Well it turns out that my doctor set up a new prescription for me but no one called to let me know.  Basically I'm back to the Lexapro but at a higher dose.  Things are better now.  I have never had that kind of reaction to anti-depressant drugs before.  Having two prescriptions in a row affect me adversely was a real surprise.

Another medication related thing that bothers me is that the main drug used for MS fatigue, Provigil, is not covered by most insurers.  It is too expensive to buy outright, so my doctor found another solution - Dextroamphetimine.  The insurance will cover this.  I don't take them often, but they really work when I do 🤗.

Anyhow, I am feeling much better for now