Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

80 questions · 84 findings · 10 reviews

No studies found 24 · 28.6%GRADE not reported 6 · 7.1%Very low 13 · 15.5%Low 20 · 23.8%Moderate 10 · 11.9%High 11 · 13.1%

Lithium vs topiramate

Efficacy: response (categorical) YMRS change ≥ 50% from baseline to end of study · acute mania

Lithium leads to higher efficacy: response (categorical) YMRS change ≥ 50% from baseline to… compared with topiramate (high certainty).

1 finding from 1 review

Lithium vs topiramate

Efficacy: response (continuous) YMRS change by ≥ 50% at end of study · acute mania

The review found no eligible studies for this question.

1 finding from 1 review
  • Lithium for acute mania 2019 · Cochrane Headline outcomes only
    no estimate extracted
    Studies not reported
    No studies found

Lithium vs topiramate

Remission · acute mania

Lithium leads to higher efficacy: remission (categorical) YMRS ≤ 12 at end of study compared with topiramate (high certainty).

1 finding from 1 review

Lithium vs topiramate

Acceptability: total withdrawals · acute mania

Lithium showed no clear difference in acceptability: total withdrawals compared with topiramate (high certainty).

1 finding from 1 review
  • Lithium for acute mania 2019 · Cochrane Headline outcomes only
    OR 1.28 [0.66, 2.48]
    2 studies · 1352 participants
    High

Intervention not reported

Functional disability ( · people with essential tremor
1 finding from 1 review

Intervention not reported

Study withdrawal ( · people with essential tremor

The intervention may leads to higher study withdrawal ( (low certainty).

1 finding from 1 review

Intervention not reported

Adverse events ( · people with essential tremor
1 finding from 1 review