Send to:

Choose Destination
See comment in PubMed Commons below
J Affect Disord. 1998 Jan;47(1-3):201-5.

Divalproate augmentation in lithium-resistant rapid cycling mania in four geriatric patients.

Author information

  • 1Pharmacology Research Institute, Northridge, CA 91324-4625, USA.


This report describes four geriatric patients, with rapid cycling bipolar disorder, who were treated successfully with divalproex sodium in combination with lithium carbonate, noting that both drugs were necessary for clinical remission of symptoms. Divalproex sodium may actually enhance the sensitivity to lithium carbonate in this population, potentially leading to treatment with lower lithium concentrations. This strategy has an advantage in enabling a greater safety range in the use of lithium carbonate in elderly patients. This report further raises questions as to the nature of rapid cycling illness in the "old-old" population.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk