TY - JOUR T1 - USe of calcitonin in psychotic agitation or mania AU - Carman J, Wyatt R Y1 - 1979/01/01 N1 - 10.1001/archpsyc.1979.01780010078008 JO - Archives of General Psychiatry SP - 72 EP - 75 VL - 36 IS - 1 N2 - • Synthetic salmon calcitonin was administered subcutaneously to 12 inpatients with several primary psychotic diagnoses. Increases in serum total calcium and inorganic phosphorus levels and decreases in CSF calcium level had earlier been observed during periodic psychotic agitation or mania. By contrast, calcitonin, which decreased serum calcium and phosphorus levels and increased CSF calcium level, appeared to produce transient (24-hour) increases in depression and decreases in arousal in this double-blind placebo-controlled trial. Quantitative activity monitoring confirmed the rater's impression that this agent had tranquilizing or depressant effects in such patients. When given in the evening, this polypeptide also appeared to delay sleep onset, as demonstrated both by nurses' 30-minute sleep checks and by the same longitudinal activity record.A decreased hypocalcemic response to calcitonin was noted in the agitated patients, which might explain the increases in serum calcium level described at the "switch." SN - 0003-990X M3 - doi: 10.1001/archpsyc.1979.01780010078008 UR - http://dx.doi.org/10.1001/archpsyc.1979.01780010078008 ER -