Substance use disorders (SUDs) are highly prevalent in bipolar disorder.
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Psychostimulant use is cause for concern as misuse may mimic manic symptoms.
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Males had higher rates of lifetime SUDs compared to females for all substances.
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Prevalence of SUDs were high in both bipolar I and bipolar II disorders.
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Those with comorbid SUDs had earlier age of onset and more hospitalisations.
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