International Consensus Group on the evidence-based pharmacologic treatment of bipolar I and II depression.

In 2004, an International Consensus Group (ICG) developed and published recommendations for the treatment of bipolar I depression based on available clinical evidence. The ICG reconvened in October 2007 to reevaluate clinical trial data published in the intervening years on the treatment of bipolar I depression. In addition, the ICG extended the scope of its discussions to consider published evidence for the treatment of bipolar II depression and also special populations of patients with bipolar depression. As in 2004, the ICG agreed that these recommendations should be based on the available clinical evidence rather than expert opinion, in order to encompass all pharmacologic agents that have been evaluated for the treatment of bipolar depression.

[1]  P. Pennell,et al.  Lamotrigine in Breast Milk and Nursing Infants: Determination of Exposure , 2008, Pediatrics.

[2]  R. Baldessarini,et al.  Lamotrigine in bipolar disorder: efficacy during pregnancy. , 2008, Bipolar disorders.

[3]  T. Tomson,et al.  Teratogenic effects of antiepileptic drugs , 2008, Seizure.

[4]  J. Calabrese,et al.  Lamotrigine in the acute treatment of bipolar depression: results of five double-blind, placebo-controlled clinical trials. , 2008, Bipolar disorders.

[5]  M. Thase,et al.  Aripiprazole Monotherapy in Nonpsychotic Bipolar I Depression: Results of 2 Randomized, Placebo-Controlled Studies , 2008, Journal of clinical psychopharmacology.

[6]  P. Mitchell,et al.  Diagnostic guidelines for bipolar depression: a probabilistic approach. , 2008, Bipolar disorders.

[7]  T. Suppes,et al.  Bipolar II disorder: arguments for and against a distinct diagnostic entity. , 2008, Bipolar Disorders.

[8]  R. Hirschfeld,et al.  Quetiapine for the treatment of bipolar II depression: Analysis of data from two randomized, double-blind, placebo-controlled studies , 2008, The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry.

[9]  Megan M. Filkowski,et al.  Divalproex in the treatment of acute bipolar depression: a preliminary double-blind, randomized, placebo-controlled pilot study. , 2007, The Journal of clinical psychiatry.

[10]  M. Eadie,et al.  The Australian Register of Antiepileptic Drugs in Pregnancy: The first 1002 pregnancies , 2007, The Australian & New Zealand journal of obstetrics & gynaecology.

[11]  R. Baldessarini,et al.  Risk of recurrence in women with bipolar disorder during pregnancy: prospective study of mood stabilizer discontinuation. , 2007, The American journal of psychiatry.

[12]  K. Meador,et al.  Cognitive/behavioral teratogenetic effects of antiepileptic drugs , 2007, Epilepsy & Behavior.

[13]  Z. Stowe The use of mood stabilizers during breastfeeding. , 2007, The Journal of clinical psychiatry.

[14]  Mark A Frye,et al.  A placebo-controlled evaluation of adjunctive modafinil in the treatment of bipolar depression. , 2007, The American journal of psychiatry.

[15]  T. Suppes,et al.  Three times more days depressed than manic or hypomanic in both bipolar I and bipolar II disorder. , 2007, Bipolar disorders.

[16]  J. Calabrese,et al.  Quetiapine monotherapy in the treatment of patients with bipolar I or II depression and a rapid-cycling disease course: a randomized, double-blind, placebo-controlled study. , 2007, Bipolar disorders.

[17]  A. Young,et al.  Effectiveness of mood stabilizers and antipsychotics in the maintenance phase of bipolar disorder: a systematic review of randomized controlled trials. , 2007, Bipolar disorders.

[18]  M. Cunnington,et al.  Effect of Dose on the Frequency of Major Birth Defects Following Fetal Exposure to Lamotrigine Monotherapy in an International Observational Study , 2007, Epilepsia.

[19]  R. Kessler,et al.  Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. , 2007, Archives of general psychiatry.

[20]  David J Miklowitz,et al.  Effectiveness of adjunctive antidepressant treatment for bipolar depression. , 2007, The New England journal of medicine.

[21]  R. Baldessarini,et al.  Lithium in breast milk and nursing infants: clinical implications. , 2007, The American journal of psychiatry.

