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quick question re bipolar

(13 Posts)
redhatnoknickers Tue 13-Jan-15 19:41:48

Can anyone tell me if SSRIs are used to treat bipolar, and if a blood test and ECG are standard tests before SSRIs are given? Thank you.

impatienceisavirtue Tue 13-Jan-15 19:45:04

Blood tests before antipsychotics are normal.

And no generally ssris aren't the standard treatment, but everyone is different.

KittyandTeal Tue 13-Jan-15 19:48:15

I was told ssris are what set off my first hypermanic phase. I was also told they're almost never used to treat bipolar because of this.

redhatnoknickers Tue 13-Jan-15 19:49:19

Thank you, I'm not sure why my son is going to have blood tests and ECG when he has suspected bipolar and yet his nurse is talking about SSRIs. Like you've said I thought blood tests would have been for lithium or something?

redhatnoknickers Tue 13-Jan-15 19:50:08

I didn't word that well sorry.

impatienceisavirtue Tue 13-Jan-15 19:58:46

The blood tests aren't for the condition - they're to check what levels are before starting the medication to compare if things change due to the meds

I was treated with ssris when I was misdiagnosed as depressed when I was younger. They also made me worse.

Butterflywings168 Tue 13-Jan-15 19:58:47

Like Kitty said, SSRIs are a VERY bad idea if someone is bipolar (or suspected) as they can trigger mania/ hypomania. This happened to me --and bastard CMHT wouldn't believe me, twats--) Sometimes SSRIs are prescribed with a mood stabiliser to avoid this though.
Blood tests and ECG probably just standard before any meds are started.

Butterflywings168 Tue 13-Jan-15 20:00:28

Ugh formatting fail! Meant to be and bastard CMHT wouldn't believe me, twats

redhatnoknickers Tue 13-Jan-15 20:04:37

Ah so it might be a standard test.... Thank you, it seems like I'm missing some info as it sounds like SSRIs on their own would be a bad idea under the circumstances.

GirlsTimesThree Tue 13-Jan-15 20:17:17

I've just run this by my DH who specialises in mood disorders. SSRIs are used in bipolar, BUT he's used them twice in 10 years and only for treatment resistant patients. They should never be used as first line treatment and never without a mood stabiliser otherwise you run the risks of the problems the pps have experienced.

GirlsTimesThree Tue 13-Jan-15 20:18:21

And, yes, ECG and blood tests are standard tests

redhatnoknickers Tue 13-Jan-15 20:20:31

Thank you Girls, that's really helpful smile

glamourousgranny42 Tue 13-Jan-15 20:24:21

It depends on the nature of the bi polar. I am diagnosed with big polar 2 and my lows are worse than the manias. I have been on an ssri for a few years and it really works. I have been advised to reduce the dose if I start getting high but I am now aware of triggers and behaviours and have managed this reasonably well.

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