The Ongoing Savella Saga

For those who have been following me on facebook for a while, you may already know some of this. For those who are just catching up with me now, as I slowly get the blog reformatted and resurrected, here's a bit of a recap.

 I've been trying since mid-June to get a prescription for Savella, which became the third drug approved by the U.S. FDA for the treatment of fibromyalgia. 

This year has been the worst year yet on the pain front, and I'm starting to have to really struggle to avoid slipping into depression.  I know I have a lot of things to be grateful for, and that I'm in far better shape on some fronts than many who suffer from fibro (including many friends and relatives), but as my pain levels continue to peak without respite, and my energy levels and motivation hit what seem to be all-time lows, it is getting harder and harder to keep my moods on anything remotely resembling an even keel.

Naturally, the added weepiness and moodiness gets me irked at myself, as I remind myself that I am one of the "lucky" ones among the fibro community (no need for a fulltime job, no kids to care for, etc). Getting irked at myself, of course, triggers more moodiness, and ... you get the picture.

Anyway, I've been stubborn for years about taking as few meds as possible and "just dealing with the pain". That went right out the window this year, however, and I'm now taking darvocet daily, just to get through the day (and to get more than 4 hours of pain-filled restless sleep a night!)  I need to at least try something to dig me out of this accelerating downward spiral. Even if it doesn't work anywhere near as well as hoped, or if I find I can't tolerate it (like my eldest sister, Annette), I will feel like I've made some progress in trying to get this illness back under control.  (Attitude makes a huge difference when coping with chronic pain!)

So, I contacted my doctor's office for a consultation in mid-June, and finally got in to see her in mid-July.  I was better-informed about Savella than she was, since it had only been on the market for a couple months. I mentioned that, other than a slight chance to raise blood pressure, it was looking far more promising than the other 2 medications that had been approved.

Oops.

You see, my blood pressure is a tad high. Constant pain can elevate it. Mood can elevate it. When you get pain and mood in a nasty spiral, well, even on blood pressure meds, things get a bit high. So, she decided I needed to take a second dose of my bp meds each day for a month, while she went and did more research on Savella.

Back I went to her office in August, after one rescheduling on the doctor's end, hot on the heels of losing Nutmeg.  Yeah, not a happy blood pressure time.

My bp was even higher than it had been the month before, even with doubling the dosage of my bp meds. Naturally, she was a bit unhappy about this, and said that, while she really liked what her research had turned up on Savella, she didn't want to start me on anything new until my blood pressure was under control.  She started me on a new bp medicine (while continuing to double-dose on the old one) and scheduled another followup for September. She'd also wanted me on a diuretic, but the one she wanted to prescribe had sulfa in it, which is a no-go for me.

September has been a tad busy for me with lots and lots of EQ2 upcoming content to test and write about for my site.  Busy, busy, busy, with my brain trying to leak out my ears due to the sheer volume of it all. Not the best time to try to cut down on my stress so my blood pressure is sane, but I was managing ok.

One hour before my recheck appointment today, the dr's office called and rescheduled ... for the same day next week when the content in EQ2 that has been making me so busy is due to be published to the game servers, and I'm due to be running about in-game verifying last-minute changes and updating the site.

Oh yeah, my blood pressure will be nice and low then.  {sarcasm}

What's next?  Another delay until October while she tries me on some different blood pressure med?  November?

The pain is getting worse as the months pass, which, I suspect, is counterbalancing any good that the bp meds may be doing for me.  I can't see much hope of that changing at this rate.

Meh.