They may cause the person with the illness to switch into a

Antidepressants such as fluoxetine (Prozac), paroxetine (Paxil) and citalopram (Celexa) should generally be avoided in the treatment of bipolar disorder. They may cause the person with the illness to switch into a manic state and they may also precipitate a period of rapid cycling (several cycles of mania and depression a year). Occasionally, when a person is in a severe episode of depression and the previous episodes of mania have not been severe, it may be reasonable to use an antidepressant for a while, in combination with a mood stabilizer, to see if it can lift the person out of his or her depression.

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