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gabapentin vs cymbalta for fibromyalgia

A 62-year-old female asked:
Dr. Mara Fiorentino
35 years experience Psychiatry
Cymbalta (duloxetine): Is an antidepressant, which recently has been launched as a generic with lower costs to the public. You may like to try again. Gabapentin, a neurotrop ... Read More
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A 37-year-old female asked:
Dr. Moshe Lewis
24 years experience Physical Medicine and Rehabilitation
PT, support gp, Aqua: I like a holistic approach that combines the benefits of low dose neuropathic medication like Gabapentin and possibly Tramadol for pain if necessary w ... Read More
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A 50-year-old female asked:
Dr. Romanth Waghmarae
38 years experience Pain Management
Fibromyalgia: Certainly the diagnosis may not be correct. Make sure you have had a Rheumatology work -up. Also it may be that the meds are just not working on you.
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A 46-year-old female asked:
Dr. James Rotchford
40 years experience Addiction Medicine
Yes : Consider getting a referral if your physician is running out of safe options. Low dose naltrexone or even Ketamine are worth considering. Behavior ... Read More
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A 52-year-old member asked:
Dr. Shaym Puppala
24 years experience Internal Medicine
Lyrica, (pregabalin) probably: Lyrica (pregabalin), Cymbalta (duloxetine), and savella (milnacipran) are fda approved for fibromyalgia, although other medications including Flexeril ... Read More
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A 44-year-old female asked:
Dr. Eric Chevlen
46 years experience Medical Oncology
Both work for some : it's variable. Some patients do better on one, others on the other. Both drugs can cause drowsiness at first, and some other side effects. Most doctor ... Read More
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A 45-year-old member asked:
Dr. Richard Maughon
23 years experience Pain Management
Neuropathy: They are different. Often they can used in combination. I tend to reserve Amitriptyline for use at night for patients who are also having trouble with ... Read More
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A 38-year-old member asked:
Dr. David True
23 years experience Rheumatology
Both can help: Lyrica (pregabalin) has good evidence of benefit for treatment of fibromyalgia in double blinded randomized controlled clinical trials. Imipramine(to ... Read More
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A 43-year-old member asked:
Dr. Ronald Krauser
51 years experience Rheumatology
Often: In my experience savella (milnacipran) often provides good benefit for this disorder.
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A 70-year-old female asked:
Dr. John Goldman
54 years experience Rheumatology
Either one: It is dependent on you your physician's evaluation will clarify which way to start. If one works you continue it. If not then switch. There are a lot ... Read More
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A 48-year-old member asked:
Dr. Jay Rosenfeld
31 years experience Physical Medicine and Rehabilitation
See below: Endep (amitriptyline) (amitriptylline) is a medication that is often used for fibromyalgia in certain people. One of the way it helps is that it cause ... Read More
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A 51-year-old female asked:
Dr. Ravi Chand
25 years experience Psychiatry
Fibromyalgia: Dear butterfly78765, nortriptyline is an older tricyclic antidepressants which has cardiac and anticholinergic side effects. It would be best to opti ... Read More
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A 41-year-old member asked:
Dr. Karl Haake
22 years experience Anesthesiology
Yes: Neurontin (gabapentin) is an excellent choice for fibromyalgia pain and is something that is often used.
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A 34-year-old member asked:
Dr. Sassan Hassassian
28 years experience Anesthesiology
Not exactly: Lyrica (pregabalin) is an anti-neuropathic medication with a wide area of application for various painful disorders. It is a "scheduled" substance, b ... Read More
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A 51-year-old member asked:
Dr. Kevin Nasky
15 years experience Psychiatry
Niether: Niether have strong evidence supporting their use in anxiety. Neurontin's effects on anxiety are thought to be mediated through its effects on the inh ... Read More
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A 28-year-old female asked:
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience Pain Management
No difference: There is no such thing as "best" or "worst" medication, only those that work and don't work, based on the patient's individual circumstances and genet ... Read More
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A 41-year-old male asked:
Dr. M. Hytham Beck
42 years experience General Surgery
Check with your DOC: tapentadol has some serious interaction with effexor (venlafaxine) a medicine you are taking.but tramadol has the same interaction. tapentadol has mor ... Read More
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A 32-year-old member asked:
Dr. Sassan Hassassian
28 years experience Anesthesiology
No: Trileptal is an anti-neuropathic medicine similar to lyrica, (pregabalin) neurontin, cymbalta, etc. Patients with the same ailment react differently t ... Read More
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A 28-year-old female asked:
Dr. Susan Arnoult
24 years experience Family Medicine
Similar: I have tried both with some success. Lyrica (pregabalin) is more expensive and causes weight gain. I would start with gabapentin. Have you tried Requi ... Read More
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A 40-year-old male asked:
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience Pain Management
Only cost and dosage: Lyrica (pregabalin) is effective as gabapentin for neuropathic pain migraine headache, however costs more.
A 52-year-old member asked:
Dr. Sassan Hassassian
28 years experience Anesthesiology
Reactions vary: Lyrica (pregabalin) (pregabolin) is an effective medicine to lessen symptoms of fibromyalgia. Another example is Cymbalta which can also effectivel ... Read More
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A 41-year-old member asked:
Dr. Sathish Modugu
31 years experience Pain Management
Yes: Savella (milnacipran) has been shown in clinical studies to help reduce fibromyalgia pain.
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A 42-year-old female asked:
Dr. Pamela Pappas
41 years experience Psychiatry
No: Lyrica (pregabalin) is an anticonvulsant, used to treat neuropathic pain and partial seizures. It's also been found to help anxiety and chronic pain ... Read More
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90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

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Personalized answers
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