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lithium plus carbamazepine
Lithium and carbamazepine together modulate mood through distinct mechanisms: lithium alters intracellular signaling and neurotransmitter activity, while carbamazepine acts as a sodium channel blocker and anticonvulsant.
Lithium and carbamazepine together modulate mood through distinct mechanisms: lithium alters intracellular signaling and neurotransmitter activity, while carbamazepine acts as a sodium channel blocker and anticonvulsant. Used for Bipolar disorder (acute and maintenance treatment), Treatment-resistant bipolar depression.
At a glance
| Generic name | lithium plus carbamazepine |
|---|---|
| Sponsor | University of Sao Paulo |
| Drug class | Mood stabilizer combination |
| Target | Lithium: inositol monophosphatase and GSK-3β; Carbamazepine: voltage-gated sodium channels |
| Modality | Small molecule |
| Therapeutic area | Psychiatry |
| Phase | FDA-approved |
Mechanism of action
Lithium affects second-messenger systems and reduces inositol levels, influencing serotonin and norepinephrine neurotransmission. Carbamazepine blocks voltage-gated sodium channels and has anticonvulsant properties that stabilize neuronal membranes. The combination is used in bipolar disorder to enhance mood stabilization through complementary mechanisms.
Approved indications
- Bipolar disorder (acute and maintenance treatment)
- Treatment-resistant bipolar depression
Common side effects
- Tremor
- Polyuria and polydipsia
- Cognitive impairment
- Ataxia
- Rash
- Hyponatremia
Key clinical trials
- Serum Magnesium Level and Pediatric Migraine
- Cost- Effectiveness and Quality of Life Assessment in Mood Disorder (PHASE4)
- Allopurinol Add-on Treatment for Refractory Mania (PHASE4)
- Effectiveness of Lithium Plus Optimized Medication in Treating People With Bipolar Disorder (PHASE4)
- Treatment for Bipolar Depression: Acute & Prophylactic Efficacy With Citalopram (PHASE2, PHASE3)
- Efficacy of Combined Treatment for Young Bipolar I Disorder (PHASE4)
- Open Label Study of Lithium Plus Extended-Release Carbamazepine (ERC-CBZ) for Rapid Cycling Bipolar Disorder (PHASE4)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |