Question 1

i have been diagnosed with fibromyalgia. i was taking cymbalta (duloxetine) but the cost was too high. i'm taking gabapentin  900 mg. not working  any suggestions?

Accepted Answer

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 neurotrophic anticonvulsant, can be increased  up to 3600 mg/ day. Both medications are used together or separate for the treatment of fibromyalgia. Discuss with your doctor to start another antidepressant if Cymbalta (duloxetine) is not an option.

Question 2

i've have fibromyalgia and currently taking gabapentin. i've tried amitryptaline and cymbalta (duloxetine) but had bad reactions. what are my other options?

Accepted Answer

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 with some form of a mild moverment program ie Pool therapy,light aerobic exercise w/a Physical Therapist or trainer that teaches light stretching exercise, Restorative yoga or Mat PIlates. Finally I rec a support group or cognitive behavioral therapy.

Question 3

i have been diagnosed w/ fibromyalgia. im currently on 60mg cymbalta, 1800mg gabapentin. is there anything i can take for pain? tylenol (acetaminophen) doesnt help.

Accepted Answer

Yes : Consider getting a referral if your physician is running out of safe options.   Low dose naltrexone or even Ketamine are worth considering.   Behavioral support to turn down the volume on pain surprisingly effective for some.   Access to same is the problem.  Specialized care often helpful.

Question 4

i have fibromyalgia & am currently on cymbalta (duloxetine) & gabapentin.  is low dose naltrexone something my gp can prescribe or must a pain mgm dr?  thx

Accepted Answer

Your GP will know: Since regulations on classes of drugs are subject to change from time to time and place to place, ask the GP. I'd guess that they are able to, but they might still prefer not to - that would be legitamite. So, contact your GP to ask. The benefit of a specialist might be in finding non-drug methods to optimize your outcome. Best!

Question 5

can i take cymbalta (duloxetine) with gabapentin?

Accepted Answer

Interaction checker: "Using gabapentin together with DULoxetine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment."  See: http://www.drugs.com/interactions-check.php?drug_list=1147-0,949-2273

Question 6

can i take cymbalta (duloxetine) and gabapentin together?

Accepted Answer

Cymbalta/gabapentin: I think both could be taken together-both are indicated for neuropathic pain and both are not habit forming.

Question 7

how does cymbalta (duloxetine) work differently from gabapentin for cipn?

Accepted Answer

Different mechanism: Chemotherapy-induced peripheral neuropathy (CIPN) are often treated with neuropathic medicine (e.g. Gabapentin) or selective serotonin and norepinephrine reuptake inhibitor (Cymbalta/Duloxetine).  Gabapentin works by mimic GABA receptors (mainly inhibitory receptors) in the synaptic pathway, reduce excitation of neurons.  Duloxetine is believe to inhibit pro-inflammatory cytokines in the brain.

Question 8

how much time do you recommend between a dose of 90mg cymbalta (duloxetine) and a 100mg gabapentin?

Accepted Answer

None!: 100 mg of gabapentin is a tiny dose. There vis no reason to space them out

Question 9

does cymbalta (duloxetine) work better then gabapentin for nerve pain ?

Accepted Answer

Cymbalta (duloxetine): Both medications are good but they are different. Cymbalta (duloxetine) works on 2different sites than gabapentin. Both are recommended in chronic pain.  If you have not had success with gabapentin this maybe an option.

Question 10

what drug has the least side effects to treat pain...gabapentin lyrica (pregabalin) or cymbalta?

Accepted Answer

All : All of these medications have their side effects and different people react differently to these drugs. Lyrica (pregabalin) and Neurontin being sister molecules have somewhat similar side effect profile, though. In my practice, most of my patients have been able to tolerate all these medications ok in most cases.

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Doctor answers about:

Gabapentin vs cymbalta for fibromyalgia

A member asked:

I have been diagnosed with fibromyalgia. i was taking cymbalta (duloxetine) but the cost was too high. i'm taking gabapentin 900 mg. not working any suggestions?

A member asked:

I've have fibromyalgia and currently taking gabapentin. i've tried amitryptaline and cymbalta (duloxetine) but had bad reactions. what are my other options?

A member asked:

I have been diagnosed w/ fibromyalgia. im currently on 60mg cymbalta, 1800mg gabapentin. is there anything i can take for pain? tylenol (acetaminophen) doesnt help.

A member asked:

I have fibromyalgia & am currently on cymbalta (duloxetine) & gabapentin. is low dose naltrexone something my gp can prescribe or must a pain mgm dr? thx

A member asked:

Can i take cymbalta (duloxetine) with gabapentin?

A member asked:

Can i take cymbalta (duloxetine) and gabapentin together?

A member asked:

How does cymbalta (duloxetine) work differently from gabapentin for cipn?

A member asked:

How much time do you recommend between a dose of 90mg cymbalta (duloxetine) and a 100mg gabapentin?

A member asked:

Does cymbalta (duloxetine) work better then gabapentin for nerve pain ?

A member asked:

What drug has the least side effects to treat pain...gabapentin lyrica (pregabalin) or cymbalta?

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