Treat Insomnia

Treat Insomnia

Chronic pain and insomnia often go hand in hand. And sleep problems can make pain even worse. Set a good sleep routine. If you still have problems, ask your doctor about sleep medication.

Conditions: Migraine, rheumatoid arthritis, osteoarthritis, fibromyalgia, back pain, neck pain, nerve pain

Symptoms: Insomnia, unrefreshing sleep, difficulty sleeping, weakness, numbness, tenderness, muscle pain, joint pain, restlessness

Triggers:

Treatments:

Categories: Rest

Duration

14

When You Can't Sleep

If you can't sleep, trying to will yourself to sleep won't work. Give yourself 15 minutes. Then, if you're still awake, get up and do something else. Read a book. Take a bath. Listen to music. Once you feel yourself getting tired, get back into bed.

Prompt: Get up.

CTA: Don't lie awake.

Conditions: Migraine, rheumatoid arthritis, osteoarthritis, fibromyalgia, back pain, neck pain, nerve pain

Symptoms: Insomnia, unrefreshing sleep, difficulty sleeping, weakness, numbness, tenderness, muscle pain, joint pain, restlessness

Triggers:

Treatments:

Categories: Rest

OTC Sleep Aids

The most common OTC sleep aid is diphenhydramine, an antihistamine (including Benadryl, Banophen, Diphenhist, Wal-Dryl, Nytol, Unisom, and ZzzQuil). It usually has a relaxing effect that makes you feel drowsy. But talk to your doctor first. They may not be safe for people with problems like glaucoma, heart disease, or lung disease. Benadryl is not recommended for people ages 65 and older. Antihistamines can cause dry mouth and nausea, and in older adults, may have side effects such as constipation, urinary retention, and confusion in older adults. Many doctors don't recommend these pills as sleep aids.

Prompt: Up all night?

CTA: Ask about OTC sleep aids.

Conditions: Migraine, rheumatoid arthritis, osteoarthritis, fibromyalgia, back pain, neck pain, nerve pain

Symptoms: Insomnia, unrefreshing sleep, difficulty sleeping, weakness, numbness, tenderness, muscle pain, joint pain, restlessness

Triggers:

Treatments:

Categories: Rest

Rx Sleeping Pills

If you have good sleep habits and you still can't get a good night's sleep, talk to your doctor. The doctor can check for health problems that may be keeping you up. And the doctor can prescribe sleeping pills for a short time if needed. There are many different types of sleeping pills. Ask your doctor which type you should consider.

Prompt: Still can't sleep?

CTA: See your doctor.

Conditions: Migraine, rheumatoid arthritis, osteoarthritis, fibromyalgia, back pain, neck pain, nerve pain

Symptoms: Insomnia, unrefreshing sleep, difficulty sleeping, weakness, numbness, tenderness, muscle pain, joint pain, restlessness

Triggers:

Treatments:

Categories: Rest

Side Effects of Meds

Benzodiazepines like flurazepam, temazepam (Restoril), or triazolam (Halcion) can be used for short-term relief of insomnia. But they can interfere with REM sleep and may cause dependence, daytime drowsiness, and trouble with memory.

Newer sleep medicines such as eszopiclone (Lunesta), zaleplon (Sonata), and zolpidem (Ambien, Intermezzo, Edluar, Zolpimist ) have fewer side effects. They are also less likely to be habit-forming. Rarely, they may cause sleep-walking, sleep-eating, or sleep-driving.

Prompt: Be careful.

CTA: Use caution with sleeping pills.

Conditions: Migraine, rheumatoid arthritis, osteoarthritis, fibromyalgia, back pain, neck pain, nerve pain

Symptoms: Insomnia, unrefreshing sleep, difficulty sleeping, weakness, numbness, tenderness, muscle pain, joint pain

Triggers:

Treatments:

Categories: Rest

WebMD Medical Reference Reviewed by Sabrina Felson, MD on January 19, 2019

Sources

SOURCES:

FDA:"Sleeping Pills: Prescription or OTC?"

The National Sleep Foundation.

National Institutes of Health State-of-the-Science Conference Statement, Manifestations and Management of Chronic Insomnia in Adults, June 13-15, 2005.

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