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Bifrontal electrode placement in ECT has been associated with faster response and fewer cognitive adverse effects compared to bitemporal placement.[24,25] Third-line options for acute mania with more limited evidence include monotherapy or combination therapy with chlorpromazine or clozapine, and combination treatment with haloperidol and carbamazepine or oxcarbazepine, or other combinations of first-line agents not tried earlier

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Oppitz SJ, Garcia MV, Bruno RS, et al

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