It really is your personal choice, I have had fibromyalgia for over 11 years, i tried amitripilene and found it to be horrific, i was like a zombie, remember people with fibro are usually very sensitive to drugs, and the side effects, more so than people without it, i have never tried anything else since, and i don't think i intend to, i do take over the counter pain relief panadol, which i think is like your tynenol, it just takes the edge off the pain for me sometimes and i was taking arcoxia which is a drug for arthritis, but only like two tablets a month, i have since quit that, as my stomach problems just won't tolerate much.

Good luck with whatever you decide, for me until they find a cure that does not require medication with awful side effects i am going to go on as i am now,i may end up suffering more i guess, but some of the side effects are just not worth it to me.