Doctor insights on:
Fibromyalgia Treated With Opioids
Pain Management: Your doc or your local medical association can refer you to a pain management specialist. They do lots of good work but please do not forget behavioral approaches such as clinical hypnosis (see www.asch.net), biofeedback, massage therapy, talk therapy, etc. Peace and good health. ...Read more
No: Only a small percent of people actually get addicted to narcotics, but most who are on it chronically are dependent. The difference is that addiction is characterized by the continued use of a substance despite adverse consequences. The goal of chronic pain medicine is not to take the pain away, but to increase the function of the individual, so you can do more. ...Read moreSee 12 more doctor answers
I have been diagnosed with fibromyalgia by 3 different rheumatologists. I have tried Lyrica, Savella, (milnacipran) and Neurontin without relief and/ or side effect?
Non-medical also: An extremely important part of managing fibromyalgia has nothing to do with medications: Because certain exercises have been shown to help the pain substantially,it is worthwhile for people with FM to request a referral to a physical therapist familiar with treating fibromyalgia. Addressing sleep hygiene search HealthTap)is important also - profound sleep deprivation can mimic every symptom of FM. ...Read moreSee 1 more doctor answer
Possibly: Lyrica (pregabalin) does a good job with diabetic peripheral nerve pain, and may be useful with other pain syndromes. Another drug, cymbalta, has now been approved for a variety of non-nerve pain syndromes, and may be a bit more useful with "myofascial pain". You could try either, but high dosage levels may be important, if you can adjust to side effects. ...Read more
Diagnosed with mononucleosis 2 months ago; consistent, serious, vestibular migraines along with intermittent muscle achiness. Amitriptyline prescribed?
Can amitryptiline be taken indefinitely for someone who has irritable bowel syndrome/colitis? Need expert opinions!
Why?: Both are in a class of antidepressants known as SNRI. They would be working similarly. If you are being under-treated, you should talk with your doctor. They may add a different class of medication such as SSRI. Alternatively, they may change you from Cymbalta (duloxetine) to venlafaxine. Hopefully this helps. ...Read moreSee 1 more doctor answer
Bad idea: Opioids like long-acting morphine, are not preferred treatments for restless leg syndrome. They are not indicated for this problem, although both opioids and tranquillizers (benzodiazepines) can reduce the symptoms. However, they cause physical dependence, and typically the dose goes up over time. Drugs like ropinirole and pramipexol are the first line treatments. Low iron should also be treated. ...Read more
Diagnosed at 29 with severe osteoarthritis and fibromyalgia. Lyrica (pregabalin) 150 bid. Think I have autoimmune disorder, and possible cidp. Is this possible?
Absolutely: It would seem unusual to have a 29 yo with severe osteoarthritis and so you definitely could have more of an inflammatory arthritis, many of which fall in the category of autoimmune disorders. A more detailed history, exam, and appropriate test can usually establish the diagnosis. Thank you for you question. ...Read moreSee 3 more doctor answers
What pain medication most effectively treats transverse myelitis? Are neurontin, (gabapentin) morph, perco, dilauded effective in treating transverse myelitis?
Lyrica (pregabalin): The drug Lyrica (pregabalin) was recently approve to treat the pain of spinal cord trauma, and likely would help in transverse myelitis also. One approach, using an analgesic, might be a Butrans patch, or tramadol er, so discuss with your doctor and see what might be of value. Also, is the transverse myelitis a problem secondary to an underlying disease or just an isolated event? ...Read more
Yes, but...: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends continued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more