If you have any questions about the efectiveness of meds that you have been taking for a while without any noticeable effect, ask your pdoc about the possibility of taking a break from them. It is not a good idea to just pile up in the meds for the sake of piling up on them. It might add the risk of combined effects and side effects that youmight not really want. If she doesn't want to do that, ask for a detailed reason why. You are employing them, it is your body, and you deserve and explanation. Huggs dear. just my thoughts. That way you can see if the meds really are doing nothing, or if they just seem to be doing nothing.