As I've stated before in my posts, my Dr. will not treat my pain with pain meds. I am leary of taking them, but I cannot stand this pain (muscle pain, joint pain, tendon pain, sometimes shooting pains) I am taking everything she wants me to but it is not working. My concoction recipe: 60mg cymbalta a day, 200mg provigil once a day, rozerem at night for sleep, topomax once a day, 800mg ibuprofen every 6 hours, daily vitamin and a b-complex vitamin. Please help me with some ideas. Pain is my worst symptom with fatigue coming in a fast second. What works for you?