@Ian waxman I hope the duloxetine keeps working for you!
I hope it helps you with the withdrawal from the fentanyl. And I am very sorry you are going through such a hard time.
For me, duloxetine (Cymbalta) turned out to be one of the worst medication experiences I ever had in my life, and I have had some bad ones.
It didn't work at first, so the dosage was increased, whereupon the side effects started. There were many of them, all highly unpleasant, but the worst of all was the red welts. Not hives, but little red raised bumps. They appeared first all over my scalp, then down my neck and on my face, and eventually on my shoulders and back. They were painful, and they itched - constantly - to a degree that was almost unbelievable. I was in hell.
The pain I have experienced from fibro was infinitely preferable to what I experienced with duloxetine. When I stopped taking the duloxetine, the welts stopped spreading, and very slowly they disappeared. But it was a full three months after I had taken the last dose of the drug before the last of them went.
So, everyone reading this, take care with all medications!
If someone says that one medication is the best, or is the only thing that works, be aware that this is true for that person, which is wonderful, but it may or may not be true for you.
And even if it is true for you, it may not continue to be a good thing indefinitely. Ian Waxman used to write on this forum that a fentanyl patch was the best thing, and recommended asking for it. But unfortunately that did not continue to be true for him, and now he is recommending against it. This is
not to say anything against Ian Waxman! Not in the slightest. We can always only report what our current experience is, and
whatever that is, it is important to share it with the others on this forum. That is how we learn from each other. But I am only saying that it is important to remember that medications are tricky at best.
One of the hardest things about fibromyalgia is that there is no one medications, or even two or three medications, that works for everyone, and many of them have unbearable side effects for some people.
Try different things, but remember that what works for one person can be not good for another, and unfortunately the only way to find out how it will be for you is to try it.