Calcium channel antagonists (CCAs) have many clinical applications, includi
ng their possible use in the treatment of bipolar disorder. Two justificati
ons for this last application are some overlap in physiological activities
of CCAs with those of lithium, and a possible association between bipolar d
isorder and calcium dysregulation. While the data from earlier studies supp
ort the use of verapamil in treating bipolar mania, more recent better-cont
rolled trials have not. This paper reviews the available body of data regar
ding CCAs in the treatment of bipolar disorder. concluding there is present
ly Limited support for their efficacy.