, Akiskal HS, Schettler PJ, et al.: The long-term natural history of the weekly symptomatic status of bipolar I disorder. Archives of General Psychiatry 59:530–537, 2002CrossRefPubMed
18.
go back to reference Kupka RW, Altshuler LL, Nolen WA, et al.: Three times more days depressed than manic or hypomanic in both bipolar I and bipolar II disorder. Bipolar Disorders 9(5):531–535, 2007CrossRefPubMed Kupka RW, Altshuler LL, Nolen WA, et al.: Three times more days depressed than manic or hypomanic in both bipolar I and bipolar II disorder. Bipolar Disorders 9(5):531–535, 2007CrossRefPubMed
19.
go back to reference Maj J, Rogóż Z, Margas W, et al.: The effect of repeated treatment with pramipexole on the central dopamine D3 system. Journal of Neural Transmission 107:1369–1379, 2000CrossRefPubMed Maj J, Rogóż Z, Margas W, et al.: The effect of repeated treatment with pramipexole on the central dopamine D3 system. Journal of Neural Transmission 107:1369–1379, 2000CrossRefPubMed
20.
go back to reference Nierenberg AA, Ostacher MJ, Calabrese JR, et al.: Treatment-resistant bipolar depression: a STEP-BD equipoise randomized effectiveness trial of antidepressant augmentation with lamotrigine, inositol, or risperidone. American Journal of Psychiatry 163:210–216, 2006CrossRefPubMed Nierenberg AA, Ostacher MJ, Calabrese JR, et al.: Treatment-resistant bipolar depression: a STEP-BD equipoise randomized effectiveness trial of antidepressant augmentation with lamotrigine, inositol, or risperidone. American Journal of Psychiatry 163:210–216, 2006CrossRefPubMed
21.
go back to reference Nemeroff CB, Evans DL, Gyulai L, et al.: A double-blind, placebo-controlled comparison of imipramine and paroxetine in the treatment of bipolar depression. American Journal of Psychiatry 158:906–912, 2001PubMed Nemeroff CB, Evans DL, Gyulai L, et al.: A double-blind, placebo-controlled comparison of imipramine and paroxetine in the treatment of bipolar depression. American Journal of Psychiatry 158:906–912, 2001PubMed
22.
go back to reference Post RM, Leverich GS, Nolen WA, et al.: A re-evaluation of the role of antidepressants in the treatment of bipolar depression: data from the Stanley Foundation Bipolar Network. Bipolar Disorders 5:396–406, 2003CrossRefPubMed Post RM, Leverich GS, Nolen WA, et al.: A re-evaluation of the role of antidepressants in the treatment of bipolar depression: data from the Stanley Foundation Bipolar Network. Bipolar Disorders 5:396–406, 2003CrossRefPubMed
23.
go back to reference Roberts RJ, Yang M, El-Mallakh RS: Validity and reliability of the RAPID (Rapid Psychiatric Interview Data) scale. Presented at the Eighth International Conference on Bipolar Disorder, Pittsburgh, Pennsylvania, pp. 25–27, 2009 Roberts RJ, Yang M, El-Mallakh RS: Validity and reliability of the RAPID (Rapid Psychiatric Interview Data) scale. Presented at the Eighth International Conference on Bipolar Disorder, Pittsburgh, Pennsylvania, pp. 25–27, 2009
24.
go back to reference Sachs GS, Guille C, McMurrich SL: A clinical monitoring form for mood disorders. Bipolar Disorders 4:323–327, 2002CrossRefPubMed Sachs GS, Guille C, McMurrich SL: A clinical monitoring form for mood disorders. Bipolar Disorders 4:323–327, 2002CrossRefPubMed
25.
go back to reference Sachs GS, Nierenberg AA, Calabrese JR, et al.: Effectiveness of adjunctive antidepressant treatment for bipolar depression. New England Journal of Medicine 356(17):1711–1722, 2007CrossRefPubMed Sachs GS, Nierenberg AA, Calabrese JR, et al.: Effectiveness of adjunctive antidepressant treatment for bipolar depression. New England Journal of Medicine 356(17):1711–1722, 2007CrossRefPubMed
26.
go back to reference Spearing MK, Post RM, Leverich GS, et al.: Modification of clinical global impressions (GCI) scale for use in bipolar illness (BP): CGI-BP. Psychiatry Research 73:159–171, 1997CrossRefPubMed Spearing MK, Post RM, Leverich GS, et al.: Modification of clinical global impressions (GCI) scale for use in bipolar illness (BP): CGI-BP. Psychiatry Research 73:159–171, 1997CrossRefPubMed
27.
go back to reference Vieta E, Suppes T, Eggens I, et al.: Efficacy and safety of quetiapine in combination with lithium or divalproex for maintenance of patients with bipolar I disorder (International Trial 126). Journal of Affective Disorders 109:251–253, 2008CrossRefPubMed Vieta E, Suppes T, Eggens I, et al.: Efficacy and safety of quetiapine in combination with lithium or divalproex for maintenance of patients with bipolar I disorder (International Trial 126). Journal of Affective Disorders 109:251–253, 2008CrossRefPubMed
28.
go back to reference Wermuth L: A double-blind, placebo-controlled, randomized, multi-center study of pramipexole in advanced Parkinson’s disease. European Journal of Neurology 5:235–242, 1998CrossRefPubMed Wermuth L: A double-blind, placebo-controlled, randomized, multi-center study of pramipexole in advanced Parkinson’s disease. European Journal of Neurology 5:235–242, 1998CrossRefPubMed
29.
go back to reference Zarate CA Jr, Payne JL, Singh J, et al.: Pramipexole for bipolar II depression: a placebo-controlled proof of concept study. Biological Psychiatry 56(1):54–60, 2004CrossRefPubMed Zarate CA Jr, Payne JL, Singh J, et al.: Pramipexole for bipolar II depression: a placebo-controlled proof of concept study. Biological Psychiatry 56(1):54–60, 2004CrossRefPubMed
Metadata
Title
Long-Term Use of Pramipexole in Bipolar Depression: A Naturalistic Retrospective Chart Review
Authors
Rif S. El-Mallakh
Praveen Penagaluri
Arun Kantamneni
Yonglin Gao
Rona J. Roberts
Publication date
01-09-2010
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 3/2010
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-010-9130-6

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