Hi Paula I’m sorry that you are having a tough time with new meds/ combination of meds. I thought that lithium levels varied from person to person and are ‘set’ depending on what illness you are treated for. I always thought that levels for bipolar were higher than for severe depressive disorder. My last blood test in April was 0.9 which I thought was a bit on the high side but still in the therapeutic range. I’m guessing that your therapeutic range and dose are different. If it is or has been a few times on the high side then they have a responsibility to drop it a bit. The hot weather does not help and the new drug which is probably pushing the levels up. I know when I’ve messed up the lithium dose I’ve felt a bit weepy. When do they review this ?