<s>[INST] i have been diagnosed with fibromyalgia, depression and chronic pain. i am on cymbalta 60mg once aday, soma 3x day, percocet 7.5/325 every 4-6 hours,gabapentin 300mg 3x a day. i am still in constant pain always at a 8 pain rate, depression is worse, cannot sleep for more than 2-3 hours at a time.any suggestions on any other type of meds that could help, or should we up any of the meds i already take? i have Doctors appointment on monday and would like to go to Doctor with suggestions so i can get some relief. having a second opinion may really help in my treatment. Thank you! terri [/INST] Those are not different diagnoses. Just thought you should know. Depression produces body sensations. Mostly that is what fibromyalgia is. Cymbal ta is a crap anti-depressant and a crap nerve pain pill. The main thing is that the good anti-depressants do nothing on pain and the good nerve pain medicines do nothing for pain. There is about a 1-month time period needed for the cymbal ta to work. So, treating depression is helpful. Alternatively learning to have a very high pain context is helpful. Very large amounts of exercise have proven beneficial n fibromyalgia. </s>