Abstract
Several reports have raised concern that the discontinuation of lithium may result in treatment resistance following recurrence of affective disorder. This report explores this possibility. The data derive from a large, naturalistic follow-up of patients with major depressive disorder or mania. Twenty-eight of the patients in the study were free of lithium and experiencing an episode of mania or schizoaffective mania diagnosed according to Research Diagnostic Criteria when they entered the study, recovered while taking lithium, later experienced a recurrence while not taking lithium, and then resumed lithium treatment. Survival analyses of time to recovery and, subsequently, time to recurrence, used continued lithium treatment as an additional censoring variable. Patients given lithium recovered no more quickly from their index episode than they did from their first prospectively observed episode. Moreover, lithium prophylaxis appeared no less effective after the first prospectively observed episode than after the index episode. These findings provide no evidence that lithium discontinuation results in treatment resistance when lithium is resumed.
Citations
Mar 1, 2002·Journal of Affective Disorders·W CoryellJ Endicott
Jun 5, 2003·Bipolar Disorders·Mario Maj
Aug 2, 2006·Bipolar Disorders·Michael StroberMartin Keller
Dec 17, 2010·CNS Neuroscience & Therapeutics·Robert M Post, Susan R B Weiss
Aug 6, 2013·Bipolar Disorders·Christine de VriesMarco P M Boks
Jul 20, 2010·Bipolar Disorders·Robert M Post
Jan 24, 2006·Journal of the American Academy of Child and Adolescent Psychiatry·Robert L FindlingJoseph R Calabrese
Aug 24, 2010·Progress in Neuro-psychopharmacology & Biological Psychiatry·Giovanni A Fava, Emanuela Offidani
Dec 14, 2011·Journal of Affective Disorders·Robert M Post
Mar 17, 2001·Bipolar Disorders·R M PostK Jajodia
Mar 17, 2001·Bipolar Disorders·M Maj
Mar 17, 2001·Bipolar Disorders·J LevineD J Kupfer
Apr 21, 2009·CNS Drugs·Etienne Marc Grandjean, Jean-Michel Aubry
Jan 6, 2000·The Australian and New Zealand Journal of Psychiatry·W Z Potter, M E Ozcan
Dec 13, 2006·Harvard Review of Psychiatry·Brian ApplebyAlexander Isaac
Feb 22, 2017·Clinical Practice and Epidemiology in Mental Health : CP & EMH·M FornaroA De Bartolomeis
Jul 14, 2001·The British Journal of Psychiatry. Supplement·L TondoG Floris
Mar 21, 2001·Bipolar Disorders·R J BaldessariniA C Viguera
Jun 20, 2014·Journal of Clinical Psychopharmacology·P S V N SharmaSamir Kumar Praharaj