Sinuses and sleeping can be really difficult. If your thyroid is okay and you take a B complex vitamin and your D is okay; I would not take anything else for awhile; a lot of the pills and sprays for congestion rebound. I'd see how many pills you could eliminate and sort of "start over" if possible in a couple weeks. It can get to the point where X pill requires, Y spray to handle Z side effect of A prescription. . . etc. I would get your lifestyle in as best an order as you can for a week or two and only take prescription meds you have to (I was prescribed D and B vitamins) and see what is what.