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Managing patients’ pain while preserving sleep quality and efficiency
  1. Shaminder Singh1,
  2. Sumeeta Kapoor2
  1. 1School of Nursing and Midwifery, Faculty of Health, Community and Education, Mount Royal University, Calgary, Alberta, Canada
  2. 2Anesthesia, Alberta Health Services, Calgary, Alberta, Canada
  1. Correspondence to Sumeeta Kapoor, Anesthesia, Alberta Health Services, Calgary, T3E 6K6, Alberta, Canada; sumeeta.kapoor{at}

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Commentary on: Mlíchová J, Paluch Z, Šimandl O. Pain and analgesic related insomnia. Pain Manag Nurs. 2023 Jun;24(3):254-264. doi: 10.1016/j.pmn.2022.11.002. Epub 2022 Dec 19.

Implications for practice and research

  • Individualised factors contributing to pain and its management in relation to sleep problems should be explored to provide tailored pain management treatments.

  • Further research is needed to reveal interconnection patterns of pain medications and sleep problems.


Pain and insomnia are independent major life challenges for many and are interconnected, yet poorly understood. Additionally, the complexity of how pain medications influence sleep requires further investigation. Pain can be physically discomforting, emotionally disturbing and debilitating. Lack of sleep impedes normal functioning including physical and emotional well-being. Insomnia may enhance irritability and pain sensitisation. Conversely, pain may result in insomnia and other sleep problems, which may intensify pre-existing or trigger new pain.1 Pharmacology is the frequent intervention used in pain management, which could alter neurochemistry risking interference …

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  • Twitter @ShaminderSingh

  • Funding This is an unfunded study.

  • Competing interests None.

  • Provenance and peer review Commissioned; internally peer reviewed.