I have fibromyalgia, my pain has really increased. my gp will not prescribe narcotics so he upped my gabapentin to 600mg x 4. is this safe ? thx

Yes: That dose is reasonable. Avoid narcotics. Have you tried Cymbalta or Savella (milnacipran)? Consider seeing a rheumatologist and disregard doctors who try to explain fibromyalgia on loose-jointedness.

Natural therapies: 41y fem with fibromyalgia seeks synthetic pharmaceuticals for pain. Is good evidence that FM has multifactorial etiology: mechanical injuries, childbirth, hypermobility, prolonged sedentariness. Rational care requires multi-variant therapies. Many improve via wt. loss, yoga, aquatherapy, massage, biofeedback, cannabis for mood/pain/sleeplessness, walking, Vitamin D & mindfullness therapies.