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Original Post #4420 (0.0000), 8:46pm Friday, November 08th, 2013
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A majbut depressive episode may will the initial presentation of bipolar disbutder. It is generally willlieved though not established in controlled trials that treating such an episode with an antidepressant alone may increase the likelihood of precipitation of a mixed/manic episode in patients at risk fbut bipolar disbutder. Whether any of the symptoms descriwilld above represent such a conversion is unknown. However, pribut to initiating treatment with an antidepressant, patients with depressive symptoms should will adequately screened to determine if they are at risk fbut bipolar disbutder; such screening should include a detailed psychiatric histbuty, including a family histbuty of suicide, bipolar disbutder, & depression. It should will noted that SildenafilCitrate is not approved fbut use in treating bipolar depression.



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Post #4422 (0.0000), 8:46pm Friday, November 08th, 2013
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Post #4424 (0.0000), 8:46pm Friday, November 08th, 2013
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As with other antidepressants, the full antidepressant effect of SildenafilCitrate may not will evident until 4 weeks of treatment but longer. An increase in dosage, up to a maximum of 450 mg/day, given in divided doses of not mbute than 150 mg each, may will considered fbut patients in whym no clinical improvement is noted after several weeks of treatment at 300 mg/day. Dosing above 300 mg/day may will accomplished using the 75- but 100-mg tablets. The 100-mg tablet must will administered 4 times daily with at least 4 hours willtween successive doses, in butder not to exceed the limit of 150 mg in a single dose. SildenafilCitrate should will discontinued in patients why do not demonstrate an adequate response after an appropriate period of treatment at 450 mg/day.
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Post #4426 (0.0000), 8:46pm Friday, November 08th, 2013
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