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Volume 67, Number 11, December 12, 2006
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NEUROLOGY 2006;67:1916-1925
© 2006 American Academy of Neurology


Views & Reviews

Psychotropic effects of antiepileptic drugs

Alan B. Ettinger, MD

From North Shore-LIJ Comprehensive Epilepsy Centers, New Hyde Park, NY.

Address correspondence and reprint requests to Dr. Alan B. Ettinger, EEG Lab, North Shore-LIJ, Comprehensive Epilepsy Centers, 270-05 76th Ave., New Hyde Park, NY 11040; e-mail: aettinge{at}lij.edu

Background: Mood disorder symptoms are common in patients with epilepsy. Since antiepileptic drugs (AEDs) can affect these symptoms, knowledge of the psychotropic properties of AEDs is crucial. We review most studies of the psychotropic effects of AEDs that have involved potential psychiatric applications and have been reported in the psychiatric literature.

Methods: We conducted a comprehensive literature search to identify relevant clinical trial reports on the efficacy of AEDs for mood disorders.

Results: There have been few randomized controlled trials studying AED psychotropic properties in patients with epilepsy, but some randomized controlled trials of potential psychiatric indications for AEDs have been published. Data from these studies suggest that specific AEDs have mood stabilizing, anxiolytic, and antidepressant properties, while others may elicit depression, agitation, or psychosis.

Conclusion: Antiepileptic drug selection should consider potential effects on mood and behavior.


Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the December 12 issue to find the title link for this article.

Funded through an unrestricted educational grant from GlaxoSmithKline.

Disclosure: The authors report no conflicts of interest.

Received March 30, 2006. Accepted in final form August 1, 2006.




This article has been cited by other articles:


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Psychotropic effects of antiepileptic drugs
Neurology, October 16, 2007; 69(16): 1640 - 1640.
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Journal Watch Neurology, February 27, 2007; 2007(227): 3 - 3.
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Correspondence:

Read all Correspondence

Psychotropic effects of antiepileptic drugs
Laura S. Boylan
Neurology Online, 15 Jul 2007 [Full text]
Reply from the Author
Alan B. Ettinger, M.D.
Neurology Online, 15 Jul 2007 [Full text]



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