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modalert 200 is not a good idea to leave the management of your arthritis to medicine alone. There are other options than taking medication to manage nighttime pain. To reduce pain and ease sleep, you can take a warm bath or shower before going to bed. You can use a warm, moist heating pad (or ice pack) for 15 to 20 minutes before you go to bed if there is a problem in one of your joints. Gentle stretching, relaxation or guided imagery exercises can help you sleep better at night. It is important to avoid exercising too close to bedtime as it can make it harder to fall asleep. I have read many articles saying that you should not exercise more than two hours before bed.These are six more ways to ensure you have a good night’s sleep.