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Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46749
Experience:  Board Certified Physician
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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: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 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?