[22]  J. Calabrese,et al.  Efficacy of Quetiapine Monotherapy in Bipolar I and II Depression: A Double-blind, Placebo-controlled Study (The BOLDER II Study) , 2006, Journal of clinical psychopharmacology.

[23]  L. Altshuler,et al.  Atypical antipsychotics in the treatment of schizophrenia during pregnancy and the postpartum. , 2006, The American journal of psychiatry.

[24]  Verinder Sharma,et al.  Olanzapine in the prevention of postpartum psychosis and mood episodes in bipolar disorder. , 2006, Bipolar disorders.

[25]  T. Suppes,et al.  Mood switch in bipolar depression: comparison of adjunctive venlafaxine, bupropion and sertraline , 2006, British Journal of Psychiatry.

[26]  M. Tohen,et al.  A 7-week, randomized, double-blind trial of olanzapine/fluoxetine combination versus lamotrigine in the treatment of bipolar I depression. , 2006, The Journal of clinical psychiatry.

[27]  G. Parker,et al.  SSRIs as mood stabilizers for Bipolar II Disorder? A proof of concept study. , 2006, Journal of affective disorders.

[28]  J. Calabrese,et al.  Treatment-resistant bipolar depression: a STEP-BD equipoise randomized effectiveness trial of antidepressant augmentation with lamotrigine, inositol, or risperidone. , 2006, The American journal of psychiatry.

[29]  M. Keller,et al.  Prevalence and impact of comorbid anxiety and bipolar disorder. , 2006, The Journal of clinical psychiatry.

[30]  W. Hauser,et al.  Lamotrigine and the risk of malformations in pregnancy , 2006, Neurology.

[31]  S. Frangou,et al.  Efficacy of ethyl-eicosapentaenoic acid in bipolar depression: Randomised double-blind placebo-controlled study , 2006, British Journal of Psychiatry.

[32]  L. Judd,et al.  Psychosocial disability in the course of bipolar I and II disorders: a prospective, comparative, longitudinal study. , 2005, Archives of general psychiatry.

[33]  D. Newport,et al.  Lithium placental passage and obstetrical outcome: implications for clinical management during late pregnancy. , 2005, The American journal of psychiatry.

[34]  J. Calabrese,et al.  A 20-month, double-blind, maintenance trial of lithium versus divalproex in rapid-cycling bipolar disorder. , 2005, The American journal of psychiatry.

[35]  Roy H Perlis,et al.  Misdiagnosis of bipolar disorder. , 2005, The American journal of managed care.

[36]  B. Irwin,et al.  Malformation risks of antiepileptic drugs in pregnancy: a prospective study from the UK Epilepsy and Pregnancy Register , 2005, Journal of Neurology, Neurosurgery & Psychiatry.

[37]  N. Craddock,et al.  Bipolar disorder and childbirth: the importance of recognising risk. , 2005, The British journal of psychiatry : the journal of mental science.

[38]  M. Tohen,et al.  Analyses of treatment-emergent mania with olanzapine/fluoxetine combination in the treatment of bipolar depression. , 2005, The Journal of clinical psychiatry.

[39]  G. Koren,et al.  Pregnancy outcome of women using atypical antipsychotic drugs: a prospective comparative study. , 2005, The Journal of clinical psychiatry.

[40]  A. Bartolucci,et al.  Divalproex in the treatment of bipolar depression: a placebo-controlled study. , 2005, Journal of affective disorders.

[41]  G. Baker,et al.  Neuropsychological effects of exposure to anticonvulsant medication in utero , 2005, Neurology.

[42]  L. Holmes,et al.  Increased rate of major malformations in offspring exposed to valproate during pregnancy , 2005, Neurology.

[43]  B. Hanusa,et al.  Prevention of postpartum episodes in women with bipolar disorder , 2004, Biological Psychiatry.

[44]  J. Clayton-Smith,et al.  A note on Pierre Marie (1853–1940) , 2004, Journal of Neurology, Neurosurgery & Psychiatry.

[45]  G. Goodwin,et al.  Antidepressants for bipolar depression: a systematic review of randomized, controlled trials. , 2004, The American journal of psychiatry.

