I aggree with Dr Kansal mostly except with one rider.....Antidepressants ARE USED in bipolar disorder.
In Bipolar disorder, the most common episodes are depressive
episodes and not mania or hypomania
. Most of the depression
episodes in Bipolar disorders
can be contolled by Mood
stabilisers (anti convuslants and new antipsychotics) as described above by Dr Kansal but WE DO USE ANTIDEPRESSANTS AS WELL IF IT IS NOT RESPONDING TO JUST MOOD STABILISERS.
as Dr Kansal rightly says, there is a risk of switching i.e depression becomign mania/hypomania and hence they are recommended only after mood satibilisers are not helping...............NICE guidelines of UK say that they should be used for only 6 months after the depression had responded and the antidepressants should be tapered off after 6 months of being well.
All in all, yes anti depressants are not first line of choice in Bipolar disorder but they are still used for treating depression of Bipolar disorder.
LIKEWISE FOR TRUFLEPARAZINE...............though very rarely used nowadays..............may be as the 10th or 15th drug when it is no responding to others or when patients can not afford the costly medication, some colleagues do still use this.