I have made it to Nevada...finally settled in here in Las Vegas. You had recommended a doctor to me late last month & I have his info. Is there anything additional I should know about him? I am currently taking Celexa and Tramadol for my Fibro. I was taking Cymbalta and really liked it, but my insurance at the time would not approve it for Fibro (even though the FDA has approved it for Fibro...go figure!)...so I switched to Lexapro and now to generic Celexa to save $$$. I'm not as impressed with it -but oh well. I'm okay with the Tramadol - my rx is written as 6 tablets/day, but I usually go up to 8 - which is the max dose. I have been on it for a few years now and I think I have developed a tolerance b/c it is not as effective anymore for my pain. I also take Advil and Tylenol daily in some kind of attempt to feel better. Some days I am okay - but a lot of days I am in a lot of pain all over - especially before my menstrual cycle. Also, I have a couple of bulged discs and degenerative disc disease & spinal stenosis and lately, it feels a lot more painful. Nothing has helped - including Lidoderm patches. I feel like on those days I need something stronger for pain but I am hesitant to ask now b/c when I have asked in the past, I was told "no" that there was "no need" to get into narcotics and it was too dangerous, etc.. I am not an addictive person - I may have alcohol 2x/year!! I just want to be able to live my life and continue to work! So, I guess my main question is how is this Doctor about pain medication? I don't know what I should take or what works best - I don't know much about narcotic medications..what is what, etc.. I know I've taken Demerol before for oral surgery and I hated it. It made me feel very irritable and restless - I wouldn't want something like that. I'm just afraid to ask now b/c I've been turned down in the past and also I don't want to appear to be a drug abuser. Any advice?