NSAID's at night?

[SjoGirl]

I have been taking a Tramadol at dinner time because I have so much pain at night I can't sleep (then neither can my husband because of me tossing and turning). I tried not taking one on a night when I felt good before going to bed and woke up with excruciating nerve pain in my left arm and shoulder.

I tried acetaminophen but it doesn't last long enough and really bothers my stomach. I plan to see my GP this week to discuss the pain which has become increasingly worse over the past few months. I worry about becoming hooked on Tramadol and/or whether it's really the right drug to deal with what's happening.

I also continue to be on a quest to get to the bottom of the cause - C-spine, Sjogrens, something else, no one seems to know. Sigh.

[meow]

Tramadol keeps me awake. My rheumy said I am just one of those lucky few that it acts as a mild stimulant.  I can take it in the day, but not at night.

[Katybarstool]

Not being able to take NSAIDs because they trigger my asthma, I have been taking Celebrex for around 8 years. It is still on the market in the UK, and has been a Godsend to me.

I also take Hydoxychloroquine and paracetamol, amongst many other drugs. The only two I have been told not to take together are Omeprazole and the Hydroxychloroquine.

Kathyx