Page 68 - Elie HANTOUCHE

Bipolar II 1/2

 Better difficult bipolar than borderline

 Avoid Antidepressants

 Lithium prevents suicide ...but.. side effects and

too frequent overdose or abrupt discontinuation

 Double-blind trials: Divalproex,OFC and

Risperidone

 Good “open” evidence: Lamotrigine

 Topiramate: compulsive eating behavior, obesity

 Ziprasidone:80 mg/day , beware of switches