There are times when I will go 3 or 4 days with no sleep at all. It is extremely difficult to fall asleep, and if I do fall asleep, 2 or 3 hrs sleep is all I will get. Needless to say, I am very, very tired all the time. I think I have more than 1 sleeping disorder, but the most troubling symptoms I have are hyptogogic jerks. These jerks wake me instantly, and I believe they are occurring just as I am falling asleep. Sometimes its my right arm, sometimes its my left arm. Sometimes it is one leg or the other or both. These jerks happen in my sternum area, in the chest area, and in my head. Last night, while watching tv sitting up in bed, my head jerked backward, and i flung the remote against the wall. I have been putting up with these episodes for 10 years or more, so they dont scare me anymore, they just really piss me off. My doctor has had me on Ambien for the last 2 years for insomnia, but I havent really told him about the jerks, because I have so many other health issues that need to be addressed. My question to all you wonderful people------Is there anything over the counter that has helped you? I already take enough vicodin, oxycontin, xanax, effexor. and really don want to have to take some sort of knock out drug(yet).