I'm not a doctor, but I have suffer many years of sleep problems. Klonipin .5 mg or Lorazepam .5 mg works great along with Topamax for me. Everybody is different though. Trileptal caused me weight gain and didn't do anything positive for me so I went to Lithium and Seroquel. All 4 meds work well for me for sleep and mood stability along with Zoloft and Addrell (for ADHD). I've tried about 24 drugs to get to this combination, so be patient and don't give up!