OCD has waxing and waning course, symptoms can increase intermittently even over medication so if your symptoms were controlled over 5 mg escitalopram also there is nothing to worry about this. If you are maintaining well over 60 mg fluoxetine now you can continue the same for now but if not your treatment needs modification.
Next Steps
For long term management of OCD you need proper assessment and management from a good psychiatrist, if you want assistance from me, you can whatsapp over eight one seven one eight one five six three six.
Health Tips
Don't let yourself free and try to engage in some work to reduce time wasted in obsessions or compulsions.