Valproate use in the older manic patient

Bentson McFarland, M. R. Miller, A. A. Straumfjord

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

The authors present a case series of seven older (mean age = 66 years) state hospital patients treated with valproate as an adjunct to conventional medications. The patients had had affective disorder (chiefly bipolar disorder) for an average of 31 years. Most had been hospitalized at the state hospital for several years. Previous unsuccessful treatments had included lithium, carbamazepine, antipsychotics, benzodiazepines, and antidepressants and electroconvulsive therapy in one patient. After 1 month of adjunctive treatment, valproate led to marked improvement in three patients, moderate improvement in two, minimal improvement in one, and no change in one patient with delusional depression. Global Assessment Scale scores increased over baseline an average of 29 points (p = .01). Valproate proved to be safe in these older individuals, many of whom had several medical conditions.

Original languageEnglish (US)
Pages (from-to)479-481
Number of pages3
JournalJournal of Clinical Psychiatry
Volume51
Issue number11
StatePublished - 1990

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Valproic Acid
State Hospitals
Electroconvulsive Therapy
Carbamazepine
Mood Disorders
Benzodiazepines
Bipolar Disorder
Lithium
Antidepressive Agents
Antipsychotic Agents
Depression
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

McFarland, B., Miller, M. R., & Straumfjord, A. A. (1990). Valproate use in the older manic patient. Journal of Clinical Psychiatry, 51(11), 479-481.

Valproate use in the older manic patient. / McFarland, Bentson; Miller, M. R.; Straumfjord, A. A.

In: Journal of Clinical Psychiatry, Vol. 51, No. 11, 1990, p. 479-481.

Research output: Contribution to journalArticle

McFarland, B, Miller, MR & Straumfjord, AA 1990, 'Valproate use in the older manic patient', Journal of Clinical Psychiatry, vol. 51, no. 11, pp. 479-481.
McFarland B, Miller MR, Straumfjord AA. Valproate use in the older manic patient. Journal of Clinical Psychiatry. 1990;51(11):479-481.
McFarland, Bentson ; Miller, M. R. ; Straumfjord, A. A. / Valproate use in the older manic patient. In: Journal of Clinical Psychiatry. 1990 ; Vol. 51, No. 11. pp. 479-481.
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