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MediumPsychiatryAcute mania in bipolar disorderca-mccqe1ca-rcpsc-im

A 27-year-old man with known bipolar I disorder presents with acute mania featuring decreased need for sleep, pressured speech, and impulsive spending. He has been non-adherent with medication. According to CANMAT bipolar guidelines, which pharmacologic option is most appropriate as first-line treatment for acute mania?

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