I’ve struggled with insomnia for most of my life as well and had been prescribed a variety of medication types to try to treat it- ssris, antihistamines, z-drugs, atypical antipsychotics, etc… of those, the only one which absolutely guaranteed I’d sleep was Seroquel; it was a sledgehammer to the brain. It unfortunately was just overall far too effective and would sedate me the entire day and blended my dreams and reality in a very distressing way. It does help a lot if people do might be an option.
I eventually found relief through cannabis, and for over a decade, I was happily content vaping some flower for bed. Insurance obviously doesn’t cover that, and I’m unfortunately at a place in life with no job and income…sooo it was back to my psych to try to address my inability to sleep.
I spent a few days looking at medications that other people have had success with and found some that reported finding relief through Clonidine and other blood pressure medications. I brought the suggestion to my doctor who seemed open to it. I started with the standard immediate relief version. It did semi-reliably get me to sleep, but, as with many, I’d just end up waking up 4-5 hours later and would take another that sometimes would get me back to sleep. I then asked to try the extended release version, and so far it has allowed me to sleep the entirety of the night! Might be worth looking into if your heart is overall fine!
The generics of 30mg Vyvanse in the morning and 10mg Ritalin in the afternoon (as needed)- usually around 9am and then 2pm. Seems to work pretty well for me!