I believe I said earlier that this is true for me as well. The fact that these drugs do work so well should be well known to all the me/cfs docs, and I would think that because of this they would have an arsenal of treatment options. I did see the post about Cheney. I do appreciate very much all the great input on this issue since for me it's about finding an alternative to the narcotics, that will do just as well. I just spent some time using the Fentnyl patches for my arthritis pain.....lo and behold, they work just as well. Plus I don't have to deal with the pills. But, I want to not even use the patches.....gotta be a better (non-narcotic) option.