Drugs

Manic or mixed episodes

Depressive episodes

Maintenance treatment

Remarks

Adverse reactions

Lithium

Anti-suicidal effect

Hypothyroidism, elevated calcium levels, decreased kidney function

Carbamazepine extended release

/

CYP450-inducing effects, hepatotoxicity, granulocyte deficiency, rash, teratogenic effects

Valproic acid extended release

Effective for mixed state treatment

CYP450 inhibition, teratogenic effects, hepatotoxicity, tremor, thrombocytopenia

Lamotrigine

Helps prevent depressive episodes; requires slow dose increases

Skin rash, Stevens-Johnson syndrome

Aripiprazole

Favorable metabolism in patients with predominantly manic

Inability to sit still

Asenapine

Effective for depressive symptoms

Inability to sit still, drowsiness, risk of metabolic syndrome

Calirazin

Good metabolism

Inability to sit still

Chlorpromazine

Fast-acting

Risk of turning depressed, sedation, extrapyramidal symptoms

Lurasidone

Good metabolism when taken with food

Inability to sit still and sedation

Olanzapine

Fast acting

Drowsiness, high risk of metabolic abnormalities

Auflur Combination

/

Drowsiness, high risk of metabolic abnormalities

Quetiapine immediate release

Effective prevention of mania and depression

Drowsiness, weight gain, metabolic abnormalities

Quetiapine extended release

Effective prevention of mania and depression

Drowsiness, weight gain, metabolic abnormalities

Risperidone

Monthly intramuscular dosage form for maintenance therapy

Extrapyramidal side effects, weight gain, metabolic abnormalities, hyperlactatemia

Ziprasidone

Favorable metabolism in patients with predominantly manic

Prolonged QTC interval, inability to sit still, hypotension