Hi (((((((( dreamsofflight ))))))))))
I personally have not gone to the ER for any of my flares. I think my symptoms are not as bad as some folks have and I just deal with it for the most part. I started Cymbalta this past February and it has helped a lot with the depression and took the edge off a lot of the pain. There are times though when it's not enough but not very often.
I'm sorry you are having trouble and I hope you can find relief or at the very least, something that will take the edge off and make it bearable for you.
BTW, welcome to PC!

sabby