hi thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As first thing to know is what is fibromyalgia ? Now it s not that difficult to understand, as by understanding what is the problem you can surely deal better. Fibro-myal-gia - pain in the fibres of muscles. So the medicine provided will help for symptomatic relief and for further more assistance you need a thorough workout. Like doing breathing exercises will improve the oxygen carrying in the blood tissues and by which the metabolism is improved and the faigue is delayed, so does the pain. Meditation - this will help further to control your mind and avoid mood swings, as due to pain it is possible to have a lot of mood swings. Also, by performing regular physical therapy you will have strength and balance in the metabolism of the muscles and improve the drug absorption. In my clinical practice I have been dealing with cases of fibromyalgia. A combination of all of the above give you relief. Regards Jay Indravadan Patel