hey, i used to have that problem really bad...stayed up one time for 5 days!!! anyhow, what they put me on, and i know you said new meds were last on your list, was trazadone, and the first couple of nights the 50 mg was doing ok, then i built a tolerance to it, (how my dr put it).. then upped it to 100 mg. (recently ive gone back down to 50 mg) anyhow, i think its the best thing ive tried, and the first besides tylonal pm's, and calm forte ect. would be the only thing i can think of really, if the other stuff isnt working, otherwise, maybe meditation might help too, i use whats called the learning center sometimes before bed, and it is just a stack of cds, (like egyptian sounds, waterfalls ect)...and flashing lights, and when you close your eyes you kind of picture yourself in that situation...i know it sounds weird but it helps me get to a dream state lol. (was told i was snoring one time and i almost never snore lol)..anyhow, other than that, just general meditation, like pictureing a bouncing ball, as you breathe, breathe in, and the ball goes up, breathe out, and the ball goes down, (like counting sheep lol), but keep your eyes closed, and it might help.