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Severe lack of sleep is my #1 QoL issue: with sleep life with refractory gMG is bearable; without sleep entirely and severely unbearable. So after trying all the usual non-medical suspects, I’ve thrown caution to the winds, no longer care about addiction or anything else. I am prescribed and take 200mg of Trazodone and 30mg of Temazepam every night and on most nights that does seem to do the trick. I tried lower doses and they absolutely didn’t work. Would never take any benzos otherwise but just couldn’t take it any more and these were what the doctor offered. For people like myself for whom sleep is everything, it’s time to jettison drug prejudices and accept the bitter reality that bad drugs are better than no sleep.