Hi Mary!...i also take cymbalta and gabapentin for fibro nervepain. i also take tramadol for breakthrough pain. this combo brings my pain from a 9 to a 6....doesn't sound like much but thats a HUGE improvement. then throw in some arnica gel to rub on my pain points....and then use the TENS unit as needed....couple of heating pads....they all bring my pain down to a 5 unless i'm having a flare, then i just go to bed and cry for a week or so.
talk about straying from the subject! so sorry Mary!....try adding tramadol to your pain pill cocktail...