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Suggest Ways To Manage Severe Pain After A Fractured Vertebrae
Question: I have fractured vertebrae in my back twice and often have quite a bit of pain. Most nights I take tramadol to ease things so I can go to sleep. I have had an increasingly difficult time going to sleep for lots of reasons in addition to pain. My doctor prescribed 50 mgs trazodone. I took it several times without the tramadol and it helped me fall asleep. Last night I was in quite a bit of pain so I took the tramadol along with the trazodone (I didn't check for interactions ). I never did fall asleep. What gives?? And what do I do when I'm in a lot of pain?
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Brief Answer:
yeah, that's the problem with tramadol....
Detailed Answer:
It is a nerve stimulant. In doses above the recommended or with other drugs or in people with a history of seizures, tramadol can cause seizures. This is one of th ereaons it garnered a controlled drug listing.
There are other nerve pills similar to trazodone that work on pain and increase sedaton like the trazodone. Amitryptiline is an antidepressant that causes sedation like the trazodone but also has several effects on pain. It doesn't have that much of an interaction with trazodone, and could be used with it but maiybe not taking both of them at bedtime.
There are a lot of ways to treat bedtime associted with pain. First, oddly enough, a background noise machine. Silence and lying in bed can make one focus on pain. Having a white noise generator would counter this.
Other sleep issues should be at least considered"
darkness of the room
temperature of the room
noise level as mentioned.
and how comfortable the bed and tthe sleep positioning. This can be corrected with foam pillows and foam blocks for body positioning.
Sleep medications as mentioend BUT avoiding possible interactions with each other . Narcotics and sedatives are a bad combination.
yeah, that's the problem with tramadol....
Detailed Answer:
It is a nerve stimulant. In doses above the recommended or with other drugs or in people with a history of seizures, tramadol can cause seizures. This is one of th ereaons it garnered a controlled drug listing.
There are other nerve pills similar to trazodone that work on pain and increase sedaton like the trazodone. Amitryptiline is an antidepressant that causes sedation like the trazodone but also has several effects on pain. It doesn't have that much of an interaction with trazodone, and could be used with it but maiybe not taking both of them at bedtime.
There are a lot of ways to treat bedtime associted with pain. First, oddly enough, a background noise machine. Silence and lying in bed can make one focus on pain. Having a white noise generator would counter this.
Other sleep issues should be at least considered"
darkness of the room
temperature of the room
noise level as mentioned.
and how comfortable the bed and tthe sleep positioning. This can be corrected with foam pillows and foam blocks for body positioning.
Sleep medications as mentioend BUT avoiding possible interactions with each other . Narcotics and sedatives are a bad combination.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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