My GP here in the U.K., working on the advice of the hospital’s Pain Clinic, prescribed me 60mg Duloxatine am and also pm (total of 120mg daily plus, Bupronorphine patches ((1 per week) - that releases 10micrograms each hour, keeping topped up until changed for next patch. Between them my pain has been released to a level I can handle…..I sleep well however, have immense difficulty in waking in the mornings. I am woken by my amazing husband, with coffee and two ginger biscuits and my morning meds (8 pills, that includes the Duloxatine, 2 x inhalations of Fostair 200/6 - my Asthma meds plus 2 x puffs of a steroid nasal spray). Within 15 - 30 minutes, I’m sound asleep again !!