There is no specific course of treatment for BD. Treatment is symptomatic.
People with depression or anxiety may require antidepressant medications
such as the serotonin-specific reuptake inhibitors (SSRI) sertraline or
citalopram. Atypical antipsychotic drugs, such as risperidone and olanzapine,
can be useful in individuals with agitation and disruptive behavior. Recent
drug trials with the drug memantine have shown improved cognition and
stabilization of global functioning and behavior. The successful management
of hypertension and diabetes can slow the progression of atherosclerosis,
and subsequently slow the progress of BD. Because there is no cure, the best
treatment is preventive, early in the adult years, by controlling risk
factors such as hypertension, diabetes, and smoking.