[46]  K. Denicoff,et al.  Pramipexole for bipolar II depression: a placebo-controlled proof of concept study , 2004, Biological Psychiatry.

[47]  E. Lieberman,et al.  The AED (antiepileptic drug) pregnancy registry: a 6-year experience. , 2004, Archives of neurology.

[48]  J. Calabrese,et al.  International Consensus Group on Bipolar I Depression Treatment Guidelines. , 2004, The Journal of clinical psychiatry.

[49]  E. Leibenluft,et al.  Management of bipolar disorder during pregnancy and the postpartum period. , 2004, The American journal of psychiatry.

[50]  K. Burdick,et al.  Preliminary randomized, double-blind, placebo-controlled trial of pramipexole added to mood stabilizers for treatment-resistant bipolar depression. , 2004, The American journal of psychiatry.

[51]  J. Calabrese,et al.  A pooled analysis of 2 placebo-controlled 18-month trials of lamotrigine and lithium maintenance in bipolar I disorder. , 2004, The Journal of clinical psychiatry.

[52]  K. Jamison,et al.  Long-term lithium therapy for bipolar disorder: systematic review and meta-analysis of randomized controlled trials. , 2004, The American journal of psychiatry.

[53]  V. Hiilesmaa,et al.  Normal intelligence in children with prenatal exposure to carbamazepine , 2004, Neurology.

[54]  J. Calabrese,et al.  A placebo-controlled 18-month trial of lamotrigine and lithium maintenance treatment in recently depressed patients with bipolar I disorder. , 2003, The Journal of clinical psychiatry.

[55]  Mark A Frye,et al.  Morbidity in 258 bipolar outpatients followed for 1 year with daily prospective ratings on the NIMH life chart method. , 2003, The Journal of clinical psychiatry.

[56]  J. Calabrese,et al.  A placebo-controlled 18-month trial of lamotrigine and lithium maintenance treatment in recently manic or hypomanic patients with bipolar I disorder. , 2003, Archives of general psychiatry.

[57]  S. Checkley,et al.  Estrogen administration does not reduce the rate of recurrence of affective psychosis after childbirth. , 2003, The Journal of clinical psychiatry.

[58]  R. Hirschfeld,et al.  Perceptions and impact of bipolar disorder: how far have we really come? Results of the national depressive and manic-depressive association 2000 survey of individuals with bipolar disorder. , 2003, The Journal of clinical psychiatry.

[59]  R. Baldessarini,et al.  Managing Bipolar Disorder during Pregnancy: Weighing the Risks and Benefits , 2002, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[60]  John A. Rice,et al.  The long-term natural history of the weekly symptomatic status of bipolar I disorder. , 2002, Archives of general psychiatry.

[61]  P. Keck,et al.  The impact of reproductive events on the course of bipolar disorder in women. , 2002, The Journal of clinical psychiatry.

[62]  C. Ernst,et al.  The reproductive safety profile of mood stabilizers, atypical antipsychotics, and broad-spectrum psychotropics. , 2002, The Journal of clinical psychiatry.

[63]  E. Vieta,et al.  Clinical correlates of psychiatric comorbidity in bipolar I patients. , 2001, Bipolar disorders.

[64]  L. Altshuler,et al.  The use of psychotropic medications during breast-feeding. , 2001, The American journal of psychiatry.

[65]  C. Nemeroff,et al.  Double-blind, placebo-controlled comparison of imipramine and paroxetine in the treatment of bipolar depression. , 2001, The American journal of psychiatry.

[66]  D. Chadwick,et al.  Additional educational needs in children born to mothers with epilepsy , 2001, Journal of neurology, neurosurgery, and psychiatry.

[67]  M. Alda,et al.  Protective effect of pregnancy in women with lithium-responsive bipolar disorder. , 2000, Journal of affective disorders.

[68]  J. Calabrese,et al.  A double-blind, placebo-controlled, prophylaxis study of lamotrigine in rapid-cycling bipolar disorder. Lamictal 614 Study Group. , 2000, The Journal of clinical psychiatry.

[69]  L. Pollack,et al.  Psychosocial Functioning of People with Substance Abuse and Bipolar Disorders , 2000, Substance abuse.

