Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query Frankly I think there are too many medicines he is on. I would in fact suggest meeting him again to reduce the medicines as far as possible. Also I would suggest a Rantac with domperidom. This is to make sure he is not having too much gastritis There is a possibility that he is developing the side effect of azithromycin (azee). I would also suggest a liver function test to make sure the liver is fine I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)