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Warren, OH
A 43-year-old female asked about a female:

Daughter was diagnosed with bipolar 2. two weeks ago. she is 12.she was put on 5mg abilify (aripiprazole) 10mg of prozac at bedtime. are these a good mix.

2 doctor answers4 doctors weighed in
Dr. Humberto Quintana
Psychiatry 44 years experience
Caution, w/ this mix: Antipsychotics can be life saving medications that give a person the ability to work and function in society. If you have a full blown mania it is essential that you try multiple antipsychotics before giving up. Abilify (aripiprazole) is often effective. Prozac can be used but you must watch for increase mania and production of rapid cycling. Also danger of increase suicidal risk prozac/ssris-in bipolar 2.
Dr. Oscar Novick
Pediatrics 58 years experience
Your daughter is a bit young to be put on such high powered drugs. Seek another opinion
Apr 11, 2014
Dr. Carlos Barrios
Child Psychiatry 23 years experience
Yes but...: Bipolar 2 requires less robust dosages of mood stabilizer which is what abilify (aripiprazole) is in this case. But the FDA only applroved for bipolar type 1 not 2 - for good reason since the symptoms are much more severe. Bipolar 2 mostly is detected due to relation problems and mostly in adults. Ssri should be last considerations since if truly bipolar it could make mood swings worse if used too soon.

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Last updated Aug 16, 2014

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