D J Muzina
Affiliation: Cleveland Clinic Foundation
- Bipolar spectrum disorder: differential diagnosis and treatmentDavid J Muzina
Cleveland Clinic Neurology Institute Psychiatry, 9500 Euclid Avenue, P57, Cleveland, OH 44195, USA
Prim Care 34:521-50, vi. 2007..Primary care providers often encounter patients who have depression and mood problems, placing them in a key position for the diagnosis and treatment of this psychiatric illness...
- Lamotrigine and antiepileptic drugs as mood stabilizers in bipolar disorderD J Muzina
Department of Psychiatry and Psychology, Cleveland Clinic Foundation, Cleveland Clinic Lerner College of Medicine, Case University, OH, USA
Acta Psychiatr Scand Suppl . 2005..To review the clinical trials literature on the use of antiepileptic drugs (AED) as mood stabilizers and to suggest an evidence-based approach when utilizing these agents in bipolar disorder...
- Treatment and prevention of mania in bipolar I disorder: focus on aripiprazoleDavid J Muzina
Center for Mood Disorders Treatment and Research, Cleveland Clinic Neurological Institute, Cleveland, Ohio, USA
Neuropsychiatr Dis Treat 5:279-88. 2009..Safety and tolerability issues, patient-focused perspectives and aripiprazole's place in therapy for bipolar mania will be covered...
- Recognizing and treating social anxiety disorderD J Muzina
Department of Psychiatry and Psychology, Cleveland Clinic Foundation, OH 44195, USA
Cleve Clin J Med 68:649-57. 2001..Social anxiety disorder can be diagnosed by a careful history and can be treated successfully with medications or psychosocial interventions...
- Aripiprazole monotherapy in patients with rapid-cycling bipolar I disorder: an analysis from a long-term, double-blind, placebo-controlled studyD J Muzina
Cleveland Clinic Lerner College of Medicine, Cleveland, OH 44195, USA
Int J Clin Pract 62:679-87. 2008....
- Pharmacologic treatment of rapid cycling and mixed states in bipolar disorder: an argument for the use of lithiumDavid J Muzina
Center for Mood Disorders Treatment and Research, Cleveland Clinic Neurological Institute, Cleveland, OH 44195, USA
Bipolar Disord 11:84-91. 2009....
- Differentiating bipolar disorder from depression in primary careDavid J Muzina
Bipolar Disorders Research Unit, Department of Psychiatry and Psychology, Cleveland Clinic, OH 44195, USA
Cleve Clin J Med 74:89, 92, 95-9 passim. 2007..Greater diagnostic accuracy is needed...
- Differentiating bipolar disorders from major depressive disorders: treatment implicationsDavid J Muzina
Cleveland Clinic Neurological Institute, Psychiatry and Psychology, Cleveland, OH 44195, USA
Ann Clin Psychiatry 19:305-12. 2007..Bipolar disorder is a highly prevalent mood disorder, frequently misdiagnosed as unipolar major depressive disorder...
- Maintenance therapies in bipolar disorder: focus on randomized controlled trialsDavid J Muzina
Bipolar Disorders Research Unit, Department of Psychiatry and Psychology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA
Aust N Z J Psychiatry 39:652-61. 2005..This article reviews available data with an emphasis on double-blind, placebo-controlled studies that examine the efficacy of lithium and other putative mood stabilizers: carbamazepine, divalproex, lamotrigine and olanzapine...
- What physicians can do to prevent suicideDavid J Muzina
Department of Psychiatry and Psychology, The Cleveland Clinic Foundation, OH 44195, USA
Cleve Clin J Med 71:242-50. 2004..The first step is to suspect that the patient might be at risk, and the second step is to ask about it. Nevertheless, one cannot predict whether any particular person will or will not attempt suicide...
- Recent placebo-controlled acute trials in bipolar depression: focus on methodologyDavid J Muzina
Cleveland Clinic Foundation, Cleveland, Ohio, USA
Int J Neuropsychopharmacol 6:285-91. 2003..Moclobemide monotherapy was similar in efficacy to imipramine (n=156), but had a lower rate of switching (4% vs. 11%)...
- Antiepileptic drugs in psychiatry-focus on randomized controlled trialDavid J Muzina
Department of Psychiatry and Psychology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Epilepsy Res 50:195-202. 2002..This article will review the double-blind, placebo-controlled literature regarding the safety and spectrum of efficacy associated with the use of the above drugs in mood and anxiety disorders...
