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Risperidone in the long-term treatment for bipolar disorder

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No studies involving risperidone were identified which randomly assigned treatment for long-term relapse prevention. Trials involving random assignment of risperidone and other treatments for long-term treatment are needed.

Введение и актуальность

Risperidone, an atypical antipsychotic, is used to treat acute manic episodes, particularly when psychotic symptoms are present. Drugs used to treat mania are often continued as long-term treatment to prevent relapse. There is a need for evidence of the effectiveness and safety of risperidone as long-term treatment.

Задачи

To assess the randomised evidence for the efficacy and tolerability of risperidone compared with placebo or other active pharmacological treatments as long-term treatment for prevention or attenuation of further episodes of mood disorder in patients with bipolar disorder.

Методы поиска

The Cochrane Collaboration Depression, Anxiety and Neurosis Controlled Trials Register (CCDANCTR-Studies) was search on 12/10/2005, The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, MEDLINE, CINAHL and PsycINFO were searched in October 2005. Reference lists and English language textbooks were searched; researchers in the field were contacted.

Критерии отбора

Randomised trials comparing risperidone with placebo or other drug in long-term treatment for prevention of depressive or manic relapses.

Сбор и анализ данных

Not applicable.

Основные результаты

No randomised trials comparing risperidone with other treatments for the prevention of manic and depressive relapses were identified.

Выводы авторов

There is a need for randomised controlled trials comparing risperidone and other treatments for the prevention of relapse in bipolar disorder. The trials should involve randomisation of treatment for relapse prevention and involve long-term follow up.

Цитирование
Rendell JM, Geddes J. Risperidone in long-term treatment for bipolar disorder. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD004999. DOI: 10.1002/14651858.CD004999.pub2.

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