I struggle with insomnia, primarily falling asleep rather than staying asleep. Last night I slept for 20 hours after not sleeping for 72 (No I wasn't taking meth or anything). I was taking benzos daily for a few years during the day for anxiety and stopped at the beginning of the year, so benzos are now a no for me, though I found them nearly useless for sleep anyway even temazepam. Ambien or Lunesta were pretty worthless and I would rarely fall asleep before they wore off.
Mirtazepine at 15mg is maybe slightly better than other antihistamines, but it's main action is H1 antagonism so not a big difference.
Surprisingly I've found clonidine to be far superior at knocking me out than anything else (never tried seroquel). I'm honestly surprised it isn't prescribed way more for this purpose considering it has no abuse potential and tolerance doesn't seem to grow too quickly. I no longer take this as I don't want to screw with my BP that much anymore and I take guanfacine anyway.
Now I take hydroxyzine, 100mg. When I first tried it even half that dose worked great even though I was taking benadryl all the time for allergies. It doesn't make me feel uncomfortable at higher doses like diph does. But after a month it barely works and I mostly take it for allergies rather than sedation now.
So yeah I'm in the same position. GHB is probably the best sleep drug prescribed now (besides the 5 people who still get seconal). But it costs more than my car and probably isn't prescribed for anything besides narcolepsy. I don't know what to do now. Just practice not getting too upset when I don't fall asleep after 4 hours of laying in the dark? Fuck.