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How do you approach the use of SSRIs to treat bipolar depression?
How do you balance the benefits of treating depression vs the risk of transition to mania? Do you consider stopping the medication as soon as depression has resolved?
Answer from: at Community Practice
There are two related questions in the e-mail list I got today. One is this one, about using SSRIs to treat "bipolar depression," and the other is how a treater decides to use SNRIs. When I was in medical school ('73-'77) and residency ('78-'81) the field was busy doing studies. Th...
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Answer from: at Community Practice
Hi,
Not clear. This article: https://www.psychiatrictimes.com/view/antidepressants-do-not-induce-switch-to-mania-in-latest-assessment
says u can use antidepressants.
Better options:
Cariprazine (Vraylar), lurasidone (Latuda), olanzapine (Zyprexa) with fluoxetine (Prozac), and...
Answer from: at Community Practice
Antidepressants, if necessary, yes. SSRI, no. Although it's still not clear what "bipolar depression" means.
There is an unholy collusion in the American medical industry (I don't call it "health care," because it most commonly has little to do with improving anyone's health) among pati...