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The American Journal of Psychiatry, VOL. 146, No. 1

REGULAR ARTICLES | January 01, 1989

Clonazepam treatment of five lithium-refractory patients with bipolar disorder

Am J Psychiatry 1989;146:77-80.

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Abstract

The authors describe the first five patients enrolled in an open clinical trial of clonazepam as a maintenance treatment in lithium- refractory bipolar disorder. All patients relapsed quickly after taking clonazepam (one within 2 weeks and four within 10-15 weeks), and the study was prematurely terminated. The results cast doubt over the usefulness of clonazepam as a prophylaxis in lithium-resistant bipolar patients who have histories of psychotic mania or delusional depression.

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