Ever since the FDA put a black box warning on mixing opioids and Benzodiazepines, my PM has required patients on the former to stop using the latter.
He looked the other way in my case, as my opioid doses are small, but he still indicated that he would prefer I find an alternative sleep med.
After trying Ambien, Sonata, etc. and finding them either ineffective or causing troublesome side effects, I began exploring supplements... melatonin, etc.
Eventually, I found a good anxiolytic known as phenibut... but it works on the Gaba B receptor, like some muscle relaxants. The feeling was icky, for lack of a better term.
Then, I discovered Thienotriazolodiazepines. There are quite a few in that class, available without prescription.
I discussed with my PM and he was fine with it, even though it has the same MOA as benzodiazepines. Based on my research, they can test false positive with immunoassay urine tests, but he uses rplc tests.
The challenge then was to find an reputable online vendor. The first had pills, but their doses were 4x more than I would need. Powder wasn't an option since I can't measure micrograms.
I then bought a solution, the ingredient dissolved in it at 4mg/ml. So I bought a variable micropipette, set it to 125ul and created capsules (filled cap with 100mg corn starch to absorb solution, capped, shook).
So, now, I have a 30ml bottle of the stuff equal to 120mg or 240 doses. about 10cents per dose.. not including caps, corn starch or pipette ($26)... 30ml should last me a couple years.
If only I can crack my morning pain (almost) and end of work pain (doubtful)... still searching... but I'm sick of the bullcrap with PMs, filling opioid scripts, etc..