Hurray; someone willing to stay positive
and not give in to the condition. The meds are a matter of trial and error, what suits one will not suit another, its a case of going back to your doctor over and over and saying, no, this doesnt quite work. Personally for me amitriptyline worked but knocked me for six and I would rather be compus mentis than painfree so I stopped with that. Citalopram works better for me as I find stress exaggerates the pain and Citalopram reduces the stress, as a guide 20-30mg. Stuff you would think might work may not necessarily, I started swimming, loved it, found I could swim for miles, great exercise, but wipes me out every time for at least 2 days, so either keep going but just do a couple of lengths or rule it out, im still working on that one. As to your job, if you love it, dont even dream of giving it up, you just need to factor fibro into the mix and realise that there may be times when its going to be harder, perhaps impossible, make your colleagues aware of this maybe? Also be aware of it yourself, I have your type of "put on a brave face" personality and sometimes it slips, its more likely to slip if you are facing both mental and physical problems simultaneously, (you may be strong but everyone has limits) so at least if you have a hiccup your colleagues will not be shocked into thinking you have "lost it" and to be honest, from experience, I was hit very suddenly with the "anxiety" side of fibro and I thought myself that I had "lost it" so preparation is the key. When i start to get the same symptoms Im fully prepared now and just think "bring it on." However, you do sound like you are in a v stressful job, as I was, the difference being that I hated my job so giving it up (with a little forward planning) was an easy decision for me and I fully believe that my job caused the onset of fibro, so even tho you are enjoying your job look into other possibilities for the future, if nothing more it will give you some control. Re coping with mental and physical pain together, im not sure if its the same for everyone, but for me they are totally linked together, if im stressed at all, im in pain, I take a combo of paracetamol & ibuprofen plus a pain relief muscle gel (over the counter) and nothing stronger, the key for me is dealing with the stress, citalopram is working ok for that at the moment, but following the sudden onset of anxiety I experienced I had to think hard about what would leave me in a happy relatively stress free place, what was important to me, what i needed to keep and let go in order to find that place, so I pared my life right back, I downsized my house and moved areas, I left my job and used my savings to pay off my house and car etc. It was a very tough year but it was worth it. From what you are saying I would think the key to your health would not be so much taking loads of different drugs, but maintaining your already positive mental attitude, CBT and also psychiatric sessions may be useful, theres an NHS group called "impact pain" as well that you could be referred to ( these were marginally helpful with me tbh but i suppose it depends on your area and who you see). The main thing I changed was to be more selfish in a way, to arrange things that helped me rather than my colleagues, friends or family. Now im in a better place though they have all benefitted from it. Good luck with getting where you need to be xx