Comparing the Effect of Adding Olanzapine Versus Perphenazine on Maintenance Treatment of Bipolar Type 1

Document Type : Original Article

Authors

1 Assistant Professor of Psychiatry,Department of Psychiatry, School of Medicine , Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Assistant Professor of Psychiarty. Department of Psychiatry, School of Medicine , Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 MSc. Student of Education and Psychology. Department of Psychology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background and Objective: Bipolar disorder is one of the most common psychiatric disorder in community. bipolar is an important disorder because of its prevalence and serious complications such as suicide, substance abuse, loss of well being and function, this study was investigated to determine the efficacy of adding perphenazine versus olanzapin in maintenance treatment of bipolar.
Subjects and Methods: this study is an interventional study on 40 bipolar patients (16-50 years old) referred to Golestan hospital psychiatric clinic in 2011. Duration of the study was 8 weeks. Severity of mania was assessed with YMRS at 0,3,6 weeks. The data was analized by using SPSS.
Results: In both groups symptoms were significantly improved at the end of study (p=0.000, p=0.001).
Young mania rating scale between two groups was not significantly different (p=0.2).
Conclusion: Because of small sample size, short duration of study and adding anti psychotic drugs on mood stabilizer, further future works shoude be considered.
 
 

Keywords


1-Sadock BJ, Sadock VA.  Kaplan & Sadock's synopsis of psychiatry : behavioral sciences/clinical psychiatry. 10th ed. Philadelphia:Lippincott Williams&Wilkins; 2007. P. 528.
2-Rihmer Z, Angst J. Mood disorders: epidemiology. In: Sadock BJ, Sadock VA, editors. Kaplan & Sadock's comprehensive textbook of psychiatry. 8th ed.  Philadelphia: Lippincott Williams & Wilkins; 2005. P.1577.
3-Akiskal HS. Mood disorders: clinical featurs. In: Sadock BJ, Sadock VA, editors. Kaplan & Sadock's comprehensive textbook of psychiatry. 8th ed.. Philadelphia: Lippincott Williams & Wilkins; 2005. P.1611.
4-Post RM, Altshuler LL. Mood disorder: treatment of bipolar disorder. In: Sadock BJ, Sadock VA, editors. Kaplan & Sadock's comprehensive textbook of psychiatry. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2005. P. 1661.
5-Rush AJ, Nierenberg AA. Mood disorder: treatment of depression. In: Sadock B J, Sadock VA, editors. Kaplan & Sadock's comprehensive textbook of psychiatry. 8th ed. Philadelphia: Lippincott Williams & Wilkins: 2005. P. 1652.
6-Sadock BJ, Sadock VA.  Kaplan & Sadock's synopsis of psychiatry: behavioral sciences/clinical psychiatry. 10th ed. Philadelphia:Lippincott Williams&Wilkins;.2007. p. 560-561.
7-El-Mallakh RS, Ghaemi SN. Bipolar depression: a comprehensive guide. Washington, DC: American Psychiatric Pub; 2006. P.114.
8-Manji Husseini K, Bowden CL, Belmaker RH, editors. Bipolar medications mechanisms of action. Washington, DC: American Psychiatric Press; 2000. P. 383.
9-Tohen M, Chengappa KN, Suppes T, Zarate CA Jr, Calabrese JR, Bowden CL, et al. Efficacy of olanzapine in combination with valproate or lithium in the treatment of mania in patients partially nonresponsive to valproate or lithium monotherapy. Arch Gen Psychiatry 2002;59:62-9.
10-Kasper S, Hirschfeld Robert MA. Handbook of bipolar disorder: diagnosis and therapeutic approaches. New York: Taylor & Francis; 2005. P. 143.
11-Yatham LN, Vieta E, Young AH, Möller HJ, Paulsson B, Vågerö M. A double blind, randomized placebo- controlled trial of quetiapine as an add- on therapy to lithium or divalproex for the treatment of bipolar mania. Int Clin Psychopharmacol 2007;22:212-20.
12-Sachs GS, Grossman F, Ghaemi SN, Okamoto A, Bowden CL.Combination of a mood stabilizer with risperidone or haloperidol for treatment of acut mania: a double-blind, placebo-controlled comparison of efficacy and safety. Am J Psychiatry 2002;159:1146-54.
13-Vieta E, Goikolea JM. Atypical antipsychotic: newer options for mania and maintenance therapy. Bipolar Disord 2005;7:21-33.
14-Zarate CA Jr, Tohen M. Double-blind comparison of the continued use of antipsychotic treatment versus its discontinuation in remitted manic patients. Am J Psychiatry 2004;161:169-71.
15-Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 1978;133:429-35.
16-Shabani A, Akbari M, Dadashi M. Reliability and validity of bipolar Depression rating scale on an irainian sample.Arch Iran Med 2010; 13:217-22.
17-Bowden CL. Atypical antipsychotic augmentation of mood stabilizer therapy in bipolar disorder. J Clin Psychiatry 2005;66:12-9.
18-Post RM, Altshuler LL. Mood disorder: treatment of bipolar disorder. In: Sadock BJ, Sadock VA, Ruiz P, editors.  Kaplan & Sadock's comprehensive textbook of psychiatry. 9th ed. Philadelphia: Lippincott Williams &Wilkins;2009. p.1781.
19-muricio tohen.et all.relapse prevention in bipolar disorder,18 mounth compression of olanzapin plus mood stabilizer versus mood stabilizer alone,2004.184:337-345.