I am so confused! I have been diagnosed with Fibromyalgia for about 6 months. I am on an SSRI and occasional Flexeril, Meloxicam and Tramadol. I don't take any of those every day....only as needed. Well, when I overdo it with activity....I have one night of sleeplessness and then I crash the next day. The reasons I can't sleep are pain, muscle spasms but something else also which I will try to explain. It's like total over stimulation that I feel after doing something strenuous. I can't "calm down". If I keep trying to be active, I get nauseous and feel like passing out. The other night, I was so wired that I had to put tissue in my ears to drown out sounds. There was NO WAY I could sleep...even with a sound machine on. Even after 2 Tramadol 50 mg each. This is what my Dr. didn't understand. DO YOU GUYS UNDERSTAND? He said it is either something psychological or something rare. WHAT?!