I had forgotten how exhausting life can be during a flare-up. Lately I feel quite alert in the mornings but I crash around 10. After about 45 minutes relaxing or napping I feel energetic again. My energy lasts until around 3. I relax for a while, get up in time for dinner, so it goes until my exhaustion wins and I call it a night.

I am trying to determine if the exhaustion sets in because I try to do too much early in the morning. Or, perhaps, the Cymbalta is counteracting the Amitriptyline and I am not getting enough restful sleep. There is also a chance it’s just fibromyalgia and chronic fatigue. Whatever it is, I am working out a schedule that allows me to get ample sleep, have energy to get some household tasks done, and spend my most alert time working.
This flare-up has worn out it’s welcome… if it ever had one.