Actually, I was on my evening medication when all that started in the first place. That was a contributing factor to the accident. I don't have a lot of pain now as long as I don't try to raise my arm or reach out with it. The worst part is sleeping. I have some opiods but I only take one at bedtime. I guess that helps but I can't really tell much difference. The doc at the ER said not to take my usual evening medications while I'm taking the med as I might go to sleep and never wake up.