At a glance
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Lithium Use for Bipolar Disorder (LiTMUS): A Randomized Controlled Effectiveness Trial
In Brief
A Phase 4 clinical trial evaluating Lithium Carbonate and Optimized Treatment (OPT) for Bipolar Disorder. Completed, enrolled 283 participants across 6 sites.
Detailed Summary
This study evaluated whether lithium included as part of optimized medication treatment improved overall level of illness, symptoms of mania and depression, and quality of life in people with bipolar disorder.
Study Details
Timeline
Interventions
Lithium was started at 300 mg and then increased to 600 mg after 3 days. Lithium doses were maintained at 600 mg per day for 8 weeks, but may have been adjusted after that time as needed up to a serum level of 1.2 mEq/L.
The foundation of OPT was to maintain treatment that will typically include at least one FDA-approved mood stabilizer other than lithium (e.g., divalproex, carbamazepine, risperidone, quetiapine, olanzapine, aripiprazole, ziprasidone) and to follow the recommendations summarized in the evidence-based stages of the Texas Implementation of Medication Algorithm (TIMA) revised guidelines.