It is hard to sleep when you are approaching mania. Ironically, that is the very thing you need to do!

Honestly, I've taken trazadone for sleep and I do not see how you stay remotely conscious with the wine and the trazadone. From my personal experience, I know I would feel absolutely terrible the next day with that combo on board.

The wine is also very likely promoting the mania, as rebound hyperexcitability from alcohol is a well known side effect.

I definitely say give the trazadone a chance on its own. I know it was a sleep bomb for me.

Congrats! on giving up the codeine. After awhile, there is really are diminishing returns with the opiates.

Any health care provider is going to have a pause in prescribing or changing anything for a person in your situation. They could do some serious damage, and hesitation on their part is the most prudent course of action to take.

Look, we all do the best we can given our current circumstances. All you can do is get up tomorrow morning and try again. As long as you have that try in you one day you will make it. Yesterday is over, today is a new opportunity for growth and change.