8 weeks in, please help feeling worse

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Hi, I have been on 20mg cit for 8 years no issues until about 10 weeks ago when I started to feel awful anxiety. I contacted my Doc who increased my dose to 40mg, I took it for 7 weeks, increased anxiety, all the usual side effects, but the worst were dry heaving/vomiting in the mornings and awful chest pain, I couldn't take it anymore so I decided to go back to 20mg for 3 days and I'm now taking 30mg for 3 days. I know I shouldn't be messing with my dosage but my doc had suggested tampering off cit and trying something else. I don't know what to do anymore, do I stick with it? Do I change? any advice anyone can give me would be greatly appreciated.

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