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TreatmentAnticonvulsant Pathology


Neurology, Volume 67, Number 11, December 12, 2006


Abstract

Psychotropic effects of antiepileptic drugs

Alan B. Ettinger, MD

From North Shore-LIJ Comprehensive Epilepsy Centers, New Hyde Park, NY. -- Address correspondence and reprint requests to Dr. Alan B. Ettinger, EEG Lab, North Shore-LIJ, Comprehensive Epilepsy Centers, 270-05 76th Ave., New Hyde Park, NY 11040; e-mail: aettinge@lij.edu  -- Received March 30, 2006. Accepted in final form August 1, 2006.


Background. Mood disorder symptoms are common in patients with epilepsy. 
Since antiepileptic drugs (AEDs) can affect these symptoms, knowledge of the psychotropic properties of AEDs is crucial. 
We review most studies of the psychotropic effects of AEDs that have involved potential psychiatric applications and have been reported in the psychiatric literature.

Methods. We conducted a comprehensive literature search to identify relevant clinical trial reports on the efficacy of AEDs for mood disorders.

Results. There have been few randomized controlled trials studying AED psychotropic properties in patients with epilepsy, but some randomized controlled trials of potential psychiatric indications for AEDs have been published. 
Data from these studies suggest that specific AEDs have mood stabilizing, anxiolytic, and antidepressant properties, while others may elicit depression, agitation, or psychosis.

Conclusion. Antiepileptic drug selection should consider potential effects on mood and behavior.


© 2006 American Academy of Neurology
Abstract | Supplement Data SD1,SD2,SD3


 

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