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SSRIs and switching in young bipolar patients Authors: Biederman, et al. Title: Therapeutic dilemmas in the pharmacotherapy of bipolar depression in the young. Reference: J Child and Adolescent Psychopharmacol 2000;10:185-92. Purpose: To assess the risk and benefits of SSRI treatment in young patients with bipolar depression. Study design: Retrospective chart review. Follow up: Not applicable. Patients: 59 children with bipolar I depression (mean age 11 years). Treatment: SSRI treatment in a naturalistic setting. Results: SSRI therapy increased the rate of improvement of bipolar depression in young patients, but was associated with a 3-fold increase in the relative risk of manic symptomatology. |