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Journal ArticleDOI

Induction of mania with selective serotonin re-uptake inhibitors and tricyclic antidepressants.

Malcolm Peet
- 01 Apr 1994 - 
- Vol. 164, Iss: 4, pp 549-550
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TLDR
The rate of treatment-emergent switch into mania has been calculated from all available clinical trial data on the selective serotonin re-uptake inhibitors (SSRIs) fluoxetine, fluvoxamine, paroxetines, and sertraline, relative to comparative groups treated with tricyclic antidepressants (TCAs) or placebo.
Abstract
The rate of treatment-emergent switch into mania has been calculated from all available clinical trial data on the selective serotonin re-uptake inhibitors (SSRIs) fluoxetine, fluvoxamine, paroxetine, and sertraline, relative to comparative groups treated with tricyclic antidepressants (TCAs) or placebo. In predominantly unipolar depressives, the rate of manic switch is less than 1% and differences between drugs and placebo are statistically but not clinically significant. In bipolar depressives, manic switch occurs substantially more often with TCAs (11.2%) than with SSRIs (3.7%) or placebo (4.2%).

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Citations
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Journal ArticleDOI

Possible manic switch induced by combination of bupropion and electroconvulsive therapy in recurrent unipolar depression: a case series

TL;DR: Two patients with unipolar recurrent depression, with no family history of bipolarity or relevant personal medical history, who switched states while on a possible combination of bupropion and ECT are presented.
Journal ArticleDOI

Treatment of bipolar depression: focus on pharmacologic therapies.

TL;DR: The present status of treatments for bipolar depression is reviewed, highlighting emerging new pharmacotherapies such as lamotrigine, olanzapine and quetiapine, while also addressing modern psychologic interventions such as cognitive behavioral therapy and psychoeducation.
Journal ArticleDOI

First manic/hypomanic episode in obsessive-compulsive disorder patients treated with antidepressants: A systematic review.

TL;DR: In this article, a systematic literature review was performed on manic/hypomanic episodes in non-bipolar OCD patients using descriptive statistics and clinical, sociodemographic and antidepressant characteristics during the manic and hypomanic switch.
References
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Journal ArticleDOI

Can antidepressants cause mania and worsen the course of affective illness

TL;DR: There appear to be no placebo-controlled studies of switches into mania in bipolar patients during antidepressant treatment, and the available evidence suggests that some bipolar patients become manic, and a few experience rapid cycling, when they are treated with antidepressants.
Journal ArticleDOI

The induction of mania. A natural history study with controls.

TL;DR: The rate of induction of mania by TCAs is not greater than what one would expect from the natural history of the illness itself, and lithium carbonate and neuroleptic treatment, as expected, significantly prevented the induction ofMania.
Journal ArticleDOI

A controlled trial of imipramine in treatment of depressive states.

J. R. B. Ball, +1 more
- 21 Nov 1959 - 
TL;DR: Information is provided on how to identify the components of serotonin, a substance which acts as a “spatially aggregating force” in women to increase the likelihood of fertility and increase the chance of pregnancy.
Journal ArticleDOI

A case of mania associated with fluoxetine.

TL;DR: A depressed woman with no history of bipolar illness developed a manic episode during treatment with fluoxetine, and this side effect appears to be a universal property of effective antidepressants, including this new, purely serotonergic agent.
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