This is Dr. David
I am sorry you are still having poor sleep.
sleep issues are complex and require full doctor's evaluation.
there are sleep doctors who specialize in sleep and evaluation of sleep apnea and other problems which can affect sleep.
amitripyline side effect is dowsiness and often is given at bed time to help with sleep.
there are over the counter sleep aids such as melatonin 1-3mg to take before bed time
or tylenol PM medication with benadryl (diphenhydramine) in it which can cause dowsiness
but even with these, I would check with your doctor first, because you are already on a lot of pain medicaitons
why are you taking all of the morphine?
are you able to exercise at all? exercise during the day can help you sleep better at night.
are you drinking any alcohol or caffeine during the day? this can cause worse sleep for you at night.
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.
the mugs of tea is probably not a good idea.
any tea can have caffeine in it can affect sleep.
it sounds like the pain is what is waking you up.
and this has to be addressed better for you to sleep better.
a sleeping pill or sleeping aid will not fix this.
you might need more long acting morphine at night.
or more nerve pain medications like gabapentin at night.
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.
you are taking extended release 30mg of morphine before bed?
have you tried gabapentin or neurontin nerve pain medications at night?
I have taken both of these with no effect.
have you tried ambien?
I just need to beable to sleep.
you should talk to your doctor about higher doses of extended release morphine before bed.
like 45mg of ER morphine possibly to help your pain at night.
or also a lidocaine patch on your back at night for 12 hours
do you have any questions?
should have said a Rod in my Back not Rog
I understood rod.
have you tried ambien for sleep?
also called zopidem?
it can be risky taking this with morphine, but in some patients it can help with your doctor's supervision.
No I have not tried them do I get them through my Doctor
yes, you would get this from your doctor.
it is a prescription medication.
do you have any other questions?
best of luck to you
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