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Bipolar disorder is a chronicmood disorderthat impress millions of people worldwide(1 ) . There is no therapeutic for bipolar upset ; and treatment revolves around managing the symptoms(2).Antidepressantshave been used by many doctors to treat bipolar disorder , along with therapy . A combination of medication and talking therapy are the distinctive modes of treatment for bipolar disorder(1 , 2 ) . In the initial stages of bipolar disorder , psychiatrist will recommend that you start out with traditional medications so as to get your symptoms under control as presently as possible . With the symptom of bipolar upset under control , you’re able to then begin some shape of maintenance discourse to lower your risk of a relapse . As the depressive episode of bipolar disorder can be quite severe and even lead to self-destructive thoughts , antidepressants are unremarkably consider to handle these symptoms and get results at the earliest(1 , 2 ) . However , are antidepressants the most effectual treatment for bipolar upset ? Let us take a look at the accurate role of antidepressant in bipolar disorderliness .
Antidepressants and Bipolar Disorder
A bipolar disorder patient has rapidly changingmood swings , which stray from euphoria todepression(3 ) . The depressive episodes in bipolar disorder can range from moderate to severe and can also lead tosuicidal thoughts(2 ) . Antidepressants are typically used for treating depression , but the fact is that a patient of bipolar depressive disorder also suffers from experiencing bouts of manic disorder . Due to this understanding , many medical experts are of the opinion that antidepressant drug are not of necessity the most effective intervention for bipolar disorder .
Antidepressants are known to boost the level of neurotransmitters in the Einstein , such as norepinephrine , dopamine and 5-hydroxytryptamine . These are all the ‘ find - good ’ chemicals of our torso , which boosts a mortal ’s mood and also lowers feeling of depression . When antidepressants are used for treating bipolar disorderliness , they have been observed to trigger off frenzied episode in a certain share of bipolar patients .
In fact , to validate this observation , the International Society for Bipolar Disorders ( ISBD ) put together a task force that would expect at the use of antidepressants in mass endure from bipolar disorder . The members of this task power researched nearly 175 studies and clinical trials that have been done on bipolar disorder and antidepressants . They find out that it was not possible to conclusively prescribe antidepressants for treating bipolar disorder .
Some of the other finding of this project force also include the fact that bupropion and SSRIs ( selective serotonin re-uptake inhibitors ) were a mess less likely to stimulate manic episodes when compare to other drug . The unadulterated finding of the USBD task force have since been published in the American Journal of Psychiatry .
Furthermore , a research team at Brown University bear a field on antidepressants and bipolar disorder and presented their findings in 2013 at the meeting of the American Psychiatric Association . The research squad did not find out an increase in hospital care re - admission rates in bipolar affected role who were taking antidepressant drug as compared to those who were not taking antidepressants . Of the 377 affected role that were in the study , 211 of them come back for hospitalization just within a yr of getting discharged after being treated for bipolar disorderliness .
Other Than Antidepressants, What Other Medications Are Used To Treat Bipolar Disorder?
Technically , antidepressants are not the first drugs that a medico prescribe for treat bipolar disorder . In fact , the first class of drugs for treating bipolar disorder is generally humor stabilizers , such as lithium(4 ) . At times a Doctor of the Church may prescribe an antidepressant together with a mood stabilizer , but very rarely will a Doctor of the Church order an antidepressant drug alone . This combination of medications is known to lour the risk of frenzied instalment . Nevertheless , climate stabilizers are not the only medicinal drug that are used for treating bipolar disorder .
Many doctors also choose to use anti - seizure medication for treating bipolar disorderliness and though these medications have originally been designed to care for ictus , these drugs have shown vast promise in treat bipolar disorder(5 ) . This is because anti - seizure medications stabilize the boldness membrane and are able-bodied to inhibit the spill of certain transmitters , the prevention of which helps allow for relief to patients of bipolar disorder . Some of these drug let in :
Atypical antipsychotic drugs are also used for treat bipolar disorder(6 ) . This class of drugs is known to have an impact on many neurotransmitter in the head including dopamine . These effects make people drowsy and let them have a skilful dark ’s rest . These drug let in :
Many doctors prefer combining climate stabilizers with smaller State of antidepressant drug to treat bipolar disorder and sure antidepressant are preferred for this over others .
Which Antidepressants are Recommended for Treatment of Bipolar Disorder?
Antidepressants have not really been analyse soundly for employment in treating bipolar disorder . However , there are many clock time when mental health provider and psychiatrists prescribe antidepressants to patient role of bipolar disorder , but unremarkably in combination with other medicine or other classes of drug . According to guidelines of the ISBD Task Force , doctors should be dictate the following antidepressants first for treating bipolar upset .
There are certain identified antidepressants that are known to increase the risk of manic instalment and are only used if the other antidepressant drug do not cultivate for a patient . These include :
Side Effects of Antidepressants
There are many known side burden of antidepressants , but they also tend to affect dissimilar mass in unlike ways . Nevertheless , some of the general side personal effects of consuming antidepressants include : Reducedsex drive , sickness , ferment , pettishness , concern and unfitness to sleep(7 ) .
When you are struggling with bipolar upset , one of the biggest challenges becomes taking regular medicament . You wake up one day feeling ‘ normal ’ and perfectly all right and you may feel like you do n’t need these medications anymore . On other days , you may experience so grim or hyper that you are unable to take your medication .
If you block off fill your antidepressants suddenly , then you will experience a needlelike worsening of your bipolar symptom . Until unless your doc advises you to end call for the antidepressant drug , you should keep on engage the medication on a regular basis for your bipolar disorderliness .
Conclusion
Antidepressants are one option of treat bipolar upset , but they are not the only option and neither are they the primary option considered for treating bipolar disorder . Antidepressants are typically prescribed with other medications , such as antipsychotics and mood stabilizers for treating bipolar disorder . Combination therapy work best for controlling the symptom of bipolar disorder and also prevents the happening of manic episodes(8 ) .
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