I would call now. 41 days is a really long time without sleep, and I know how you feel. When I was manic, I couldn't sleep for two months or more, and I had noone to tell me what was wrong with me, it was really ugly. Knowing when, and whom to ask for help is a big step towards feeling better. I wish you all the best!
Oh and, maybe ask your doctor about Zyprexa? It really helped me back then when I was manic. I was able to sleep just two days after I started taking it.