Don’t disregard medication side effects if you don’t experience any at the beginning – What I have learned on my journey!

Just when I thought I had fibromyalgia figured out, my body decides to throw another curve ball and I am left trying to find that path I swayed from.

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At the beginning of my fibromyalgia journey ( 2019) I trialed and errored different medications used to help lower the pain levels that comes with fibromyalgia. After several months, I finally found one medication with minimal side effects. It lowered the intensity of the pain immensely. I even found a sleeping medication that was able to be used nightly with low chances of addiction and dependence. I’ve remained on this regiment for years. A few medication dosage adjustments were needed over time to both medications ( to be expected).

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What I forgot to take note of is with higher dosages comes more changes of having side effects from the medications. We often start on lower doses and work our way up to higher doses. Our bodies tend to build up a tolerance to medications. As a result, a higher dose is required to achieve the same results as before. I wish I had paid closer attention to the listed side effects of each of my medication at every dose increase. Instead I never even gave the medication side effects another thought as I never experienced any side effects at lower dosages.

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Two months ago I developed extremely debilitating insomnia. I often have pain wake me up through the night, but I would re-adjust sleeping positions and fall back to sleep before. In July I began having chronic insomnia. I would fall asleep and be awake within an hour of taking my sleeping pill. There was no getting back to sleep. Sadly my doctor was on holidays at the time and to have a doctor who does not know your file make adjustments doesn’t usually result well. In fact, many doctors do not want to take on medication adjustments unless they know you.

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My sleeping pill also stopped working. My doctor did one final increase on my dosage – with no change to how I was sleeping. I am slowly tapering off this sleeping pill and a new sleeping pill was added. Since the new sleeping pill, I have been getting seven consecutive hours of sleep a night. I had forgotten what sleep felt like. While my doctor was on holidays I had started digging deeper on possible side effects. Nausea, diarrhea, blurred vision, headaches, muscle aches/pain were some of the noted side effects – all of which I have been experiencing. Now some of the side effects over-lap fibromyalgia symptoms making it even harder to distinguish the difference.

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Here is the dilemma…

I started doing more research on my medications. Sure enough my medication which I take for pain management, has a side effect of insomnia. If fact it stated that insomnia is one of the main side effects! At lower dosages I did not have insomnia as a side effect, but after two dosage increases insomnia hit hard. One to two hours of sleep for two months led to sleep deprivation. Now is my pain medication really causing insomnia or was it my sleeping pill just became ineffective causing me not to sleep? I was supposed to begin to taper off this medication this week, but now I am not so sure this is the best decision. It is also a very difficult medication to taper off of with alot of with-drawl symptoms and brain zaps! I recently joined a Facebook support group on this medication and alot of people are having the exact same issues as me while using this medication. Again, when I first started using this medication very low side effects. As the dose went up, I noticed more and more symptoms arose.

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Have you had a similar experience? Please share your story with me if you have and feel comfortable doing so. What I have learned is, tapering off medications is a slow process. Please work with your doctor/pharmacist if you are tapering off of your medications. I am being monitored weekly by my doctor and have contacted a pharmacist several times since the tapering process has started.

Should I continue to work once diagnosed with fibromyalgia? How I made the difficult decision….

People who are diagnosed with fibromyalgia eventually find themselves asking the question,” Should I continue to work?” Debating whether it is appropriate to stop working due to fibromyalgia can be a very confusing time. Not everyone is able to stop working and they continue to push themselves through their shifts day by day. Here is a shout out to all of you who have managed to stay working ! Everyone will have to make the decision to continue to work or resign due to medical reasons. You must do what is right for you and your circumstances.

For myself, I tried to take a month off from work thinking I could quickly learn to manage fibromyalgia. I soon realized, it wasn’t as simple as it seemed. As the weeks went on, new symptoms arose and intensity levels changed. Just as I thought I had my symptoms under control, a new symptom would appear or the ugly cycle of chronic pain would begin over and I was back to square one.

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According to “experts”, people with fibromyalgia should remain working. Researchers state that people with fibromyalgia who continue to work tend to feel less pain and fatigue. I totally disagree with this statement. I believe it depends on the severity of your fibromyalgia. Obviously if a person has mild symptoms it may be a bit easier to continue to work. Symptoms are easier to manage when they are mild. For myself, I was the complete opposite. My symptoms were mot considered mild but severe. I tried to continue working and it did not improve my fatigue levels or pain levels. It intensified both symptoms to the point I could not function. I pushed through for several weeks until I just couldn’t push anymore and found myself requesting time off of work from the doctor.

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I made the hard decision to not return to work for several reasons. Maybe my reasons will help you make your own decision.

The fatigue began to set in severely. I found that by the time I got out of bed, ate breakfast packed lunch and drove to work ( fifteen minutes down a busy highway), I would pull into the school parking lot feeling like I “pulled an all nighter.” The fatigue got so intense that I caught myself falling asleep at work. Not the safest when you are in charge of a group of students or one on one with a student who needed high supervision due to safety concerns. The day I almost dozed off behind the wheel driving to work, was the day I knew I no longer could work.

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The unpredictable widespread pain played a factor in remaining off of work. At first the pain was only in my fingers, elbows and knees. It quickly turned into widespread pain that jumped locations every five seconds. Who knew pain could strike every part of the body at once?! I found out what this felt like. Trying to work with chronic unpredictable pain makes it near impossible. Here is an example. Ever try to go to work with a migraine before? Imagine the throbbing/pulsating pain you felt with that migraine. Now imagine the pain three times worse. Yes, people with fibromyalgia often feel pain three times more then what people without fibromyalgia feel. I don’t know about you, but having such intense pain affected my overall ability to function. I began to feel emotionally exhausted as well as physically exhausted from the pain itself.

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Brain fog began to clutter my thoughts. I started having problems understanding grade three school curriculum. This confused me as before I was working in a junior high school in grades seven to nine- which has more complex information to process! I was able to explain algebra to students in grade eight, but yet I could not explain a 3D shape to a small group in grade three. I found myself stumbling over reading simple sentences to students on a test, or explaining instructions backwards to worksheets. I was hired to help support students, not hinder their learning.

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Some people with fibromyalgia can work with modifications to the work environment or find a job that is less demanding to allow them to continue to work. For myself, being an educational assistant in a school working with special needs students, I was not able to modify my work load or schedule. Obviously my schedule followed the students school schedule.

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I never did try to return back to any job as the symptoms got worse as the years went by. At first I had improvement once I started on a medication to help manage the pain, but the fatigue set in deeper. My doctor explained to me that I had hit a plateau in my “recovery”. A new level of exhaustion was felt. I began having trouble mustering up enough energy to shower, felt like my shin muscles in my legs were being torn from my body walking up a few steps and I began to get daily sore throats and fevers. When the fever begins I feel like I have been hit by the worlds worst flu bug. I began battling my own body each day and unsure of what tomorrow would bring.

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As the saying goes , “You can’t pour from an empty cup. Take care of yourself first!” In the end I decided that if I couldn’t take care of myself and my basic needs first, how was I going to support students in a classroom? It just doesn’t work that way. If you are finding yourself in the same position, I would encourage you to weight the pros and cons of leaving the workplace. All the best! Hope my reasoning may help you make the tough decision!