Original Research J Clin Psychiatry June 2023

The Effect of Lurasidone on Anxiety Symptoms in Patients With Bipolar Depression: A Post Hoc Analysis

JCP 2023;84(4):10.4088/JCP.22m14732

Full Article Read the complete peer-reviewed article in J Clin Psychiatry. JCP 2023;84(4):10.4088/JCP.22m14732 Clinical Summary Anxiety symptoms and sleep disturbance are common during bipolar depression and add clinical burden, yet clinicians often have little bipolar-specific evidence to guide treatment of these symptoms. This analysis asks a practical question: when treating bipolar I depression with lurasidone, how much improvement occurs in psychic and somatic anxiety, and does reduced sleep identify patients with a stronger anxiolytic response? FAQ Did lurasidone improve anxiety symptoms in patients with bipolar I depression? 9 questions
Key Takeaways Lurasidone separated from placebo on both anxiety domains over 6 weeks in bipolar I depression, with larger placebo-corrected differences for psychic anxiety than somatic anxiety in both monotherapy and adjunctive treatment. 6 takeaways Clinical Guide How should clinicians assess anxiety symptoms and sleep disturbance before starting lurasidone for bipolar I depression? 6 steps Clinical Guide How should clinicians monitor anxiety, sleep, and functioning during a 6-week lurasidone trial for bipolar I depression? 6 steps