Well, it looks like the MD is trying to cover each pathway that your pain could be traveling. NOT that you need to take every pill in the arsenal though.
I like flexeril or Soma for the muscle tension we present with the pain we have. It was added to me for help with sleep, and that it did.
I use a small dose of tramadol for the pain to replace all the motrin i was using, and I still use motrin for the pain when in trouble. Or increase to 2 tabs of my tramodol, when in a flare.
I never did well with Neurontin, didn't work and I was too foggy with it. I need a clear head to do my work. And Cymbalta was a mess for me, dry eyes to the point of plugs and seratonin syndrome came along....so not for me.
I was switched to a small small dose of Savella and it is my bow on the box......brought me down to a pain level that I can function well with.
Please remember we are never pain free. JUST BETTER. If you are new to this diagnosis i will tell you, I was a mess for years trying to FIX myself and get the old me back.....I am in this now about 15 years or better. I do trigger point injections for the last 12 years and I go every two weeks to relieve the tight muscles and free me of alot.......(this is my path I speak of).
We are all different and so many times I say I am CMP not FM, though books put us together. It takes a long time to get your path right. The mix of meds and tools and non medical assistance that works for you. (heat, massage,yoga, stretching......)
One thing that helped so much was the rehydration of my body. I drank alot of POP and I also used alot of artificial sweetners....since the 60's when they were developed. NO MORE.
Water only and plenty of it, I always have it with me...and I found I stretched out better and my feet felt better and the body was smoother with movements.....B I G ! Then the sweetener thing helped as well......
For you, if your sugars have been up over 250-300 this is very dehydrating to the body....so you have to be even more diligent in your care. Splenda is a sweetener not like aspatrtame so OK, Steevia nad Agave even better for sugar replacement as you are diabetic.
This is so trying as we are all a mess in a little different way, yet we are in trouble the same non the less. So, journal find fixes and triggers and learn YOU.
I so wish you didn't join the pack here and that life could have stayed the way it was.......Hugs from afar, Nancy B
P.S: There are 10 pills in my box in the morning! Most supplements with 4 being Rx meds....I have HTN. so swallowing pills becomes an art. All I ask is that my day can get started an hour later!.....Good luck.

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