pescador, I hope you can find a new pdoc who will work with you to find the solutions you need, instead of arbitrarily making medication changes with extremely negative consequences. He should be acting in your best interest, and I just don't see that, from what you have written. I think the ideal situation if finding an MD who will work with you as a team to get you set on meds that work for you. This pdoc does not sound like a team player at all.