Currently, when my feet do keep me awake I take a 50mg Tramadol and a 10mg Atarax. That's on top of 4 regular Ibuprofen which is prescription strength. I've also found if I go to bed before my feet begin to bother me I don't need any meds at all. For me that means going to bed around 11:00 at the latest. Once I'm asleep my feet are fine and I have no pain if I wake in the middle of the night and in the morning.

I have no idea why it hurts only at night. I so wish I did.