Yeah, I agree with everyone else that you should tell the pdoc. Ultimately, you should be able to decide what you take, and your pdoc should respect if you are not able to handle the side effects, but they must know what you are really taking so they can best help you. Skipping doses of certain meds can really mess you up (I got so messed up when I stopped Lexapro, and I actually titrated off it slowly), and if they don't know the reason you are doing poorly they might just throw in another medication or something. Better to stop taking a medication due to side effects and try something else under the supervision of your pdoc, then just end up on an ineffective med regimen, or even really unstable and in a bad episode.