As you work in a doctor's office, is your employer a little more understanding? Just a little nap on a cot during your lunch hour could really help improve your function.

Going from 200 to 400mg a day is a significant jump to do all in one go. My dosage increases have always been done in increments: an extra quarter pill of a week, then an extra half, etc... If you tell your doctor you're having trouble adjusting, perhaps he/she will let you build up your dose more gradually.

Hang in There