How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 42787
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

which sleeping pill can I take with morphine modifed-release 30mg Tablets.Amitripytline 25

Customer Question

which sleeping pill can I take with morphine modifed-release 30mg Tablets.Amitripytline 25mg solution.Morphine 10mg oral solution.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry you are still having poor sleep.

Dr. David :

sleep issues are complex and require full doctor's evaluation.

Dr. David :

there are sleep doctors who specialize in sleep and evaluation of sleep apnea and other problems which can affect sleep.

Dr. David :

amitripyline side effect is dowsiness and often is given at bed time to help with sleep.

Dr. David :

there are over the counter sleep aids such as melatonin 1-3mg to take before bed time

Dr. David :

or tylenol PM medication with benadryl (diphenhydramine) in it which can cause dowsiness

Dr. David :

but even with these, I would check with your doctor first, because you are already on a lot of pain medicaitons

Dr. David :

why are you taking all of the morphine?

Dr. David :

are you able to exercise at all? exercise during the day can help you sleep better at night.

Dr. David :

are you drinking any alcohol or caffeine during the day? this can cause worse sleep for you at night.

Dr. David :

hello?

JACUSTOMER-wg2h0ll8- :

I damaged my Back over 9 years ago and I have had A Rog with a spacer put into my lower Back and still I am in lots of Pain which wakes me up at night. As for exercise I do as much as I can and I do have Physio every week. I do not drink alcohol but I do drink lots of fresh Orange juice ans mugs of Tea.

Dr. David :

the mugs of tea is probably not a good idea.

Dr. David :

any tea can have caffeine in it can affect sleep.

Dr. David :

it sounds like the pain is what is waking you up.

Dr. David :

and this has to be addressed better for you to sleep better.

Dr. David :

a sleeping pill or sleeping aid will not fix this.

Dr. David :

you might need more long acting morphine at night.

Dr. David :

or more nerve pain medications like gabapentin at night.

JACUSTOMER-wg2h0ll8- :

I know it will not fix it but I would just like to have a good nights sleep and then I will beable to cope in the day-time.

Dr. David :

I know.

Dr. David :

you are taking extended release 30mg of morphine before bed?

Dr. David :

have you tried gabapentin or neurontin nerve pain medications at night?

JACUSTOMER-wg2h0ll8- :

I have taken both of these with no effect.

Dr. David :

have you tried ambien?

JACUSTOMER-wg2h0ll8- :

I just need to beable to sleep.

Dr. David :

zolpidem?

Dr. David :

you should talk to your doctor about higher doses of extended release morphine before bed.

Dr. David :

like 45mg of ER morphine possibly to help your pain at night.

Dr. David :

or also a lidocaine patch on your back at night for 12 hours

Dr. David :

hello?

Dr. David :

do you have any questions?

JACUSTOMER-wg2h0ll8- :

should have said a Rod in my Back not Rog

Dr. David :

I understood rod.

Dr. David :

have you tried ambien for sleep?

Dr. David :

also called zopidem?

Dr. David :

it can be risky taking this with morphine, but in some patients it can help with your doctor's supervision.

Dr. David :

hello?

JACUSTOMER-wg2h0ll8- :

No I have not tried them do I get them through my Doctor

Dr. David :

yes, you would get this from your doctor.

Dr. David :

it is a prescription medication.

Dr. David :

do you have any other questions?

Dr. David :

best of luck to you

Dr. David :

if done for now, please leave positive feedback below the chat box

Dr. David :

you can always reach me as Dr David if you have other questions.

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my website if you need to reach me again.

Dr. David :

thanks for using JustAnswer.com

Dr. David :

hello?

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions