Has anyone had a problem not getting sleepy at bedtime at all

I had started with the lower dose 3.75 mg which worked for quite a few years. Have a friend who takes the 3.75 and will take another one if she wakes up in the night to give her a bit more.

I haven’t slept without a sleep aide in 22 years…. I’ve been on Quetiapine since December… it takes 4 or more hours to make me sleepy… but usually I sleep well after I get to sleep…

Looks like I'm in the right place! I have not slept well in over 3 months and it is beginning to absolutely wear me down. I average 4 1/2 to 5 1/2 hours per night and can't even take a short daytime nap. I have mentioned this to three Dr whom have skirted the issue. I take Xanax 2 mg at nite so sleep is initiated but it is short acting and I awaken around 1:30 to 2 am and can't go back to sleep. I might sleep 1 out of 4 nites, probably because i'm so exhausted. I go to the gym and work with a trainer 3x per week, walk 1000 ft every nite, and stationary bike 2 miles 3x per week. but am worthless and tired after my sessions. I do have Stage IV COPD and am on 02 . I think the Dr are concerned about respiratory depression with any sleep medications. Just researched the orexin drugs, has anyone tried those with success. Quite frankly there are days that I would really just like to go to sleep ad never wake up!

I have the same problem (not feeling sleepy) on certain nights. It's either because I slept soundly and deeply the night before, or because I have stayed up late and seem overstimulated. Xanax works but I avoid taking it because it is a controlled substance. On those nights when I am not sleepy, I try to do what all the books/videos/doctors tell you: Try sleeping and if you can't fall asleep, get up and go read or do a quiet activity for 20 months, then try sleeping again. Repeat as many times as it takes. Pacing the room (bilateral stimulation) has also helped. Gentle yoga has also helped. Still trying to find solutions.

I have been on trazadone for years due to problems with sleep. I find that even 50 mg helps.

I have been gym and aerobically active 40+/- years. Here's what I've learned from a reliable physiotherapist. The following may not cure your issues, but they may give you some knowledge whereby you can ask some questions to your doctor, trainer, etc. It seems you are physically training too many times each week. Your muscles need time for recovery. I never do aerobics in the evening. My brain needs time to bleed off the high cortesone levels created by the aerobics. Previously, these 2 things kept me awake out of guilt, thinking I needed to train everyday. I go to the gym twice a week and have had no issues with loss of strength, body weight gain, etc. I started this routine 9 years ago and in fact I've gotten stronger in some parts of my body. I suggest you search "ht-physio". Will has numerous videos, all free, with one specifically addressing sleep. I hope your condition changes.