Wow, those sleep drugs have a lot of drug interactions, with what I'm currently taking (https://www.mayoclinic.org/drugs-supplements).

I'm in the same situation where I wake up 3 to 4 times throughout the night - sometimes feels like I get hit in the head - Stabbing migraine, brain on fire, pressure (atmospheric related), blah blah blah. I have an Inflamed Brain - 24x7 headaches with 3 to 4 migraines weekly.

Neurologist has been trying all sort of treatments. I now have a referral to see Immunologist in 3 months.

attached
1st - from The Yale LISTEN Study Town Hall: October 2023
https://medicine.yale.edu/ycci/listen-study/media-player/listen-town-hall-oct-2023/
2nd and 3rd - from Patient-reported treatment outcomes in ME/CFS and long COVID
https://pubmed.ncbi.nlm.nih.gov/40627388/

I don't know how old you are, but it's a common problem and gets worse with time. Nocturnal arousals can awaken us and if our mind is busy with problem-solving, that's about it for that night. Sore joints from lying too long on one side or improperly for your joints' condition (there are ways to lie on one's side so that hip joints don't get stretched too much and get sore). Obstructive sleep apnea is a big one, cardiac arrhythmias (those two hold hands a lot), kidney disease or disorders if you have to rise more than once or twice at night (as we age our pituitary glands secrete less ADH, anti-diuretic hormone, which helps the kidneys to use less water and pass it into the bladder). Rumination, doing compulsive behaviours, spending too long gaming or on other online pastimes, not enough exercise (even a 15 minute brisk walk twice a day does wonders).

Clearly there has been a change, even if unnoticed. It's up to you to figure it out and to convince yourself, with acceptance and motivation, that you can/cannot do something about it.

Thanks!
Yes I take magnesium supplement. Never heard of magnesium cream though. If I didn’t know any better I’d think it was a joke.

Sleep aids, soporifics are a lot like dates, chocolate, driving well over the speed limit, and sex: they all work better if done seldom. If you do them daily, they soon lose their potency. I have just had a terrible run of poor sleep, but not so much due to my lifestyle (I'm a sponge for on-line information and videos about a wide range of topics, and I'm an amateur astronomer....so it doesn't take any great intellect to assume I'm up until the wee hours). I care for a sometimes wife who has several autoimmune disorders that occasionally make her prescriptions cause her to be very unsteady on her feet to the point where I sometimes have to lunge and grab her when she's standing, whether at home or in public (I say sometimes wife because it seems I only get her, the old her, back several days a month. The rest are foggy and fraught). I am also the most handy and proximal child to my 96 year old dad who is in the last 15 months of life, as a guesstimate. Frail, cranky, fearful of falling, shuffles along with a walker...you get the picture. He called at 0550 on Friday to say he wanted to go to emerg because he couldn't pee. I'd fallen asleep near 0230. You can do the math. The next three nights have been only marginally better. Last night, without an aid, I slept exhaustedly until 0900, with the usual early-morning bedtime. So, it can be done, but a lot has to be in place for it to happen. You need few(er) obligations next day, none would be best, and you need to be tired. You must have shut off learning mode or inquisitiveness mode by shutting off all digital devices with a screen at least an hour earlier. When was the last time you sat at your dining table or breakfast table, but just before going to bed, and read your local newspaper obits? I take it as a civil obligation to do that...they're my neighbours! But it also calms my mind and puts it in the right frame to fall asleep.

Returning to soporifics: remember, use them only when they are absolutely critical for you to live well the next day. The rest of the time...................tough it out! I use melatonin or other concoctions, but maybe twice a week. I feel I need them to stay potent, and they will not do that if I use them every night.

This is just my thinking. I know I'm not representative of all of you, maybe of none of you. Our personalities and interest, and our regular obligations and duties, vary widely. We don't share the same histories, or even medical circumstances. But unless something is to be taken daily, like a statin or an anti-coagulant, or synthetic hormones like thyroxin, I really to fear taking, and depending on, a soporific regularly, daily.

I’ve had insomnia most of my life. I’ve settled into a routine that helps me most nights. I have my room cool (66) and dark - blackout shades. I try to keep bedtimes consistent and I keep screen time minimal. At lights out, my phone goes on airplane mode and I don’t touch it till morning. I take 1/2 of a Lunesta tablet at lights out, and the other 1/2 when I inevitably wake between 2 and 3. If I were to look at my phone, or turn lights on, I’d be up for hours. I meditate on my breathing and redirect any negative or worried thoughts to that.

How much Trazodone were you prescribed? I take 150mg and sleep about 7 hours through the night.

Increased to 25mg. from what???? That's ridiculous. As I said, I'm on 150mg. and sleep 7 hours. If 25 is now working for you, fine. If not, ask the Dr. to continue increasing it until you're satisfied. Doesn't that make complete sense?