Insomnia is such a frustrating scenario to resolve, as I have been learning, and I understand the frustrations I have been reading about. Many years ago (decades), I was prescribed Xanax to help me sleep; my issue was that my brain would not shut off when I went to bed, and I was against sleeping pills. Fast forward, and after being advised to stop taking Xanax, I am now off it due to an impending organ transplant. I was also using medical cannabis, but this too had to be stopped.
So, first I tried Trazodone (did not like the side effects), then Ambien, but it did not work for me.
Next was a short course of Belsomra, but it was not effective either.
My pulmonologist (CPAP use) initially prescribed a relatively newer drug called Quviviq (daridorexant). Insurance denied, as I needed to show that the other drugs were ineffective, hence my initial use of the above.
I appealed to the insurance company and received the approval. After the first few nights, I am pleased to say my sleep has improved tremendously.

After experiencing such awful and debilitating exhaustion with mental fog, after only a few days, I am feeling stronger and am mentally sharper. I wish you all the best as you navigate through this, and hope you get this resolved soon!

> Quviviq (daridorexant): "Mechanism of Action: Unlike sedatives that force the brain to sleep, Quviviq is a DORA that reduces "wake drive" by blocking orexin receptors, allowing sleep to occur naturally."