[70]  R. Baldessarini,et al.  Does lithium treatment still work? Evidence of stable responses over three decades. , 2000, Archives of general psychiatry.

[71]  L. Chaudron,et al.  Mood stabilizers during breastfeeding: a review. , 2000, The Journal of clinical psychiatry.

[72]  R. Baldessarini,et al.  Risk of recurrence of bipolar disorder in pregnant and nonpregnant women after discontinuing lithium maintenance. , 2000, The American journal of psychiatry.

[73]  F. Benazzi A comparison of the age of onset of bipolar I and bipolar II outpatients. , 1999, Journal of affective disorders.

[74]  J. Calabrese,et al.  A double-blind placebo-controlled study of lamotrigine monotherapy in outpatients with bipolar I depression. Lamictal 602 Study Group. , 1999, The Journal of clinical psychiatry.

[75]  M. Tohen,et al.  Olanzapine versus placebo in the treatment of acute mania , 1998, European Psychiatry.

[76]  J. Vallejo,et al.  Suicidal behavior in bipolar I and bipolar II disorder. , 1997, The Journal of nervous and mental disease.

[77]  J. Vallejo,et al.  Differential features between bipolar I and bipolar II disorder. , 1997, Comprehensive psychiatry.

[78]  J. Rosenbaum,et al.  Postpartum prophylaxis for women with bipolar disorder. , 1996, The American journal of psychiatry.

[79]  E. Leibenluft Women with bipolar illness: clinical and research issues. , 1996, The American journal of psychiatry.

[80]  J. Rosenbaum,et al.  Prophylactic estrogen in recurrent postpartum affective disorder , 1995, Biological Psychiatry.

[81]  A. Zis,et al.  Treatment of Acute Bipolar Depression: A Review of the Literature , 1995, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[82]  C. Brogan Lithium prophylaxis in recurrent affective illness , 1994, British Journal of Psychiatry.

[83]  J. Jefferson,et al.  A reevaluation of risk of in utero exposure to lithium. , 1994, JAMA.

[84]  M-P. V. Austin Puerperal Affective Psychosis: is There a Case for Lithium Prophylaxis? , 1992, British Journal of Psychiatry.

[85]  D. Stewart,et al.  Prophylactic Lithium in Puerperal Psychosis , 1991, British Journal of Psychiatry.

[86]  J. Cohn,et al.  A comparison of fluoxetine imipramine and placebo in patients with bipolar depressive disorder. , 1989, International clinical psychopharmacology.

[87]  N. Andreasen,et al.  Bipolar I, bipolar II, and nonbipolar major depression among the relatives of affectively ill probands. , 1985, The American journal of psychiatry.

[88]  R. Prien,et al.  Lithium carbonate and imipramine in prevention of affective episodes. A comparison in recurrent affective illness. , 1973, Archives of general psychiatry.

[89]  J. Ballenger A Randomized, Double-Blind, Placebo-Controlled Trial of Quetiapine in the Treatment of Bipolar I or II Depression , 2007 .

[90]  R. Ehrenkranz In utero antiepileptic drug exposure: Fetal death and malformations , 2007 .

[91]  J. Suvisaari,et al.  Lifetime prevalence of psychotic and bipolar I disorders in a general population. , 2007, Archives of general psychiatry.

[92]  ACOG Practice Bulletin No. 87 November 2007: Use of psychiatric medications during pregnancy and lactation. , 2007, Obstetrics and gynecology.

[93]  John A. Rice,et al.  The comparative clinical phenotype and long term longitudinal episode course of bipolar I and II: a clinical spectrum or distinct disorders? , 2003, Journal of affective disorders.

[94]  J. Nurnberger,et al.  Women with bipolar disorder: findings from the NIMH Genetics Initiative sample. , 1998, Psychopharmacology bulletin.

[95]  O. Rafaelsen,et al.  Psychiatric illness in relation to pregnancy and childbirth II. Diagnostic profiles, psychosocial and perinatal aspects , 1989 .

[96]  R. Post,et al.  Antidepressant effects of carbamazepine. , 1986, The American journal of psychiatry.