The number of past manic episodes is the best predictor of antidepressant-emergent manic switch in a cohort of bipolar depressed patients
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Association between antidepressant-emergent manic switch and lifetime manic, depressive, and total mood episodes, and with past antidepressant-emergent manic switch.

Significant association between antidepressant-emergent manic switches and a higher score at pessimistic and suicidal thoughts items of the MADRS.

A 2.84 fold increased risk of antidepressant-emergent manic switch with having more than four past manic episodes.

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