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

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.

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.

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.

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