Hi Jeff. Like you, I have Rheumatoid Arthritis and Fibromyalgia too. Tested positive for RA about a year and a half ago. The Fibromyalgia is a recent diagnosis - a week ago - but I think I've had it all along. My Rheumatologist has prescribed Tramadol and Duloxetine. So now I'm taking those daily as well as Celebrix, Plaquenil, Pantoprazole, Folic Acid, Leflunomide, 3000 units of D3 and a Methotrexate injection once a week. I feel like a walking drug store. All these meds...and I'm still in pain every second of every day. On one hand, I worry about putting all this stuff in my system. On the other, I'm terrified of how bad the pain would be without them.
Editing to add: Before going to bed, I take 2 Tramadol and 10 mg of Melatonin (natural sleep aid found in the vitamin section). Those two things seems to help me quite a lot as far as getting a fairly decent night's sleep.