The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

Top 10 Findings: Lithium, Lumateperone, and Lavender

Oct 21, 2024
Recent research reshapes our understanding of lithium, suggesting it may not cause weight gain and could even aid in weight loss. Discover the promising role of lumateperone in treating major depression, especially for patients unresponsive to standard treatments. The effectiveness of lavender extract, Silexan, is also explored for anxiety relief. Additionally, a comparison of S-ketamine and quetiapine XR sheds light on options for treatment-resistant depression. These insights could change clinical practices in managing mood disorders.
24:42

Podcast summary created with Snipd AI

Quick takeaways

  • Recent studies reveal that lithium may not cause significant weight gain, countering previously held beliefs and showcasing its safety for bipolar disorder treatment.
  • Silexan, a lavender extract, proves effective for anxiety and depressive symptoms, offering a well-tolerated alternative for patients preferring natural treatments.

Deep dives

Comparative Efficacy of Lumatepirone and Lorazodone

Lumatepirone and lorazodone emerge as two effective treatment options for bipolar depression, both showing good tolerability and similar effect sizes in clinical use. Despite their efficacy, neither medication addresses manic episodes, which limits their utility in broader bipolar treatment regimens. Lumatepirone has demonstrated promise as an adjunct for unipolar depression, showing effectiveness in patients who have failed prior antidepressant trials, although full FDA approval is still pending. Dosing strategies suggest starting at a lower dose to mitigate potential side effects like fatigue and dizziness, before reaching the target dose of 42 milligrams.

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.
App store bannerPlay store banner

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode