Yes, I believe it is possible, spikes. Side effects could start to show up much later since you've started taking meds. That's why it's important to be careful and always check ourselves. If you're worried about it, I'd suggest to talk about this to your Pdoc and see how it goes from there. Maybe that could help. I hope you'll be able to find the right meds combination for you. Feel free to PM me anytime. Let me know if I can do something to help you. Wish you good luck! Let us know how it goes. Sending many hugs to you