2007 issue 4

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Volume 23, issue 4

Original article

The efficacy of antiepileptic drugs in the treatment of anxiety disorders

Jan Jaracz1
1. Klinika Psychiatrii Dorosłych Uniwersytetu Medycznego w Poznaniu
Farmakoterapia w Psychiatrii i Neurologii, 2007, 4, 187–194
Keywords: antiepileptic drugs, anxiety disorders

Abstract

The GABA system plays the pivotal role in anxiety disorders. Most of antiepileptic drugs increase the GABA neurotransmission which may suggest a potential anxiolytic properties. A Medline search using key words: panic disorder, social anxiety disorder, generalized anxiety disorder, posttraumatic stress disorder and carbamazepine, valproates gabapentine, pregabaline, tiagabine, topiramate, levetiracetam found 35 articles (randomised, control studies, open studies and case reports). Randomized, placebo controlled studies confi rmed the efficacy of pregabaline in generalized anxiety disorder and. social phobia and gabapentine in social phobia. Results of open studies need a confi rmation in randomized controlled trials to determine the place of antiepileptic drugs in pharmacotherapy of anxiety disorders.

Address for correspondence:
Jan Jaracz
Klinika Psychiatrii Dorosłych im. K. Marcinkowskiego UM w Poznaniu
ul. Szpitalna 27/33, 60-572 Poznań
tel. ( 0 61) 849 15 31, fax. (0 61) 8 48 03 92
e-mail: jjaracz@ump.edu.pl