Going bak to the doc today i have no sleep, tell a lie i got an hour, i got perscribed zolpidem they do nothing for me, what would would my options be now, btw NO ZOPICLONE.
There are a few options.
Mirtazapine, as an anti-depressant, is often prescribed as a sleeping aid. Personally, it didn't really work very well - after the 2 weeks or so that I was told to wait for full effects to manifest, it still didn't guarantee me sleep, helping maybe half of the time.
Antipsychotics like quetiapine (eg. Seroquel) may be prescribed, but I would advise against those. Heavy-duty zombie pills which will dull your whole emotional sphere and numb your conscious being all day.
We all (should) know how dangerous and addictive benzos are, as well as being merely a short-term plaster for an underlying problem, but they're the ones I've found most success with as sleeping aids.
Temazepam was offered to me as soon as zolpidem and zopiclone were found uneffective, and it worked quite well for a while. Eventually I'd need to take about 60mg to fall asleep though (started at 20mg), so I had it switched to nitrazepam, where 5mg (supposedly equivalent to 10mg temazepam) would put me to sleep and leave me a small residual hangover the next day.
Benzos are highly addictive, but if you can identify and eliminate the underlying problems causing the insomnia within a month or two, they are a viable option. Temazepam was the best for me in terms of having a swift onset of action, good hypnotic properties, and a short enough duration to leave no residual hangover in the morning. Tolerance to its effects accumulated fairly rapidly though. Nitrazepam was a heavy-duty sedative which put me to sleep during the worst of my psychological issues, but it leaves you feeling a little heavy in the morning.
EDIT:
I might have missed out something fairly important - it's important to consider whether the insomnia involves a failure to fall asleep, or to remain asleep. Zopiclone and zolpidem are both, in my experience, only useful for falling asleep - after about an hour the hypnotic effects are no longer felt, and even if you have fallen asleep, it is possible to wake up within an hour or two. This also goes for triazolam and midazolam, which are very potent hypnotics, but very short in their duration, and will thus only help you fall asleep, not stay asleep.
Benzodiazepines with a more intermediate or long duration are more suitable for keeping a person asleep; among these are temazepam, nitrazepam, flunitrazepam, lorazepam, diazepam, oxazepam, and a whole lot of others depending on what country you live in - the repertoire of available benzodiazepines and their medical indications differ from country to country (for instance, lorazepam is prescribed as a hypnotic in many countries, but exclusively as an anxiolytic in Finland).