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Since memantine may not only inhibit overactivity of microglial cell, but also repair the damaged neurons and neurogenesis through activation of astroglial cell and release of neurotrophic factors, the investigators propose that the neurotrophic effect of memantine may benefit neurodegenerative diseases including bipolar disorders (BP) and alcohol dependence. In the current study, the investigator will investigate whether add-on memantine at a dose of 5 mg/day has a beneficial effect on BP comorbid with alcohol dependence.
Each individual enter into this project will receive regulate treatment adding-on memantine medication. During each visit, patients will receive evaluation for their symptoms and plasma Brain-Derived Neurotropic Factor (BDNF), cytokines (e.g.., Interleukin-6(IL-6), IL-8) and neuropsychological performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| add-on memantine therapy | Other | add-on memantine treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Memantine | Drug | All the subjects will receive add-on memantine for 12 week |
|
| Measure | Description | Time Frame |
|---|---|---|
| plasma BDNF change | treatment response change assessed by plasma BDNF | baseline, week1, week2, week4, week8, week12 |
| Measure | Description | Time Frame |
|---|---|---|
| attention change | attention change assessed by CPT | baseline, 12-week |
| Side effect change | adverse effect change assessed by Side-Effects Checklist |
| Measure | Description | Time Frame |
|---|---|---|
| memory change | memory change assessed by WMS | baseline, 12-week |
| executive function change | executive function change assessed by WCST | baseline, 12-week |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ru-Band Lu, MD | Department of Psychiatry, National Cheng Kung University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Cheng Kung University Hospital | Tainan | 704 | Taiwan |
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| ID | Term |
|---|---|
| D008559 | Memantine |
| ID | Term |
|---|---|
| D000547 | Amantadine |
| D000218 | Adamantane |
| D001952 | Bridged-Ring Compounds |
| D006844 | Hydrocarbons, Cyclic |
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| baseline, week1, week2, week4, week8, week12 |
| cytokine level change | cytokine change assessed by cytokines level (IL-6, IL-8, IL-10) | baseline, week1, week2, week4, week8, week12 |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |