Authors: Frye MA, et al. Title: A placebo-controlled study of lamotrigine and gabapentin monotherapy in refractory mood disorders. Reference: J Clin Psychopharmacol 2000;20:607-14. Purpose: To evaluate the efficacy of lamotrigine and gabapentin monotherapy versus placebo in refractory bipolar and unipolar mood disorders. Study design: Randomized, double-blinded, cross-over trial. Follow up: Three 6-week monotherapy evaluations. Patients: 31 refractory unipolar and bipolar patients. Treatment: Lamotrigine tapered to a maximum of 500 mg/day, gabapentin titrated to a maximum of 4,800 mg/day, as tolerated. Results: Response rates of patients were 52% for lamotrigine, 26% for gabapentin, and 23% for placebo. Lamotrigine-treated patients showed a significant response compared with placebo, whereas gapabentin-treated patients did not. Weight change was -0.96 kg for lamotrigine, +1.83 kg for gabapentin and -0.40 for placebo.