So I was stabilized on a combo of Zyprexa, Lithium, and Lexapro for some time. I then went on a three month drinking bender in which I frequently missed doses of lithium in order to avoid blackouts/toxicity. Incredibly stupid move on my part.

Anyway, my mental health deteriorated during this time, unsurprisingly. And I have not been able to get back on track ever since, even though I stopped drinking altogether.

I was recently put on Lamictal and it seems that with each dose increase, my mania/mixed episodes get worse. I also understand that the Lexapro could be doing the same. However, due to severe OCD I wont drop lower than 10mg.

Does anyone have any experience with Lamictal exacerbating or causing mania? Input would be nice. I see my pdoc tomorrow.