@help4meandu I have to wonder if the medications are working against each other? Three of the four of these are prescription drugs; is your dr aware of the combination?

When I go through periods of interrupted sleep, if I cannot return to restful sleep within 30 minutes, I get up to read a boring book, or start crocheting, which will relax me. If your bedroom is too warm/too light that may also make a difference. Having a lot on your mind, you need to be able to restore and refresh your brain with good sleep in order to carry on. Have you tried journaling at night before bed, to clear your mind out? Write out the issues running through your mind, tell them you'll deal with them later.

Can you try the journaling and contacting your dr about drug interactions, and let me know what you find out?
Ginger

1mg melatonin might help

I can only tell you what works for me and I’m on some of the same meds. My dietitian, and therapist suggested suggested a couple of things to me:
*take night pills regularly by 5:00 which is one hour before dinner!
*eat dinner no later than 6:00
have your evening snack no later than 8:00 and nothing heavy. I like air popcorn with nothing on it. That is a GREAT snack. Carrots raw or broccoli or celery with No Peanut Butter. LIGHT.
*EVERYTHING OFF BY 8:30 that includes phone, tv, tablet, game console…EVERYTHING!!!
*just lay back by by 9:00 if you do this nightly you should be ok
*generally it takes the body 2/3 weeks to fall into a routine if you follow this. I have no choice and I get between 7/8 hrs a night.
Give it a whirl!! It can’t hurt…