Citation

Roncero C, Rodríguez-Urrutia A, Grau-López L, Casas M. Actas Esp. Psiquiatr. 2009; 37(4): 205-212.

Vernacular Title

Trastornos del control de impulsos y tratamiento con antiepilepticos.

Affiliation

Servicio de Psiquiatría, Escuela de Enfermería 5 planta, Hospital Vall Hebrón, Paseo de Vall Hebrón 119-129, 08035 Barcelona, Spain. croncero@vhebron.net

Copyright

(Copyright © 2009, STM Editores)

DOI

unavailable

PMID

19927233

Abstract

The disorders classified as control of the impulses; explosive intermittent disorder, pathological gambling, kleptomania, pyromania, pathological gambling, hair pullers, compulsive purchases, skin picking and onychophagia are a heterogeneous set of clinical entities, most of them with little prevalence. Nevertheless, they cause important personal and social dysfunctions and present great comorbidity with other psychiatric disorders. Antipsychotics, antidepressive agents, serotoninergic agonists, naltrexone, beta blockers antiandrogen, lithium and anticonvulsants have been used in their pharmacological treatment. Currently, interest is growing on the use of the antiepileptics because their possible usefulness has been described in these disorders. However, the neurobiological effects are only partially known in some cases. We have reviewed the literature regarding the treatment of these disorders with mood stabilizers, (lithium, carbamazepine, valproate, phenitoin, oxcarbacepin, topiramate, lamotrigin, leviteracetam) and have described those studies on which the current knowledge and evidence are based. The results must be considered as provisional and must be updated in the future, since they are mostly based on case reports, case series or opened clinical trials, their being little knowledge based on double blind clinical trials.

Language: es