One-year seizure prognosis in epilepsy patients treated with antidepressants

被引:17
作者
Okazaki, Mitsutoshi [1 ]
Adachi, Naoto [1 ,2 ]
Ito, Masumi [1 ,3 ]
Watanabe, Masako [1 ]
Watanabe, Yutaka [1 ]
Kato, Masaaki [1 ,4 ]
Onuma, Teiichi [1 ,4 ]
机构
[1] Natl Ctr Hosp Neurol & Psychiat, Kodaira, Tokyo 1878551, Japan
[2] Adachi Mental Clin, Sapporo, Hokkaido, Japan
[3] Tenshi Hosp, Sapporo, Hokkaido, Japan
[4] Musashino Kokubunji Clin, Kokubunji, Tokyo, Japan
关键词
Epilepsy; Seizure frequency; Treatment; Antidepressant drugs; Depression; DEPRESSION; FLUOXETINE; IMIPRAMINE; SERTRALINE; FREQUENCY; CHILDREN; SUICIDE; DRUGS;
D O I
10.1016/j.yebeh.2011.07.016
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
To investigate the clinical effects of antidepressants on seizure frequency of patients with epilepsy treated with antiepileptic drugs, we retrospectively evaluated the 1-year course of seizure frequency. One hundred twenty-one patients with epilepsy treated with antidepressants and 300 patients with epilepsy not treated with antidepressants (controls) were the subjects of this study. Seizure frequency over the 1-year period of administration of antidepressants was retrospectively evaluated and compared with that for controls. In the patients with epilepsy taking antidepressants, seizure frequencies at four observation points (1, 3, 6, and 12 months after starting antidepressants) were equivalent to those of the control group. There was no significant difference in seizure frequency between first- and second-generation antidepressants. Patients with epilepsy treated with antiepileptic drugs can take antidepressants without a significant risk of exacerbation of seizures. Most antidepressants can be used for psychiatric treatment of patients with epilepsy. (C) 2011 Elsevier Inc. All rights reserved.
引用
收藏
页码:331 / 335
页数:5
相关论文
共 35 条
[1]   Predictive value of interictal epileptiform discharges during non-REM sleep on scalp EEG recordings for the lateralization of epileptogenesis [J].
Adachi, N ;
Alarcon, G ;
Binnie, CD ;
Elwes, RDC ;
Polkey, CE ;
Reynolds, EH .
EPILEPSIA, 1998, 39 (06) :628-632
[2]  
Alldredge BK, 1999, NEUROLOGY, V53, pS68
[3]   Seizure incidence in psychopharmacological clinical trials: An analysis of food and drug administration (FDA) summary basis of approval reports [J].
Alper, Kenneth ;
Schwartz, Kelly A. ;
Kolts, Russell L. ;
Khan, Arif .
BIOLOGICAL PSYCHIATRY, 2007, 62 (04) :345-354
[4]   PROPOSAL FOR REVISED CLASSIFICATION OF EPILEPSIES AND EPILEPTIC SYNDROMES [J].
不详 .
EPILEPSIA, 1989, 30 (04) :389-399
[5]  
[Anonymous], JPN J PSYCHIAT TREAT
[6]   Consensus statement: The evaluation and treatment of people with epilepsy and affective disorders [J].
Barry, John J. ;
Ettinger, Alan B. ;
Friel, Peggy ;
Gilliam, Frank G. ;
Harden, Cynthia L. ;
Hermann, Bruce ;
Kanner, Andres M. ;
Caplan, Rochelle ;
Plioplys, Sigita ;
Salpekar, Jay ;
Dunn, David ;
Austin, Joan ;
Jones, Jana .
EPILEPSY & BEHAVIOR, 2008, 13 :S1-S29
[7]   The interictal dysphoric disorder: recognition, pathogenesis, and treatment of the major psychiatric disorder of epilepsy [J].
Blumer, D ;
Mountouris, G ;
Davies, K .
EPILEPSY & BEHAVIOR, 2004, 5 (06) :826-840
[8]   Depression but not seizure frequency predicts quality of life in treatment-resistant epilepsy [J].
Boylan, LS ;
Flint, LA ;
Labovitz, DL ;
Jackson, SC ;
Starner, K ;
Devinsky, O .
NEUROLOGY, 2004, 62 (02) :258-261
[9]   The sales of antidepressants and suicide rates in Norway and its counties 1980-2004 [J].
Bramness, Jorgen G. ;
Walby, Fredrik A. ;
Tverdal, Aage .
JOURNAL OF AFFECTIVE DISORDERS, 2007, 102 (1-3) :1-9
[10]   Status epilepticus associated with the combination of valproic acid and clomipramine [J].
DeToledo, JC ;
Haddad, H ;
Ramsay, RE .
THERAPEUTIC DRUG MONITORING, 1997, 19 (01) :71-73