Hi,
What kind of sleeping problems are you having?
I use Duragesic 50 mcg (1 patch every 72 hours) with Vicodin for breakthrough pain. Duragesic has never caused me sleeping problems. I have sleeping problems but they are not caused by Duragesic.
You might want to talk with your doctor about your sleeping problems. He/she can probably prescribe you something to help you with these problems.
You can also try checking the package insert that is included in every box of Duragesic to find out whether this medication can cause sleeping problems. Another possibility is to call Janssen, the manufacturer of Duragesic, and ask them the question. I have found them to be quite helpful with questions. They might have more information than your doctor because they are, after all, the manufacturer.
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