Memantine Augmentation for Obsessive-Compulsive Symptoms in Bipolar Disorder: A Randomized, Double-Blind, Placebo-Controlled Trial.
Hamzeh Rostami, Zahra Dorafshan, Neda Sadrizadeh Irani et al.
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In 30 seconds
This randomized, double-blind, placebo-controlled trial assessed memantine's efficacy as an adjunctive treatment for obsessive-compulsive symptoms in 46 patients with bipolar disorder. The memantine group demonstrated a significant reduction in Yale-Brown Obsessive-Compulsive Scale scores compared to placebo, with a Cohen d of 1.57.
Key findings
- Memantine group had a Cohen d of 1.57 in Yale-Brown Obsessive-Compulsive Scale scores.
- Placebo group had a Cohen d of 0.42.
- P-value for the difference was less than 0.001.
- Nausea was the most common side effect reported.
Why it matters
Obsessive-compulsive symptoms in bipolar disorder can complicate treatment. This study suggests that memantine may provide a beneficial adjunctive option, potentially improving patient outcomes.