Brief Answer: Can be used in bipolar disorder & depression. Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Important aspects of your query are: • 21 year old female • Known case of bipolar disorder and depression • Currently on citalopram, sodium valproate and Valium • Concern related to use of multiple medicines. Bipolar disorder is an episodic illness. It is characterized by episode of depression and mania different point of times. In primary treatment of this illness usually mood stabilizers (like sodium valproate) are used. In presence of depression antidepressants like citalopram can be added in treatment. Valium contain diazepam. It is used for short term to control anxiety and sleep problem associated with depression. So in my opinion citalopram, sodium valproate and Valium can be used in bipolar disorder current episode depression. But treatment may require changes after improvement in depression. So be in regular follow up with psychiatrist. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards, http://bit.ly/Dr-Ashish-Mittal

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