I am so sorry you have not found what works for you. It is the second biggest issue we have. The first being the doctor fit*.
Just keep the faith and see if something else will help you. Look up under Dr Pellegrino's face and click on his posts they are many...but so much important information there.
Look in resources under Caprice for the Members TOOLBOX and see if there is something in there you haven't tried.
I have two books important in my survival through this.
FM and Chronic Myofascial Disease, a survival manual by Dr Devin Starlanyl is so good. It talks of meds, diet, massage cause and effect on certain muscles, symptoms that won't be relieved. I use it often. (Amazon.com 19.99)
I have fought this for over 15 years now and it can be better, there are some real lows and challenges for all of us. It sounds lke you are in that. With the savella story here...sounds like you were ON TOO MUCH. I only take 12.5mg tablet and bring it up to 25mg when I need help. If I stay on 25mg and this is once a day...I won't sleep and I am tense and can snap too. so I don't go there for long.
But it is so helpful with my other meds and supplements.
Not all can take the 50mg twice a day dose. It is a norepineprhine (adrenaline)elevator more then seratonin like Cymbalta is. It is unique for this. So aggitation is common, lack of sleep, increased heart rate and BP can be there too.
Maybe starting agian at just the 12.5mg tablet....once a day to see how you do.
We are all so different and it is so hard to find the mix that is right for you. Such a challenge for the doctor.....Don't give up. Keep searching and reading and looking for the right fit.
I am a soma (muscle relaxant)3 a day Tramadol 37.5-75mg,3 a day savella 12.5 mg tablet 1 a day Vit B Complex, Vit D, Mag 250 twice a day girl. It took years to get this mix figured.
Was just Soma and motrin for a long time...but needed the Tramadaol as too much motrin was being taken....I am so careful to not go high or take an increased dose for longer then I need to have in my life........I do what I need to do and my doctor is so supportive to "keep me going". I do more NON medical then pills.
Good luck in this most challenging part of the process......
I hope you figure it out for you soon. Hugs, Nancy B