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But, if either substances are pushed too quickly the resulting damage to the tissue can cause a nasty charley horse like pain that can persist for hours or days

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H - Herbal tea or warm milk E - Evaluate the medications that may be causing insomnia L - Limit nighttime interruptions P - Postpone lab draws to mornings M - Massage E - Evaluate daytime activities S - Sound reduction L - Light reduction E - Environmental changes E - Easy listening sounds or white noise P - Pain relief Individuals struggling with steroid-induced insomnia can also pick up pointers from this nomogram to help handle the issue

The Journal of Pharmacology and Experimental Therapeutics, 388(2), 232240