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MediumPsychiatryBipolar I disorder, manic episodeca-mccqe1ca-rcpsc-im

A 24-year-old man presents with elevated mood, pressured speech, decreased need for sleep, and grandiosity for 10 days, causing major occupational impairment. He has no psychotic symptoms. There is no history of substance use. According to CANMAT/ISBD bipolar guidelines, what is the most appropriate first-line pharmacologic treatment for acute mania?

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