Him CrystalCat! Yes, you can under a doctor's supervision because there is a very slight risk of the combination causing serotonin syndrome, an extremely rare but serious disorder. Also, if you are taking lithium you need a blood test every 3 ~ 6 months to determine that your blood level stays within therapeutic range.
That being said, I took lithium and Effexor for over 4 years with no ill effects.
Best Regards, Wildcat
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