Table 3. Comparison of riluzole and lamotrigine.
Riluzole | Lamotrigine | |
---|---|---|
Neuroprotective | Yes | Yes |
Anticonvulsant | Yes | Yes |
Efficacy in acute MDD | Yes (only open-label studies) | ? Yes (the majority of controlled studies are not positive; clear evidence in maintenance treatment) |
Inhibition of voltage-gated Na+ channels | Yes | Yes |
Ca2+ channel blockade | Yes (P/Q type) | Yes (N- and P-type) |
AMPA potentiator | Yes | Yes |
Increased expression of BDNF | Yes | ?? |
Dose titration | None or rapid | Very slow |
Steven-Johnson’s syndrome | No | Yes |
Response to the other agent | 3 out of 4 lamotrigine responders responded to riluzole | ? |