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Clinical trial to study the efficacy of folic acid in patients with Bipolar Mania and correlating it with serum homocysteine levels

Phase 2
Completed
Conditions
Health Condition 1: F312- Bipolar disorder, current episodemanic severe with psychotic features
Registration Number
CTRI/2020/05/025260
Lead Sponsor
Central Institute of Psychiatry
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

1. Inpatients satisfying the ICD 10-DCR [1993] criteria for Bipolar affective disorder, current episode manic with psychotic symptoms with YMRS score of >20.

2. Age group of 18-50 years of either sex.

3. Drug naive patients or drug free for minimum 2 weeks on mood stabilisers/antipsychotics and 4 weeks for depot antipsychotics.

4. Patients started on second generation antipsychotics and any mood stabilizer except those affecting folic acid levels.

5. Those who give informed consent for participating in the study.

Exclusion Criteria

1.Any other major co-morbid psychiatric diagnosis and substance dependence excluding nicotine & caffeine.

2.Significant medical or neurological illness including severe cardiovascular, hepatic, renal, [serum creatinine > 1.5 mg/dl], anaemia [Haemoglobin < 11 mg/dl], history of severe head injury or myopathy or untreated thyroid disease.

3.Pregnancy

4.BMI >30 kg/m2

5.Not willing to give written informed consent

6.Known hypersensitivity to FOLIC ACID or any of its components

7.Any current systemic infection/ inflammation

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Effect of folic acid on the levels of homocysteineTimepoint: Baseline, 2 weeks and 6 weeks
Secondary Outcome Measures
NameTimeMethod
To study the correlation of changes in YMRS, BPRS & CGI with socio-demographic, clinical and laboratory parameters in patients receiving folic acid and those not receiving folic acid.Timepoint: Baseline, 2 weeks and 6 weeks
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