had it not been for the nurse practitioner in my PCP office I still would have no idea what was wrong with me. My rheumatologist was a complete asshole and kept telling me the disease wouldn't kill me to deal with it. Every doc wanted me to go on the same few drugs. Lyrica, cymbalta, sevella, neroutin. I tried the Lyrica made me feel suicidal. Neurotin made me shake violently for 8-10 hours and I refused the others. due to possible side effects seeing I had had bad ones on the rest. I take Wellbutrin xl , xanax, flexril those get me thru the day for heavy pain I take hydrocodone but thats rare. Ibuprofen-tylenol and my drug of choice most days. and my trigger point shots once a month.

Besides my primary doctor I see a rheumatoid arthritis doctor and I go to a pain clinic.

I use Cymbalta without side effects, Gralise, flexril and oxycodone. This combination works for me.

Sometimes I think primary care is just as good a good nurse practitioner listens and takes you serious.