I'm not 100% certain if my current med setup is mostly to blame, my fibromyalgia, or both... but I have simply had no energy lately. I'm now on three Neurontin (the med that's supposed to treat the fibromyalgia, itself), a Piroxicam (NSAID pain reliever, most likely wouldn't produce any somnolence, and hardly seems to produce any effects whatsoever), and a Norco (hydrocodone opioid pain reliever, is seemingly ineffective), and I raised my Seroquel (atypical antipsychotic/sedative) a little while ago. While some of these things would typically cause increased somnolence, the lethargy has been increasing more proportionally to my fibromyalgia pain.
The pain's been getting persistent and increasing in intensity. Tramadol became utterly ineffective and I stopped feeling its effects totally. I got an increase to hydrocodone (about six times stronger) which I've taken almost once a day for several days... I still haven't really been feeling the effects. I could almost swear they were merely placebo pills... without the placebo effect. Then again, there's a thing called the 'anti-placebo effect.' It's doubt about a drug reversing or negating the effects of said drug. It's been too little time, I think, to start building up a resistance to opioids and we've been pretty careful about dosage and how often I take the pain meds. The Tramadol I noticed was supposed to be working when the signature itchiness and slight dizziness kicked in. With the hydrocodone, I haven't noticed any effects. I can't tell when it kicks in after taking it. I just don't 'feel' it. I'm afraid that I'll have to keep on increasing the strength and dosage of pain meds and I'll become House. Actually... House takes Vicodin, a.k.a. hydrocodone. If I take something stronger, and more often over time, I'd be worse than House.
The pain's no longer dull. It's sharp, stabbing pain, wincing pain. Sometimes it's so sudden and so bad that I have to let out a moan or a groan. I can't hardly do anything before the pain starts to grow and grow and I just get completely drained of my energy. Lately, I've been having to take sudden deep breaths like I'm low on oxygen. I slept from about 4:00 a.m. (normal, if not a little early for me) until 10:00 p.m. (much, much later than normal.) I woke up more refreshed than the day before, but that doesn't say much. I was still exhausted, achy, and with stabbing on again off again pain. I just don't know the next step to this. The fibro's getting worse instead of better. It's not as bad as before taking Neurontin at all, where I was in total agony as if I were dying, 24/7. But it's climbing back up that way. It's like a race between meds and symptoms, which will prevail.
A month... Hopefully in that time something will be better and I'll be able to give a positive report to my doctor. Hopefully.
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