Diagnosed almost a year ago; was recently taken off meloxycam I was taking in the mornings due to potential for liver toxicity and put on an increased evening dose of gabapentin instead. Was already on Effexor for depression so that's stayed. But ever since the med switch I've been barely making it home from work before collapsing with exhaustion. The problem is in those hours from 4-7pm the dog is desperate to be walked (he refuses any walker but me, go figure), dinner needs to be made, etc… read more