The article you requested is
Paul E. Keck, Jr., Jerry A. Bennett, and Sean P. Stanton Reply
J Clin Psychiatry 1997;58:496 [letter]
Copyright 1997 Physicians Postgraduate Press, Inc.
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Letter to the Editor
Sir: We thank Drs. Dardennes and Even for their interest in
our article and for their comments. Our conclusions from the decision-
analytic model proposed in our article were that, based
on the available evidence, divalproex appeared to be less costly
overall in the treatment of patients with bipolar disorder, but
that cost differences were also dependent on the type of manic
syndrome. For patients with classic mania, lithium appeared to
be less costly, whereas for mixed mania or rapid cycling, divalproex
appeared to have a cost advantage.