hello there, i see there are alot of people out there just like me.i too live with daily pain.they keep coming up with new diagnoses, but nothing seems to be getting fixed.i know have fibromaylagia as well. they are trying hard to get me on an antidepressant, but im just so sentivive to meds, and it seems like im already taking so many things for pain control and to sleep at night, i hate to ad one more pill to the list. cymbalta does look kind of promising, i think i will maybe try that. i live in a small town, and around here, the doctors,“any doctors” wont prescribe painkillers, they all feel a good antidepressant will fix every problem you have. what ive always heard is the four a day rule,is this true? if you need to take more than four pain pills a day, it means you should switch meds, right? i have a friend whos in real bad shape, im not sure of all thats going on, but she gets these horrible headaches, where her eyes and face actually swell up, and her eyes swell shut.she has a metal plate in her neck, from an old surgery, shes thinking it has something to do with that.she has fibro,a severe case of it,she just lives her life as if she were a cancer pain patient, i feel bad for her, ive even been trying to get her a good dr, but around here, they wont help her. there is a methadone clinic here, since she has such a huge tolerance to pain meds, but always still hurting, wouldnt methadone maybe a good choice for her? she even got into a pain clinic, they gave her ultram, she wouldnt even get them filled. she probably comes off as a drug seeker to them, but she says, shes tried all that, and it doesnt work! shes sick of suffering,she used to go to the er every week, but now they wont help her up there anymore either, this poor woman needs pain management along with some other problems,any advice on where she should turn next?