Plate VIII

RAPID CYCLING BIPORLAR DISORDER MAINTENANCE TREATMENT
First line   Lithium, lamotrigine, valproate
Second line   Lithium + valproate, luthium + carbamazepine
Third line   Lithium or valproate + topiramate, olanzapine, quetiapine, risperidone, clozapine, oxcarbazepine, levothyroxine
Not recommended   Antidepressants