I'm back again and I'm still not getting it, since the middle of last year I've dropped my pain meds drastically after my last operation on my elbow, before the op I wasn't far off being my normal self Altho in pain I was ok energy wise, I was on 400mg of morphine sulfate, 3600 of gabapentine and 60 mg of duloxatine, now I'm down to 120 mg of morphine 1200 gabapentin and 30 mg of duloxatine, I've also added in 10 mg of escitralopran this week up 5 mg from last as directed by psychiatrist , if I'm out the house for more than an hour or two I spend the next day exhausted on the bed, only just about getting up to eat and pee. Am I missing something here ? My last lot of bloods came back good, I'm not overweight . I was going to try and switch morphine to tapentadol but I'm putting this off for now as I'm not up for any added problems, so what on earth is going on, I've had ecg's and they are always ok. Why I'm I so depressed?? And fatigue / tired??