Jeez, I wish I could give you sound advice on this one but I just can't, as you know. I worry about a few things here. Maybe I am mistaken, but I have been looking at your past posts to see if I can see a trend. You seemed to really slide this past week and a bit before, around the time you went to your t's and couldn't get in the way you usually do. I don't know how long you haven't been sleeping for and if it is nightmares that are keeping you awake or just 'being unable to sleep'. I worry about ramping it up for you, but then you do need sleep. I wish there was an alternative med you could use for the night.....it worries me, but you know better what has been going on.