I have made it without either. I couldn't take them. Right now I use tramadol for pain. Also my rheumo put me on Wellbutrin. He said it works on pain. I'm still not sure. I will take a Percocet if I'm having a really really bad day.
I've been having a bad time so I am starting up my IVIG again. The cold weather is coming back. I struggle when it is cold or even really cool.