Originally Posted by CaliGirl
Of course I plan on talking with my doctor (have an appt next week), but I was wondering if anyone else on opioid treatment and/or muscle relaxants is having similar problems with sleep?
One has to be very careful when mixing narcotics with any type of muscle relaxers and / or benzodiazepines.....Really any type of depressants period. The synergistic effect is tremendous. Individually, each have minimal risks. However, together, they are very serious. Both used together, or the cocktail effect, can really depress one's system. Some Docs won't use the two in combination for this very reason. Another cocktail example is Tylenol and alcohol. Each individually are incredibly safe. However, when used together, or in overlapping scenarios, they can kill someone.
However, I'm not that familiar with Nucynta....It's a very new med and I don't know the full effects of it. If it's as mild as you indicate, then it may be just fine to use with Valium. In fact, many narcotics are ok to use with other depressants....One just has to be careful and know the full effects. Those with a certain amt of tolerance usually are the safest. As a general rule, the stronger the narcotic, the more potential for overall sedation.
In terms of your sleep, it may be related to your lack of a stable BPL (blood plasma level). BPL is the amt of the med that is in your system. If your BPL dips below a certain point during the night, it can cause one to wake up or at the very least, have restless sleep. Pain meds taken right at bedtime, or even during the middle of the night can often help....Especially if they are long acting (LA).
Patients who rely on BT meds a lot usually have the most problems. This is because during the day, the combination of LA and SA (BT meds) can result in good, high BPLs. However, at night when they are sleeping, they obviously don't take as many meds, or in most cases, no BT meds at all, so their BPL really dips. As stated previously, this can really cause restless sleep.
I am on LA morphine 3 x day and I take one of my three doses precisely at bedtime. It really helps me sleep well and through the night w/o waking.
Hope this information helps and please let me know if you have any questions.