Please help me :(

I was on 150 mg of Sertraline for a year (along with 300 mg of Trileptal once a day, 1 mg of Klonopin twice a day, and 15 mg of Remeron) and I was doing so good. Then, I don't know what changed, but my mood swings started going out of control. I was going from irritable to angry to anxious to sad. Then, I had my first panic attack in a year - while I was driving! 

So, I went to my doctor and she increased my Sertraline from 150 mg to 200 mg and my Trileptal from 300 mg once a day to 300 mg twice a day (the other two meds have stayed the same). After starting the new doses, I started feeling this uncomfortable sensation that my throat and chest were too tight. I dealt with it for about 3 days before I finally called my doctor. She told me to go back to 150 mg of Sertraline and 300 mg of Trileptal once a day. She said give it a week, then try 1 increase at a time. So yesterday and this morning, I took 200 mg of Sertraline. The tightness in my throat and chest is back and I feel so anxious - like a panic attack could happen at any moment. I hate it So, my question is: 1. Do I try and power through it, to see if it gets better; 2. Should I try taking a 100 mg dose in the morning and a second in the late afternoon/evening; 3. Should I go back to 150 mg and try increasing the Trileptal instead? 

Any advice would be greatly appreciated. I'm sorry this was so long

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