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A female asked:

My doctor has tried naproxyn tramadol flexirel cymbalta (duloxetine) and neurontin for my fibromyalgia and arthritis. nothing has helped. now what?

4 doctor answers7 doctors weighed in
Dr. Susan Arnoult
Family Medicine 26 years experience
2 others: Lyrica and Savella (milnacipran) are both approved fOR FMS. Be sure you are also doing everything else you can to help such as mild daily exercise, regular adequate sleep, clean healthy simple eating, I also had patients use Osteopathic or chiropractic manipulation, hydrotherapy, massage and acupuncture.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Steven Simon
A Verified Doctoranswered
Physical Medicine and Rehabilitation 39 years experience
Keep,trying: Lyrica (pregabalin) has been helpful,and indicated to help at doses 300-450 mg daily. Atypical opioids like butrans patch has helped many of our patients. CBT cognitive behavioral therapy, can help as well. Sleep hygiene, hot,showers, morning stretching, dietary changes, and pacing activities all are appropriate. Continue attempts to,find solutions. This can be managed but only if you lead the way.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Dariush Saghafi
Neurology 34 years experience
How about referral: If your doctor is unable to find the right medication or intervention to adequately treat your pain you may ask for a referral to either a rheumatologist (who are the recognized experts when it comes to diagnosing and managing fibromyalgia) or pain medicine specialist.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Dariush Saghafi
Neurology 34 years experience
Provided original answer
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Nov 21, 2014
Dr. Liesa Harte
Family Medicine 30 years experience
Functional Medicine: You may have success working with a functional medicine doctor who can help you find your root causes for having fibromyalgia and arthritis. I personally treat a lot of fibromyalgia patients, and many have issues with gluten, other food reactions, genetic SNPs like the MTHFR SNP, nutritional deficiencies, hormonal imbalances, heavy metal toxicity, and lifestyle issues that can be fixed. GoodLuck
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Sep 28, 2016

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