Increased Anxiety, Akathisia, and Suicidal Thoughts in Patients with Mood Disorder on Aripiprazole and Lamotrigine

Introduction. Akathisia affects around 18% of patients with bipolar disorder treated with aripiprazole and may worsen when aripiprazole is combined with lamotrigine and antidepressants. Case. This paper reports on two clinical cases involving patients with a diagnosis of mood disorder who developed...

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Main Authors: Milena Pereira Pondé, Antonio Carlos Cruz Freire
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2015/419746
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author Milena Pereira Pondé
Antonio Carlos Cruz Freire
author_facet Milena Pereira Pondé
Antonio Carlos Cruz Freire
author_sort Milena Pereira Pondé
collection DOAJ
description Introduction. Akathisia affects around 18% of patients with bipolar disorder treated with aripiprazole and may worsen when aripiprazole is combined with lamotrigine and antidepressants. Case. This paper reports on two clinical cases involving patients with a diagnosis of mood disorder who developed severe akathisia, anxiety, and suicidal ideation while using a combination of aripiprazole, antidepressants, and lamotrigine. Discussion. We recommend that patients with a mood disorder taking multiple drugs should begin aripiprazole therapy with low doses and be monitored for the development of akathisia, increased anxiety, or suicidal thoughts. The appearance of these limiting side effects requires discontinuation of the drug.
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spelling doaj-art-b23a870d378748419678bd63d436fc852025-02-03T01:30:04ZengWileyCase Reports in Psychiatry2090-682X2090-68382015-01-01201510.1155/2015/419746419746Increased Anxiety, Akathisia, and Suicidal Thoughts in Patients with Mood Disorder on Aripiprazole and LamotrigineMilena Pereira Pondé0Antonio Carlos Cruz Freire1BAHIANA School of Medicine and Public Health, Avenida Dom João VI, No. 275, Brotas, 40290-000 Salvador, BA, BrazilBAHIANA School of Medicine and Public Health, Avenida Dom João VI, No. 275, Brotas, 40290-000 Salvador, BA, BrazilIntroduction. Akathisia affects around 18% of patients with bipolar disorder treated with aripiprazole and may worsen when aripiprazole is combined with lamotrigine and antidepressants. Case. This paper reports on two clinical cases involving patients with a diagnosis of mood disorder who developed severe akathisia, anxiety, and suicidal ideation while using a combination of aripiprazole, antidepressants, and lamotrigine. Discussion. We recommend that patients with a mood disorder taking multiple drugs should begin aripiprazole therapy with low doses and be monitored for the development of akathisia, increased anxiety, or suicidal thoughts. The appearance of these limiting side effects requires discontinuation of the drug.http://dx.doi.org/10.1155/2015/419746
spellingShingle Milena Pereira Pondé
Antonio Carlos Cruz Freire
Increased Anxiety, Akathisia, and Suicidal Thoughts in Patients with Mood Disorder on Aripiprazole and Lamotrigine
Case Reports in Psychiatry
title Increased Anxiety, Akathisia, and Suicidal Thoughts in Patients with Mood Disorder on Aripiprazole and Lamotrigine
title_full Increased Anxiety, Akathisia, and Suicidal Thoughts in Patients with Mood Disorder on Aripiprazole and Lamotrigine
title_fullStr Increased Anxiety, Akathisia, and Suicidal Thoughts in Patients with Mood Disorder on Aripiprazole and Lamotrigine
title_full_unstemmed Increased Anxiety, Akathisia, and Suicidal Thoughts in Patients with Mood Disorder on Aripiprazole and Lamotrigine
title_short Increased Anxiety, Akathisia, and Suicidal Thoughts in Patients with Mood Disorder on Aripiprazole and Lamotrigine
title_sort increased anxiety akathisia and suicidal thoughts in patients with mood disorder on aripiprazole and lamotrigine
url http://dx.doi.org/10.1155/2015/419746
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