Hi thanks for the response. Unfortunately I've tried various SSRI meds in the past and all of them have left me with even worse insomnia. I didn't sleep at all for 72 hours on sertraline! I've not really heard of that happening to others though so I have no idea why they cause that for me. I might look into them again though as my symptoms have changed.
I've been on zopiclone recently and that has allowed me to sleep but I still have the surge but it seems less intense or the med just makes me sleep through it. Also, that's obviously not a long-term solution here. My surges are objectively worse at night but symptoms are still sometimes bad during the day especially after eating, I find. Also around my period is terrible.
Maybe Clonidine is not the wonder drug I was hoping for? I'm just disappointed to have been put on a medication that is likely to cause weight gain which seems such a trivial concern but with everything else falling apart in my life, I don't want to be overweight too.