I do not see Prozac an antidepressant (SSRI) a main med to treat Bipolar, a mood stabilizer would be the first course of action, then add an AD if necessary. Unfortunately, those with Bipolar depression will recoginize the depression or it will be so obvious that a friend or family member will notice it, and will bring it to the depressed person's attention. Most people with Bipolar disorder recieve treatment for depression, while in another case, very rarely seek help when they are hypomanic or manic for the first or 2nd time in their lives. It's extremely important for the patient to be evaluated and DXed by a licensed,reputable, psychiatrist in order to recieve proper treatment. Sadly, too often too, GP's feel they can treat those with mental disorders with their "power" of the pen and prescription pad, but they really are NOT qualified, it's best to see a Psychiatrist.
Sorry for my ramblings, just felt a need to put my 2 cents in here.
AD's and Ritilin can trigger mania in a Bipolar patient, most reputable pdocs will prescribe Concerta or a none CNS med to address ADD in those that also suffer with Bipolar.
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