Effects of adjunctive memantine on executive function and global cognition in bipolar disorder (BD): A randomized, double-blind, placebo-controlled clinical trial.
Hasan Mirzazadeh, Erfan Sadeghi, Sara Mostafavi et al.
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In 30 seconds
This randomized, double-blind, placebo-controlled trial assessed the effects of adjunctive memantine on cognitive function in 63 patients with bipolar I disorder receiving lithium and olanzapine. Results indicated that memantine significantly improved global cognition at week 6 (MD = 9.32) and week 18 (MD = 12.69), as well as executive function by week 18 (MD = 2.68).
Key findings
- Memantine improved global cognition at week 6 (MD = 9.32; P < 0.001).
- Global cognition improvement continued at week 18 (MD = 12.69; P < 0.001).
- Executive function scores favored memantine at week 18 (MD = 2.68; P < 0.001).
- Significant benefits were observed in attention, memory, and several FAB subscales by week 18.
Why it matters
Cognitive impairment is a significant issue in bipolar disorder, impacting patient quality of life. This study suggests that memantine may offer a pharmacological option to enhance cognitive function, potentially improving overall patient outcomes.