Suffering From Fibromyalgia, Arthritis. Taking Cymbalta, Seraquil, Not Helping

I have fibromyalgia and my arthritis in my hands has increased to an unbearable amount of pain to the point of keeping me awake at night. I started taking Cymbalta in the morning, which helps with day pain, but I don t know what to do with the night pain. I wear hand/wrist guards or gloves , which used to help, but not any more. I take 300 mg of Seraquil and at least one to two 1.0 mg tabs of klonopin at night for Bipolar/insomnia, but, I have been waking up too many times to count and/or not even able to get back to sleep, within the last few months. I haven t been to my rheumatologist in over a year,mainly because I live in a small town and have to drive to see him. Do you have any anwers for me?