Dear Grailhunter,
We are getting so many threads going on meds that I would really like to see the members look in the search site for threads that have already addressed these same questions.
Each person's meds are individual and everyone reacts differently. We truly are not qualified to know if your combo can be enhanced by an idea we may have.
I understand your concerns but your physician is your best go to person re what drugs you should be on. If you feel you need a second opinion, please do get one.
I do not want you to think I don't care but meds are a speciality and physicians and pharmacists are the experts.
Trazdone works for me.............but not you. 
I hope you can get a combo that helps you out.
Respectfully
Kitt