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Other medications, like topiramate (Topamax) or gabapentin (Neurontin), may be prescribed in some cases when other treatments haven’t worked. How do mood stabilizers work for bipolar depression? The use of gabapentin in bipolar disorder (BPD) treatment provides an informative case of off-label uptake and abandonment of a new medication. Gabapentin was patented by Warner-Lambert in 1977 and FDA-approved in December1993 for the adjunctive treatment of epilepsy and in 2002 for postherpetic neuralgia (see Appendix 1 for timeline). Evidence does not support the use of gabapentin for bipolar disorder, major depressive disorder (MDD), posttraumatic stress disorder (PTSD), obsessive compulsive disorder (OCD), stimulant use disorder, or opioid withdrawal. Abstract. Despite its prevalence and disease burden, several chasms still exist with regard to the pharmacotherapy of bipolar disorder (BD). Polypharmacy is commonly encountered as a significant proportion of patients remain symptomatic, and the management of the depressive phase of the illness is a particular challenge. Compare risks and benefits of common medications used for Bipolar Disorder. Find the most popular drugs, view ratings and user reviews. 144 reviews for gabapentin Bipolar Disorder Treatment – Gabapentin (Neurontin) Gabapentin is a recently developed drug now approved for epilepsy and currently under investigation as a bipolar disorder treatment because of its calming effect on epileptic patients. Its efficacy in bipolar disorders is thus far controversial. The gabapentinoids, gabapentin, and pregabalin, target the α<sub>2</sub>δ subunits of voltage-gated calcium channels. Initially licensed for pain and seizures, they have become widely prescribed drugs. Many of these uses are off-label for psychiatric indications, and there is increasing concern abou Gabapentin has less likely benefit adjunctively for bipolar disorder. Gabapentin has clearer efficacy for alcohol craving and withdrawal symptoms and may have a role in adjunctive treatment of opioid dependence. There is no clear evidence for gabapentin therapy in depression, PTSD prevention, OCD, or other types of substance abuse. dence for gabapentin’s efficacy in bipolar disorder and the FDA has approved lamotrigine for the treat-ment of bipolar disorder.1,2 Thus, up to half of bipolar patients receiving combination therapy are given anti-convulsants (such as gabapentin or topiramate) that are not well docu-mented to work for bipolar disorder. 1–3 Why? Gabapentin is currently being studied as a treatment for bipolar disorder, and there have been favorable reports regarding its potential as a mood stabilizer (82, 83). The advantages of gabapentin include the lack of interactions with other drugs in the cytochrome P450 system and the lack of protein binding ( 84 ). For bipolar disorder, four double-blind RCTs investigating gabapentin, and no double-blind RCTs investigating pregabalin, were identified. A quantitative synthesis could not be performed Right now, there is no good evidence that gabapentin can be used for treating people with bipolar disorder. High-quality, randomized controlled studies found that medications, mood stabilizer use and dosage, evidence regarding poor response to standard mood stabilizers be-fore gabapentin use, evidence regarding whether during gabapentin treatment mania or hypomania occurred, ad-verse events, maximum and maintenance gabapentin dose and duration of treatment, indications for treatment Despite of the lack of evidence, reviews of gabapentin prescribing patterns in the United States show that this medication is still being used with alarming frequency for bipolar disorder. There are now five medications with specific, FDA approval for acute bipolar depression. Researchers found that gabapentin does not help people with bipolar disorder. Learn more about the history of why some doctors prescribe gabapentin for bipolar as an adjunct therapy, even though there’s no evidence that it works for bipolar treatment or maintenance. Gabapentin is an anticonvulsant medication primarily used to treat seizures and nerve pain. Originally developed as a muscle relaxer and anti-spasmodic medication, gabapentin was later found to have anticonvulsive properties. It is also used as an adjunct medication in combination with more potent anticonvulsants.
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