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The goal in the treatment of bipolar depression is to give an effective antidepressant without triggering hypomania or rapid cycling. Therefore, one treatment strategy is to use a foundational mood stabilizer, like lamotrigine, before starting therapy with an antidepressant such as an SSRI.
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Lithium and Lamictal have antidepressant properties. Although Lamictal is the current favorite for treating bipolar depression, its FDA indication is for relapse prevention. Antipsychotics are yet another medication that first came on the market to treat another illness – schizophrenia.
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