(September 2, 2018 at 8:14 am)vulcanlogician Wrote: I'm in the same boat. It is not uncommon for me to do a day with 1 or 2 hours of sleep, or like... none. It's been going on so long its almost routine for me. About twice a month I get a "good sleep" where I feel like I actually went to sleep. Even less often I really crash hard and wake up feeling refreshed.
Coffee is -necessary- and I feel like those times I went without it, it really fucked up my day for a marginal benefit. I can drink well more than 20 shots of espresso in a day (no kidding). But one thing that did help was setting a "cut off limit" to when I drank coffee. For instance, drink all the coffee you want, but stop at 11 AM. Find a time that works for you.
At night, I used to drink beers after a long day at work, but I actually found slowing down drinking before bedtime to help. Smoke a bunch of pot too. But not right before bed... like an hour before. Other than that I've used various drugs... benadryl is the only OTC one. Flexeril (which is a muscle relaxer) worked pretty well. If I were you I'd ask the doc again if he can replace one of the meds you're on with one that makes you sleepy, since he doesn't want to add something new. It's like, you shouldn't have to stop slugging coffee or being a general mess just to get some sleep, man!
Or maybe you could cut out all the drugs and get some exercise.