my husband is having very bad pain from his shingles and is taking Tramadol with a moderate effect for the pain however he is having a lot of difficulty sleeping because the pain is stringer at night can he take a Tendril a few hours after the Tramdol to see if it will help him sleep, he is over the blister for 1 1/2 weeks now but the pain is making him crazy, he had his out break in his ear and on the side of his face and head( right side)
Dear patient if pain of shingles is not relieved by tramadol you can take on other painkiller with it. Like tab zerodol sp twice a day. Tramadol itself has side effect like sedation that helps in sleep. The is no harm in taking sleep medicine with tramadol but sedation may increase as  other affects same way.