I worked from 2000 until this February with symptoms and medications. I drove a truck for a living. The laws changed and my medications made it so I could not pass a DOT physical. I take 10/325 hydrocodone, 800 mg Ibuprofen and 800 mg gabapentin 3 times a day for pain. 50mg of baclofen, I was up to 80 but they put me on 400 mg of carbamazepine per day and I was able to reduce baclofen to 60, I am now on 1000mg of carbamazepine and down to 50 mg of baclofen, i have yet to try and drop down to 40 baclofen. I take tizanidine one as needed 4mg, usually two at bedtime to get me settled down and another if I wake up cramped either other half of a 10/325 to get back to settled down. My nights or just sitting still seem to be the worst, especially if I try to much of anything, I am very limited as far as activities or chores. Driving was good for me and made me a good living, now I notice my illness more because my brain is not busy driving. In severe cases or days i take diazepam to keep me out of the emergency room.