<prompt> Drug of choice in mixed mania isLithiumLamotrigineSodium ValproateCarbamezepine  <response>: A Lithium Lithium has traditionally been the drug of choice for the tratment of manic episode acute phase as well as for prevention of bipolar mood disorder. Lamotigine is particularly effective for bipolar depression. Sodium Valproate is useful for acute treatment of mania prevention of bipolar mood disorder and particularly useful in those patients who are refractory to lithium. Carbamazepine Oxcarbazepine are useful for acute treatment of mania prevention of bipolar mood disorder and particularly useful in those patients who are refractory to lithium valproate. 