Really sorry you are struggling with your meds & now your dysfunction, as you say.
You may have thought of this already but if you are throwing up, is it possible you are loosing your meds right along with your food your not keeping down?? That could possibly be the reason you are having some manic symptoms.

I was told by my pdoc that meds do eventually become less effective, thus the need for change.

Have you had your labs done lately, including liver profile?
Also gall bladder trouble can make you pretty nauseous, do you have any abdominal pain?

Don't know if this helps. Hope you get to see pdoc soon.

Take good care.