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PHARMAC and treatment of bipolar depression—the limits
of utilitarianism
Pete Ellis, Roger Mulder, Richard Porter
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Abstract
Bipolar disorder affects 1.6% of the population. The
majority of the burden of illness for people with bipolar disorder is due to
depression. Suicide rates for people with bipolar disorder are 15 times higher
than in the general population, and the majority of these deaths occur during
depressive episodes. More effective prevention of such depressive episodes is
important.
Lamotrigine is an anticonvulsant and a mood stabiliser
that is more effective at preventing depressive relapses than most other mood
stabilising drugs. Its use for this purpose has been recommended by English
language treatment guidelines since 2002. Lamotrigine is approved for use in the
prophylaxis of depression in bipolar disorder and for epilepsy.
PHARMAC subsidises its use in treatment-resistant epilepsy
(subject to a ‘special authority’ application) but not in bipolar
disorder. The New Zealand Mental Health Strategy and the imminent New Zealand
Suicide Strategy identify reducing suicide as a key goal. Among other
initiatives, this requires effective treatment of bipolar depression, yet a
treatment likely to support this is not currently subsidised.
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Drug
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Lamotrigine
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Indications
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Well supported: prophylaxis of bipolar disorder when
depression is prominent
Supported: acute treatment of bipolar depression of mild to
moderate severity.
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Recommended
dose
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200 mg (range 50–300 mg) (RANZCP guidelines1)
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Clinical
efficacy
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Lamotrigine is recommended for the prophylaxis of bipolar
depression in bipolar depression of mild or moderate severity by evidence-based
guidelines produced by:
- The
Royal Australian and New Zealand College of Psychiatrists,1
- The
American Psychiatric Association,2
- The
British Association for Psychopharmacology,3
- The
Canadian Network for Mood and Anxiety Treatments,4
- The
World Federation of Societies for Biological Psychiatry;5,6 and
- The
influential Texas Medication Algorithm group.7
It
also receives support in the current consultation draft of ‘The treatment
of bipolar disorder’ prepared by NICE in the UK.8
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There are five RCTs comparing lamotrigine to placebo and
other compounds. They suggest small but significant benefit from treatment with
lamotrigine in bipolar depression acutely and prophylactically in reducing the
frequency of episodes of bipolar depression.9–13 In addition there are two
well-conducted open trials that report significant but modest effects of
lamotrigine in treatment resistant bipolar depression and in preventing
recurrence of bipolar depression.14,15
The major adverse event is a rash, which can develop into
the potentially fatal Stevens-Johnson syndrome.
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Background
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The lifetime risk of bipolar disorder is 1.6%. The suicide
rate is about 15 times that of the general population, with many of these deaths
during episodes of depression.16
While manic episodes can quickly destroy relationships and
employment, the overall burden of the condition is more often due to recurrent
and more enduring episodes of depression. While lithium and other currently
available mood stabilisers are valuable in reducing the recurrence of mania,
they are of limited efficacy in preventing depressive episodes.1
The place of antidepressants in treating bipolar depression
has been controversial because of their relatively limited efficacy; their
potential to induce manic episodes and more rapid cycling of the illness; and
limited prophylactic benefit.17–19
Clearly, there would be significant benefits to be gained
from more effective treatment of bipolar disorder. Adherence to guidelines for
the treatment of bipolar disorder leads to better outcomes.20 Some, but not all,
consider that more frequent relapses can worsen the overall outcome, making the
prevention of episodes even more important.21,22
In fact, lamotrigine is now recommended as the treatment of
choice for prophylaxis of bipolar disorder in which depression is prominent by
national guidelines for the treatment of bipolar disorder in Australasia,
Canada, the UK, the US, and by international groups.
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Government
policy
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The current mental health plan,
Tetahuhu – improving mental
health, mandates action on 10 key areas. One of these is promotion and
prevention, including the sub-goal of: “implementing the
Government’s strategy to reduce suicide and suicide attempts, and the
negative impacts of depression”.23 The draft NZ Suicide Strategy, goal 2,
is “to improve the care of people with mental disorders associated with
suicide”.24
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Current
situation
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Lamotrigine is fully subsidised by PHARMAC for treatment of
epilepsy when older antiepileptic agents have been unsuccessful, on a Special
Authority basis, supported by a neurologist. Application for a subsidy for its
use in bipolar disorder was referred to the relevant PTAC subcommittee in May
2003 and recommended for listing with a medium priority in January 2004.
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Access/supply
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Lamotrigine 200 mg/day costs $5.35/day (PHARMAC full
subsidy, on relevant special authority).
Existing commonly used mood stabilisers are: sodium
valproate (1200 mg/day at $1.32/day) and lithium carbonate capsules (1000 mg/day
at $1.05/day). Olanzapine is not approved for prophylaxis of bipolar disorder in
New Zealand. Such use (10 mg/day) would cost $7.30/day. Current treatment of
bipolar depression in New Zealand commonly involves co-prescription of a mood
stabiliser and an antidepressant, generally an SSRI.
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Economic
analysis
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We are not aware of a detailed economic analysis of the
benefits of lamotrigine. However, the availability of lamotrigine for those with
treatment-resistant epilepsy, but not bipolar disorder, raises issues of
equity.
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Comment
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Evaluation of the eventual place of new therapies is
challenging. The current evidence base for lamotrigine rests on 5 randomised
controlled trials. Bipolar depression causes severe levels of disability and
mortality for which current treatments provide only limited relief. Lamotrigine
appears to be at least as effective, and is probably more effective, than
existing treatment options. It is considered the treatment of choice by all
current English language guidelines in the prophylaxis of bipolar depression and
may have a place to play in the acute treatment phase.
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While balancing demands from different sectors for new
agents presents a significant challenge for PHARMAC, lamotrigine is a relatively
cheap medication that could offer hope of significant relief for some people
with chronically relapsing bipolar depression.
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The principle of utilitarianism is
understandable when seeking to address a nation’s overall needs for
medication. However, it is important that we do not lose sight of the needs of
those unfortunate people for whom subsidized medication is of limited benefit.
Just over five dollars a day is cheap for the country and may allow someone to
resume their life, including returning to work – but it translates into a
monthly bill that is beyond the means of someone living on a sickness benefit.
People with treatment-resistant epilepsy can already access somewhat more
expensive treatments such as lamotrigine. It would seem only equitable that
people with bipolar disorder of predominantly depressive type should have access
to a potentially effective treatment – which is considered a first-line
option in all major current treatment guidelines.
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Disclosure:
Professor Ellis has a beneficial interest in GlaxoSmithKline
shares.
Author information:
Pete Ellis, Professor, Department of Psychological Medicine, Wellington School
of Medicine and Health Sciences, University of Otago, Wellington South; Roger
Mulder, Professor, Department of Psychological Medicine, Christchurch School of
Medicine and Health Sciences, University of Otago, Christchurch; Richard Porter,
Associate Professor, Department of Psychological Medicine, Christchurch School
of Medicine and Health Sciences, University of Otago, Christchurch
Correspondence:
Professor Pete Ellis, Department of Psychological Medicine, Wellington School of
Medicine and Health Sciences, University of Otago, PO Box 7343, Wellington
South. Fax: (04) 385 5877; email: pete.ellis@otago.ac.nz
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- Royal
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Interim
response from PHARMAC: PHARMAC advises
that it has not had enough time to draft a response this instance, but wishes to
do so in coming issues of the Journal. In the interim, PHARMAC agrees that there
may be merits to funding lamotrigine for bipolar depression, and is actively
working on this at the moment.
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