When to know to start a different type of biologic

Hi everyone! I got diagnosed with seronegative RA last year and since then I’ve had a grueling experience of going through every type of DMARD out there coupled with corticosteroids but these were all unsuccessful bc the side effects were so bad and/or they had a bad effect on my liver. I finally got switched to biologic (simponi 50 mg injection-gulimmimab TNT blocker) and am now on month four but I am starting to notice that I’m not only having some of the same debilitating side effects (migraine, fatigue, nausea) but I’m suffering from all the same RA symptoms I had before getting diagnosed as I continue on w this med. Am I doomed to always have horrible side effects w any type of med and is it time to ask my rheumatologist to once again switch me to yet another type of biologic? Im unfortunately in Peru (my husband is military and just got stationed here a yr ago) and the only rheumatologist available is the type of doctor who just tells me to just deal w this that this is normal and claims my flares should be manageable and doesn’t really listen to my concerns. Help! Any advice on other types of biologics I could ask to switch to would be great? I can definitely not add on any DMARds bc they make me extremely sick w side effects unfortunately. This disease has caused me to go from being a strong, healthy, fit person to one who struggles to just get out of bed daily.