A member asked:

I have fibromyalgia and i've been prescribed cymbalta, (duloxetine) nortriptyline , baclofen, and celebrex and i still have pain. ?

5 doctors weighed in across 2 answers
Dr. Lee Peter Bee answered

Specializes in Internal Medicine

Need Exercise: Fibromyalgia is a diagnosis of exclusion. The 2010 American College of Rheumatology criteria with presence of tender points, widespread pain index (WPI) ≥7 & symptom severity (SS) scale score ≥5 or WPI 3 - 6 & SS scale score ≥9, presence of symptoms at similar level for at least 3 months. Research have shown that exercise is the only consistent method that improves function and decrease pain.

Answered 7/15/2018

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Consider consult: Sometimes when medications are not effective, consultation with a professional with expertise in the psychophysiologic basis of disease may be useful.

Answered 9/29/2016

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