I have been diagnosed with both fibromyalgia and chiari malformation(type 1) in August/September of 2009. I'm trying to find out more about both of them and how they are and will possibly be affecting me. I'm 21 and in college and struggling with school while taking meds and dealing with excruciating headaches and the pain of trying to get around my college campus. What are the best/most effective and least drowsy meds that actually work for these type of headaches and for the pain? I'm currently on Lyrica, Zoloft, and lidoderm patches ALL for pain... I switched to Zoloft because Elavil knocked me out... but Zoloft apparently can cause headaches according to some websites. Any help?