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The only authorised manufacturers of Mounjaro and Wegovy are Eli Lilly and Novo Nordisk respectively

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- Use lithium as the basic treatment, specifically for bipolar disorder type 1, and combine with: - Quetiapine (best evidence), depending on the patients risk of cardiovascular disease and metabolic risk profile, use the following alternatives: lurasidone, cariprazine - Lamotrigine may be considered when lithium or antipsychotics are unsuitable

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