I was dx with fibro, and Chronic Myofascial Pain 3 years ago. I dealt with it, and it got much better after abut a year. I've been in a bad flare for the last 3 months. I was doing alright on tramodol and skelaxin. My doc then put me on vicodin, and tiznadine (xanaflex) and klonopin, 1 mg/ day. My pain has worsened to the point where I can't work, and the pain meds aren't controlling it anymore. He is worried about an addiction factor with narcotics, and I need to make him understand that there is a difference between physical dependency, and psychological dependency. I'm not sure how to approach him with this. I get a two week supply of the vicodin, and cannot get it refilled until I am on my last pill. Then it takes two days on averaage for them to re-fill it. I am seeing a rheumy. I am then completely out until they decide to contact the pharmacy for a refill. I cannot be without pain meds, I simply cannot function without them. I am in constant pain, and the pain meds take the pain so it is not in the forefront of my mind, and I can concentrate on something else. I do not take them to get high, nor do I take more than I'm supposed to. I just want the pain to subside. I work 11 1/2 hours a day, I handle an enormous amount of work, and I do a good job of it. I am the assitant manager at a global industrial supply company, and I'm not chained to my desk. I get up and move around a lot. I started this job a year ago, and the first of this year, when I got back from vacation, I came back to a raise equal to twice my salary, they were that impressed with me. I love my work, and it gets a little stressful, which doesn't bother me unless I'm already hurting. My question to you is, what kind of pain meds are you on? I wonder if there is something I should bring up to my doc that he may be willing to try. I've used skelaxin in the past, alone, and it quit working, but it does do a good job of contolling pain in addition to being a muscle relaxer. I'm going to ask him to stop the xanaflex, and give me the skelaxin. Not working is not an option. I sleep about 3 hours a night. And I rest during that time, so I really don't feel tired when I get up to go to work. If I sleep longer than 4 hours, I feel like total crap in the morning, and literally can't move, I'm so stiff. Sorry for the long post, but if you could give me an idea of what has worked for you, I'll maybe mention it, and see what he says. I upped my appt today to 3:30 this afernoon. Not much notice I know, but any little bit helps. I do exercise regularly, watch what I eat, and rest when I can. Please help.