Generic version Over the counter viagra in usa cymbalta is recommended. However, can also be a source of serious side effects including hypomania, psychosis, delirium, and ataxia.[8][9] These serious side effects can be managed by stopping cymbalta.
Pre-existing psychiatric conditions [ edit ]
For treatment of bipolar disorder, use an antidepressant is generally recommended
In bipolar II disorder, lithium may be used with a selective serotonin reuptake inhibitor (SSRI). However, the clinical trials of lithium in bipolar I disorder have failed to show efficacy in treating the bipolar disorder. Therefore it is not recommended for treating bipolar I disorder. [3]
It may be appropriate to consider lithium in case of an atypical antipsychotic. This may be possible to achieve with the use of clozapine or risperidone during an episode of mania or depression.
Consideration of lithium when treating psychosis may be considered for some people. However, patients should be clearly informed that lithium is a mood stabilizer that can cause dangerous mania and/or elevated and repetitive electroencephalographic (EEG) activity should be used with care. [10]
Preventive pharmacotherapy [ edit ]
Anticonvulsants for bipolar disorder [ edit ]
[11] Anticonvulsant a