There is no perfect treatment for pain and sleeplessness. It all depends on your particular case -- the kind of pain you have and the other medications you take, for instance.
You might also benefit from medication. Some drugs ease pain, which can help with sleep. Other medicines are available to just aid sleep problems. Many people need both. But don't treat chronic pain and insomnia on your own. Over-the-counter drugs are not intended for long-term use. Instead, talk to your health care provider so you can get a personalized treatment plan.
Here are some of the drugs that help people with chronic pain feel better and get some rest.Drug ClassBenefitsRisks
(nonsteroidal anti-inflammatory drugs)
liver toxicity in high doses. Not for long-term use unless recommended by your health care provider.Over-the-counter combined sleep aids/pain drugs
- Advil PM (ibuprofen and diphenhydramine)
- Tylenol PM (acetaminophen and diphenhydramine)
- OxyContin (oxycodone), Percocet (oxycodone with acetaminophen)
- Vicodin (hydrocodone with acetaminophen)
dry mouth, constipation and confusion. Should not be used for long-term pain relief.Benzodiazepines
- Ativan (lorazepam)
- Dalmane (flurazepam)
- Halcion (triazolom)
- Klonopin (clonazepam)
- Restoril (temazepam)
- Valium (diazepam)
seizures, these drugs can also help with nerve pain.Side effects include drowsiness and dizziness. You should never stop taking these medicines abruptly.
- Aventyl, Pamelor (nortriptyline)
- Desyrel (trazodone)
- Elavil (amitriptyline)
- Serzone (nefazodone)
- Cymbalta (duloxetine)
Cymbalta is approved for musculoskeletal pain.These drugs may not be effective for other types of pain, like sports injuries or back pain. Antidepressants are powerful drugs that can have serious side effects. Talk to your health care provider about side effects you should watch out for.