- Medication treatment perceptions, concerns and expectations among depressed individuals with Type I Bipolar DisorderMartha Sajatovic
Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States
J Affect Disord 115:360-6. 2009..This cross-sectional study combined qualitative and quantitative approaches to evaluate perceived treatment effects, concerns and expectations among 90 individuals with BD...
- Treatment-emergent mania/hypomania during antidepressant monotherapy in patients with rapid cycling bipolar disorderKeming Gao
Department of Psychiatry, Bipolar Disorder Research Center at Mood Disorders Program, Case Western Reserve University School of Medicine, University Hospitals Case Medical Center, 10524 Euclid Avenue, Cleveland, OH 44106, USA
Bipolar Disord 10:907-15. 2008..To study treatment-emergent mania/hypomania (TEM) associated with second-generation antidepressant monotherapy in patients with rapid cycling bipolar disorder (RCBD)...
- Acute treatment of mania: an update on new medicationsPrashant Gajwani
Case School of Medicine, Mood Disorders Program, University Hospitals Case Medical Center, 11400 Euclid Avenue, Suite 200, Cleveland, OH 44106, USA
Curr Psychiatry Rep 8:504-9. 2006....
- Fibromyalgia and bipolar disorder: a potential problem?William S Wilke
Department of Rheumatic and Immunologic Diseases, Cleveland Clinic Orthopedic and Rheumatologic Institute, Cleveland, OH 44195, USA
Bipolar Disord 12:514-20. 2010..To screen patients with fibromyalgia for bipolar disorder and to determine if there were any clinical clues, other than the Mood Disorders Questionnaire (MDQ), which might suggest a diagnosis of comorbid bipolar disorder...
- A review of sensitivity and tolerability of antipsychotics in patients with bipolar disorder or schizophrenia: focus on somnolenceKeming Gao
Department of Psychiatry, Bipolar Disorder Research Center at Mood Disorders Program, University Hospitals Case Medical Center Case Western Reserve University, School of Medicine, Cleveland, Ohio, USA
J Clin Psychiatry 69:302-9. 2008..This study compared the sensitivity and tolerability of antipsychotics in patients with bipolar disorder or schizophrenia...
- Predictors of bipolar disorder risk among patients currently treated for major depressionJoseph R Calabrese
Mood Disorders Program, Department of Psychiatry, Case Western Reserve University, University Hospitals of Cleveland, Cleveland, Ohio, USA
MedGenMed 8:38. 2006..The primary objective of this study was to assess the rate of bipolar disorder (BPD) risk among patients unsuccessfully treated for major depression and to identify predictors of bipolarity...
- Bipolar depression: trial-based insights to guide patient careDavid E Kemp
Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, Ohio, USA
Dialogues Clin Neurosci 10:181-92. 2008..A pragmatic clinical approach is presented for management of the depressed phase of bipolar disorder...
- Treatment-emergent mania in unipolar and bipolar depression: focus on repetitive transcranial magnetic stimulationGuohua Xia
Department of Psychiatry, Case Western Reserve University, Cleveland, OH 44106, USA
Int J Neuropsychopharmacol 11:119-30. 2008..More systematic studies are needed to better understand TEM associated with rTMS. Special precautions and measures should be adopted to prevent, monitor, and manage TEM in research and practice...
- Atypical antipsychotics: new drugs, new challengesManu Mathews
Department of Psychiatry and Psychology, Cleveland Clinic Foundation, OH 44195, USA
Cleve Clin J Med 74:597-606. 2007..Patients taking atypical antipsychotics should be monitored for glycemic and cardiovascular risk factors and should receive treatment for such problems as they arise...
- Bipolar disorder and suicide: research synthesis and clinical translationRoger S McIntyre
Department of Psychiatry and Pharmacology, University of Toronto, Mood Disorders Psychopharmacology Unit, University Health Network, 399 Bathurst Street, Toronto, Ontario M5T 2S8, Canada
Curr Psychiatry Rep 10:66-72. 2008..A nascent database suggests that adjunctive psychosocial interventions may further reduce suicide risk in bipolar individuals...
- Anticonvulsants in bipolar disorderVivek Singh
Department of Psychiatry, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive Mail Code 7792, San Antonio, TX 78229, USA
Psychiatr Clin North Am 28:301-23. 2005....
- Teratogenicity and anticonvulsants: lessons from neurology to psychiatryAdele Casals Viguera
Perinatal and Reproductive Psychiatry Program, Massachusetts General Hospital, Boston, MA 02114, USA
J Clin Psychiatry 68:29-33. 2007..Data from these registries are helping medical professionals in assessing risks associated with anticonvulsant use during pregnancy and communicating those risks to patients...