the man from OHSU.
http://www.myalgia.com/OFF_info/RB_Bio.htm
the treatment
http://www.myalgia.com/Treatment/Drugs .htm
and
http://www.myalgia.com/Treatment/treatment_of_fibromyalgia_in_detail.htm
//
Currently opiates are the most effective medications for managing most chronic pain states (Friedman OP 1990, Portenoy 1996) . Their use is often condemned out of ignorance regarding their propensity to cause addiction, physical dependence and tolerance (Melzack 1990, Portenoy et al 1997, Wall 1997) . While physical dependence (defined as a withdrawal syndrome on abrupt discontinuation is inevitable) is inevitable, this should not be equated with addiction(Portenoy 1996). Addiction is a dysfunctional state occurring as a result of the unrestrained use of a drug for its mind-altering properties; manipulation of the medical system and the acquisition of narcotics from non-medical sources are common accompaniments. Addiction should not be confused with "pseudo-addiction". This is a drug-seeking behavior generated by attempts to obtain
appropriate pain relief in the face of under-treatment of pain. Opiates should never be the first choice for pain relief in fibromyalgia, but they should not be withheld if less powerful analgesics have failed. In my experience many fibromyalgia patients want to try opioid medications, but then give up on them due to unacceptable side effects, such as mental fog, increased tiredness, dizziness, constipation and itching.//