Butalb Apap Caff 5032540 What Can Be Prescribed Next If My Pain Doesn't Get Any Better?

What can be prescribed next if my pain doesn't get any better? - butalb apap caff 5032540

I was prescribed various painkillers for my headaches, my doctors still do not know what effect that was the first Trimex, not working the day butalb-apap-CAFF are not working now, it gave me tramadol hcl and does not work for me what next, if I to write and say they are working, no pills?