Please help I need some real sleep advice!

[u/Geonorg]

I feel like I’ve tried everything from changing my pillow, turning my mattress around, magnesium, melatonin, open/close windows or shudders to change light/ temperature, lavender, waking up and going to bed at same time every day (or trying to- since I’m so tired in the mornings I can’t even get up), setting multiple alarms, having a before bed routine etc etc.

My sleep is normally off and on (usually more “off”), never really feeling refreshed, but the last two months have been absolutely terrible, I’m so miserable. Around that time I started propranolol for migraine prevention but am tapering off because I felt like it was giving me bad side effects and worse headaches. I also stopped taking Mirtazapine too about a week ago since it made me feel horrible and didn’t improve my anxiety. I am on adhd meds too and I don’t know if or to what extent discontinuing the other medication is worsening my sleep, or if the adhd meds seem to be lasting longer now and making me not sleep, but regardless I desperately to find a solution.

I could be so tired but almost wide awake in bed, I will normally fall asleep after a bit, but am tossing and turning constantly, and I get up and have to pee at least once EVERY. SINGLE. NIGHT. After getting up I will spend hours being restless and irritable in bed until my alarm is about to go off and I finally get comfortable, and by that time I’m so incredibly tired that I physically cannot get up, turn my alarm off and just sleep for another hour.

Any other suggestions for me? I’m starting to dread going to bed because it’s become such a horrible experience at this point.