i have had fybro sence 1987 fell off chair backwards that started the journy through pain also have sjogrens syndrom and copd. i finaly just desided to take the least amount as possable of meds, take a nap midday helps. each person is affected diffrently, just take each day at a time and find what works for you there is no set rules i think i have used every med they recomend for fybro over the years and nothing has realy helped