For the past 2 1/2 years I've been taking the same three medication: lamictal, Effexor, and seroquil. The current dosages I'm on have been the same for the past year and a half. I'm worried that the mg needs to go up. I've already started taking one extra seroquil for sleep (unbeknownst to my doctor (busy work schedule and all. Can't make an appointment)). Should I stay with what I've got going on and just change the mg, or ask my doctor to switch things up?