Hi Musician1980. I think the best person to ask about this is your pharmacist, or your psychiatrist, if you think they'd respond quickly. The pharmacist should be available when you call, hopefully.
I don't know your situation with your stomach condition, but I would lean towards not being too worried otherwise. I sort of doubt extra Lamictal would affect your sleep and also doubt there would be any withdrawal at all from that. I'm not really familiar with Lexapro. I took it only very briefly about 17 years ago or so, before my bipolar diagnosis. The only thing I remember about Lexapro was night sweats.
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