I understand your sleep issues. I've been fighting insomnia myself forever. I've tried every sleep med out there. My neurologist put me on Seroquel for insomnia (lack of sleep triggers horrible migraines for me). When a heart condition forced me to go off Geodon (a stabilizer that keep me stable for over 10 years) so my pdoc increased the Seroquel to compensate. Unfortunately that was not enough (along with too many things going on at work and home) and I relapsed into a crushing depression. 6 years since the ECT and life had been great. No problems at all. Seems messing with my one maintenance med, and overextending myself- as usual- has left me struggling to find a reason to live. So, I did what I always do, called the pdoc. Back on low dose of Cymbalta. It hasn't been long but it feels like things are settling just a bit.

I did take Topomax. It wasn't bad in low doses. Messed me up cognitively when the dose increased. Kept repeating myself. Couldn't remember what I said or did. Really groggy and tired. Took almost a year to get off it. Trazadone worked great for sleep for a while, but stopped working after a bit.

Good luck. Meds are different for everyone. I hope things work out for you.