I can't sleep well at night i have meds to help but it doesn't seem to work what can i do?

Sleep hygiene: Try any that apply to you: 1) Keep a regular sleep schedule (same time in/out of bed), 2) quiet, dark room - no TV/music, 3) use bedroom only for sleep/marital relations, 4)if no sleep in 20min, leave room until sleepy, then try again (repeat as needed), 5)No caffeine after noon/no alcohol at bedtime, 6)write worries in a journal by bedside, then deal with them next day,7) Sleep Hygiene Checklist