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A 37-year-old member asked:

what do you advise if i'm on methotrexate for the atthritis and am newly diagnosed with fibromyalgia. what can i take that will benefit both?

2 doctor answers6 doctors weighed in
Dr. Carl Balog
Pain Management 39 years experience
Low dose naloxone: Naloxone is a powerful antagonist to opioid medications, so if you take pain meds it won't be offered. However, if not, this may be a cutting-edge treatment for both. The science is complicated, so go see a fibromyalgia specialist/pain doc or bring it up with your rheumatologist. Remember, autoimmune disorders can cause chronic muscle fatigue, so I am skeptical of the fibro diagnosis.
Dr. Thomas Namey
Rheumatology 48 years experience
Duloxetine or: generic Cymbalta would help both!

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