Evidence map›Paper›PMID 41222827›Full record

ReviewCNS drugs2026

The Potential Clinical Use of Opioid-Receptor-Modulating Drugs in Bipolar Disorder.

Maria Gefke, Christina B Wagner, Roger S McIntyre, Maj Vinberg

Abstract readReview
PubMed Publisher
In one paragraph

Review in CNS drugs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Maria GefkeThe Early Multimodular Prevention and Intervention Research Institution (EMPIRI), Psychiatric Centre North Zealand, Copenhagen University Hospital-Mental Health Services CPH, Dyrehavevej 48, Hilleroed, 3400, Copenhagen, Denmark. maria.gefke@regionh.dk.ORCID 0009-0008-8938-5985
Christina B WagnerThe Early Multimodular Prevention and Intervention Research Institution (EMPIRI), Psychiatric Centre North Zealand, Copenhagen University Hospital-Mental Health Services CPH, Dyrehavevej 48, Hilleroed, 3400, Copenhagen, Denmark.ORCID 0000-0003-1840-7936
Roger S McIntyreDepartment of Psychiatry, University of Toronto, Toronto, ON, Canada.
Maj VinbergThe Early Multimodular Prevention and Intervention Research Institution (EMPIRI), Psychiatric Centre North Zealand, Copenhagen University Hospital-Mental Health Services CPH, Dyrehavevej 48, Hilleroed, 3400, Copenhagen, Denmark.ORCID 0000-0002-5982-1335

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment resistance in bipolar disorder (BD) is common, and innovative treatments are needed. The opioid system is under investigation as a new target treatment of depression and BD, notably the treatment of depressive symptoms. This narrative review aims to synthesize the evidence related to opioid-receptor-modulating drugs in treating BD. The protocol was preregistered at Open Science Framework. A search of the literature databases Embase, PubMed, and PsycINFO was conducted in March 2024 for studies involving the treatment of manic or depressive symptoms of BD with an opioid-receptor-modulating drug. The studies revealed a preliminary antimanic but transient effect of intravenous naloxone and potential antimanic effects of pentazocine. Methadone showed an effect on regulating manic symptoms. The existing evidence on the effects of opioid-receptor-modulating drugs in BD is scarce, and most studies are older and based on small samples. Clinically, opioid-receptor-modulating drugs cannot be recommended or integrated into the treatment of BD. Still, well-designed, randomized controlled trials are needed to draw any firm conclusions.

Indexed as

Antimanic AgentsBipolar DisorderNarcotic AntagonistsReceptors, OpioidHumansMethadoneNaloxoneAntimanic AgentsMethadoneNaloxoneNarcotic AntagonistsReceptors, Opioid

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.