because I've finally decided that my meds are well overdue for a review. It would be really helpful if people here could offer tips, suggestions and advice before I go. I have, as far as I can tell, had cfs since my late teens (though I didn't know it and wasn't diagnosed). Nine years ago (after a period of four years where my symptoms had been getting better) I crashed and for the first time pain became my major symptom. After the usual battery of doctors visits and fears that 'something more' was wrong with me I was diagnosed with FM about 16 months ago. My FMS/cfs appears to have stabilised over the past 18 months. I still experience pain almost continuously but it is at a level I can cope with if I take my painkillers. My fatigue is less of a problem than it used to be and I am sleeping better than I used to, though for only short periods. I don't have to spend many of my days in bed like I used to, though I am still mainly confined to home. I can just about cope ith keeping my home clean and maybe do some cooking but this leaves me with little energy for anything else. I have noticed recently that I am experiencing more neurological probs: More headaches (though they are not serious and by no means a major problem). I also confuse words more often and forget things. It feels good to feel generally more in control of my life but I don't want to sit on my laurels, I'd really like to continue making progress and hopefully get more of my life back. Also, I am worried about my brain probs. At the moment I am taking two effervescent co-codamol tablets four times per day and have been doing so for about two years. I have liver probs and am aware that these tablets are not helping. However, they are the best pain relievers I have found in that they work quickly and take the edge off of my pain, also they don't knock me out. I have tried various other painkillers in the past: codine, paracetamol, ibuprofen and various other NSAID's - I still sometimes take over the counter ibuprofen if the co-codomol doesn't dull the pain enough. My doctor would also like me to take 20mgs of amitriptylene (sp) per day but I have found that even this (relatively) small dose knocks me out for the whole of the next day. My doctor seems sympathetic to my condition but is not so 'up' on the latest treatments. Are there questions I ought to be asking him? Things (medications/tests) I ought to be requesting? Are there any recent articles or pieces of information I ought ask if he's seen? Does anyone have an effective painkiller to recommend that is safer for long term use and the health of my liver than co-codamol? Also, I am interested in all that's been written about Guai on this site. Does anyone know is it available on perscription in the UK? If not where can I get it? What do other people find effective? I'm pretty sure I also need to work on my diet and I probably need a planned exercise plan but maybe I'll save that one for another message as this one's quite long enough already. Sorry this has gotten so long and thanks to anyone patient enough to stick with me. I'd be greatful for any suggestions. leo.