Hello luvingSis,   As you found out, as soon as a patient is doing well the doctor may try to lower the medication to combat a side effect.  Hopefully your brother will have an appointment soon with the pdoc who will clearly see your brother is not doing well.   You can also write his pdoc a letter stating the symptoms you see.  There is no reason you can't write the pdoc a letter or talk to the pdoc on the phone about the symptoms you observe in your brother.  What the pdoc can't do is discuss your brother's treatment, however, he can certainly listen to your observations without commenting on your brother's treatment.   Regards, Christina