I probably should have kept my reaction to myself, but I did note that your comment may not have been intended as it seemed to me... anyhow, sorry.
On the issue of Cymbalta,
It seems like a very reasonable move for me. But when I brought it up with my PM, he rejected it. about
3 visits ago, I briefly discussed it with his PA, who seemed amenable to the idea, but suggested we try wellbutrin first, then we went on to Sevilla. After both of those failed, I assumed we would try Cymbalta, but my PM said no.
Something was also off with him that day -- he looked very tired and disheveled. I think he wasn't in the mood that day to think about
anything and so other than repeat script
s for existing meds, he didn't want to do anything. So I'm actually hoping I see the PA next time, who likes to ask me about
my work and to tell me about
the chemistry behind the meds. He's always more chatty and so we can toss around options. My appointment is in less than a month.
Nevertheless, there is both a practical issue and a psychological issue I am concerned with. Most of the thread has responded to the practical -- what else I can do other than BT meds. But bear in mind that I've been going through just about
every alternative for years now and aside from chasing a few options that have been missed (or overruled by my PM), my deeper concern is the psychological issue: living with a level of chronic pain that forces me to choose between (a) medications that the more I use them, the less effective they will be; (b) not doing what I find fulfilling. At least until my next appointment, and possibly after it as well, that's my dilemma.
Post Edited (cogito) : 9/21/2011 12:35:45 PM (GMT-6)