Seasonal Affective Disorder (SAD): Role of lamotrigine augmentation to anti-depressant medication in winter depression

Background: Many therapeutic options have been evaluated and tried for seasonal affective disorder (SAD) including bright light therapy (BLT), anti-depressants, beta-blockers and psychotherapy, but the data supporting use of mood-stabilizing agents is just handful in spite of this condition being un...

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Main Authors: Arshad Hussain, Majid Shafi Shah, Fazl E Roub, Mansoor Ahmad Dar, Zaid Ahmad Wani, Mohd Muzzaffar Jan, Rayees Ahmad Wani, Tariq Ahmad Bhat
Format: Article
Language:English
Published: SAGE Publishing 2015-01-01
Series:Indian Journal of Psychological Medicine
Subjects:
Online Access:http://www.ijpm.info/article.asp?issn=0253-7176;year=2015;volume=37;issue=3;spage=272;epage=276;aulast=Hussain
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author Arshad Hussain
Majid Shafi Shah
Fazl E Roub
Mansoor Ahmad Dar
Zaid Ahmad Wani
Mohd Muzzaffar Jan
Rayees Ahmad Wani
Tariq Ahmad Bhat
author_facet Arshad Hussain
Majid Shafi Shah
Fazl E Roub
Mansoor Ahmad Dar
Zaid Ahmad Wani
Mohd Muzzaffar Jan
Rayees Ahmad Wani
Tariq Ahmad Bhat
author_sort Arshad Hussain
collection DOAJ
description Background: Many therapeutic options have been evaluated and tried for seasonal affective disorder (SAD) including bright light therapy (BLT), anti-depressants, beta-blockers and psychotherapy, but the data supporting use of mood-stabilizing agents is just handful in spite of this condition being understood most frequently to be associated with bipolar affective disorder II (BPAD II). So we planned to study role of Lamotrigine (Mood stabilizing agent) in SAD. Materials and Methods: 30 patients of SAD who were prescribed lamotrigine in addition to antidepressant medications for a minimum of 8 weeks and were assessed for severity using HAM-D were selected retrospectively from the hospital records for this study. HAM-D scores at 2, 4 and 8 weeks were compared to baseline scores. Statistics Analysis: Single tailed t-test was used to study the difference of means to assess the therapeutic response and pre/post analysis of change. Statistical significance was set at P < 0.05. Results: Though no significant difference was seen in HAM-D Scores at 2 weeks of treatment compared to baseline, but results were statistically significant at 4 and 8 weeks of treatment with lamotrigine augmentation of antidepressant medications. Conclusion: We conclude that lamotrigine augmentation was found to be effective treatment strategy for managing winter depression phase of Seasonal Affective Disorder.
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spelling doaj.art-4f759291a20842acbe4ad499d08cbd5f2022-12-21T22:06:02ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71762015-01-0137327227610.4103/0253-7176.162916Seasonal Affective Disorder (SAD): Role of lamotrigine augmentation to anti-depressant medication in winter depressionArshad HussainMajid Shafi ShahFazl E RoubMansoor Ahmad DarZaid Ahmad WaniMohd Muzzaffar JanRayees Ahmad WaniTariq Ahmad BhatBackground: Many therapeutic options have been evaluated and tried for seasonal affective disorder (SAD) including bright light therapy (BLT), anti-depressants, beta-blockers and psychotherapy, but the data supporting use of mood-stabilizing agents is just handful in spite of this condition being understood most frequently to be associated with bipolar affective disorder II (BPAD II). So we planned to study role of Lamotrigine (Mood stabilizing agent) in SAD. Materials and Methods: 30 patients of SAD who were prescribed lamotrigine in addition to antidepressant medications for a minimum of 8 weeks and were assessed for severity using HAM-D were selected retrospectively from the hospital records for this study. HAM-D scores at 2, 4 and 8 weeks were compared to baseline scores. Statistics Analysis: Single tailed t-test was used to study the difference of means to assess the therapeutic response and pre/post analysis of change. Statistical significance was set at P < 0.05. Results: Though no significant difference was seen in HAM-D Scores at 2 weeks of treatment compared to baseline, but results were statistically significant at 4 and 8 weeks of treatment with lamotrigine augmentation of antidepressant medications. Conclusion: We conclude that lamotrigine augmentation was found to be effective treatment strategy for managing winter depression phase of Seasonal Affective Disorder.http://www.ijpm.info/article.asp?issn=0253-7176;year=2015;volume=37;issue=3;spage=272;epage=276;aulast=HussainAnti-depressantLamotriginemood-stabilizerseasonal affective disorder
spellingShingle Arshad Hussain
Majid Shafi Shah
Fazl E Roub
Mansoor Ahmad Dar
Zaid Ahmad Wani
Mohd Muzzaffar Jan
Rayees Ahmad Wani
Tariq Ahmad Bhat
Seasonal Affective Disorder (SAD): Role of lamotrigine augmentation to anti-depressant medication in winter depression
Indian Journal of Psychological Medicine
Anti-depressant
Lamotrigine
mood-stabilizer
seasonal affective disorder
title Seasonal Affective Disorder (SAD): Role of lamotrigine augmentation to anti-depressant medication in winter depression
title_full Seasonal Affective Disorder (SAD): Role of lamotrigine augmentation to anti-depressant medication in winter depression
title_fullStr Seasonal Affective Disorder (SAD): Role of lamotrigine augmentation to anti-depressant medication in winter depression
title_full_unstemmed Seasonal Affective Disorder (SAD): Role of lamotrigine augmentation to anti-depressant medication in winter depression
title_short Seasonal Affective Disorder (SAD): Role of lamotrigine augmentation to anti-depressant medication in winter depression
title_sort seasonal affective disorder sad role of lamotrigine augmentation to anti depressant medication in winter depression
topic Anti-depressant
Lamotrigine
mood-stabilizer
seasonal affective disorder
url http://www.ijpm.info/article.asp?issn=0253-7176;year=2015;volume=37;issue=3;spage=272;epage=276;aulast=Hussain
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AT mansoorahmaddar seasonalaffectivedisordersadroleoflamotrigineaugmentationtoantidepressantmedicationinwinterdepression
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AT tariqahmadbhat seasonalaffectivedisordersadroleoflamotrigineaugmentationtoantidepressantmedicationinwinterdepression