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October 17, 2005

ShareMood Stabilisers Plus Risperidone or Placebo In The Treatment of Acute Mania

Results: Young Mania Rating Scale (YMRS) scores improved rapidly with significantly greater reductions at week 1 in the risperidone group compared with the placebo group. At end-point YMRS scores decreased by 14.5 and 10.3 points in the risperidone and placebo groups, respectively. Significant improvements v. placebo (P<0.05) were noted in the risperidone group on several other clinically meaningful measures.

Additionally, a post hoc analysis excluding carbamazepoine-treated patients (plasma concentrations of risperidone active moiety were 40% lower in this group) revealed significantly greater reductions (P=0.047) in YMRS scores in the risperidone group than in the placebo group. Incidence of adverse events was similar in both groups.

Conclusions: Risperidone is superior to placebo when used in combination with lithium or divalproex in acute mania.

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