Plate V

COMBINATION THERAPY FOR BIPOLAR DEPRESSION
  Level of evidence  
Lithium + valproate 2 1st line
Lithium or valproate + SSRI or bupropion 2 1st line
Olanzapine+ SSRI 2 1st line
     
Quetiapine + SSRI 3 2nd line
Risperidone + SSRI 3 2nd line
     
Lithium or valproate + venlafaxine 2 3rd line
Lithium + tricyclic 2 3rd line
Lithium + lamotrigine 3 3rd line
Lithium + carbamazepine 3 3rd line
Valproate + lamotrigine 3 3rd line