The main thing really is to be as self aware as possible, and also keep relevant people informed about your thoughts/feelings, people closest to you can be very useful for picking up on side effects that you may find hard to recognise yourself.
If you do find yourself having suicidal thoughts, make sure you go straight back to the doctors to discuss them, I suppose these rules apply when being on any anti-depressant. Just to be vigilant, and keep the side effects in mind.
About the manic bouts, this is definitely something that needs mentioning to the doctor... Could you maybe try and book an appointment earlier if you are having problems with the manic aspect?
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