Thanks for the suggestion. Yes, Fent is brutal. I was using 100mcg Durogesic patches intravenously. I'm completely off them now, back to chronic lethargy & generally have no interest in anything but laying in bed & watching movies. Something I can't do here, so everyday feels like a struggle.
Am taking 150mg of Tramadol daily 1 x 50mg, 3 x per day. This keeps the involuntary movement bearable but does little for energy levels which is my biggest hurdle currently.