Doctor insights on:
Gabapentin Vs Cymbalta For Fibromyalgia
I have been diagnosed with fibromyalgia. I was taking cymbalta (duloxetine) but the cost was too high. I'm taking gabapentin 900 mg. not working any suggestions?
Cymbalta (duloxetine): Is an antidepressant, which recently has been launched as a generic with lower costs to the public. You may like to try again. Gabapentin, a neurotrophic anticonvulsant, can be increased up to 3600 mg/ day. Both medications are used together or separate for the treatment of fibromyalgia. Discuss with your doctor to start another antidepressant if Cymbalta (duloxetine) is not an option. ...Read moreSee 1 more doctor answer
I've have fibromyalgia and currently taking gabapentin. I've tried amitryptaline and cymbalta (duloxetine) but had bad reactions. What are my other options?
PT, support gp, Aqua: I like a holistic approach that combines the benefits of low dose neuropathic medication like Gabapentin and possibly Tramadol for pain if necessary with some form of a mild moverment program ie Pool therapy,light aerobic exercise w/a Physical Therapist or trainer that teaches light stretching exercise, Restorative yoga or Mat PIlates. Finally I rec a support group or cognitive behavioral therapy. ...Read moreSee 1 more doctor answer
Tried numerous meds for fibro like lyrica, cymbalta, gabapentin, savella (milnacipran). None work, not fibromyalgia?
I have been diagnosed w/ fibromyalgia. im currently on 60mg cymbalta, 1800mg gabapentin. is there anything i can take for pain? tylenol (acetaminophen) doesnt help.
Yes : Consider getting a referral if your physician is running out of safe options. Low dose naltrexone or even Ketamine are worth considering. Behavioral support to turn down the volume on pain surprisingly effective for some. Access to same is the problem. Specialized care often helpful. ...Read more
I have fibromyalgia & am currently on cymbalta (duloxetine) & gabapentin. Is low dose naltrexone something my gp can prescribe or must a pain mgm Dr? Thx
Your GP will know: Since regulations on classes of drugs are subject to change from time to time and place to place, ask the GP. I'd guess that they are able to, but they might still prefer not to - that would be legitamite. So, contact your GP to ask. The benefit of a specialist might be in finding non-drug methods to optimize your outcome. Best! ...Read more
I am unable to take tylenol#3 due to aggression. I suffer with fibromyalgia. I take gabapentin, cymbalta, norflex, but have nothing for severe pain?
Fibromyalgia: You need to discuss with your Dr. ...Read more
Interaction checker: "Using gabapentin together with DULoxetine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment." See: http://www.drugs.com/interactions-check.php?drug_list=1147-0,949-2273 ...Read moreSee 1 more doctor answer
Different mechanism: Chemotherapy-induced peripheral neuropathy (CIPN) are often treated with neuropathic medicine (e.g. Gabapentin) or selective serotonin and norepinephrine reuptake inhibitor (Cymbalta/Duloxetine). Gabapentin works by mimic GABA receptors (mainly inhibitory receptors) in the synaptic pathway, reduce excitation of neurons. Duloxetine is believe to inhibit pro-inflammatory cytokines in the brain. ...Read more
If I had an adverse reaction to gabapentin for pain am I likely to suffer the same fate with cymbalta (duloxetine)? I know they work differently but still worried
Not necessarily: Cymbalta (duloxetine) and gabapentin are different classes of medications with different side effects. However, good to tell prescribing doctor about medications you did not tolerate and why. Some people are more sensitive in general to meds. Keep track of your responses. Discuss your concern with prescribing doctor. Ask what side effects might occur and what to do in that event. Take care. ...Read more
Ask your doctor: For some individuals using a combinations of medications allows them to maximize therapeutic benefit with minimizing dose dependent side effects . But for most of us "less is more". While it may be advisable to simplify your meds the specific choice and how to change the regimen requires a shared decision plan between you and your doctor. ...Read moreSee 1 more doctor answer
What other drugs are available for nerve pain if Gabapentin, Lyrica (pregabalin) and Cymbalta don't work ?
Think beyond drugs: Medications are one way of controlling nerve pain. Pain is a complex holistic process. You may be able to decrease need for meds by addressing other issues. That includes nutrient status, stress or emotional trauma that may have accompanied or pre-dated the injury, and movement and use of the limb. It's a complex topic. You might look for a doc who does integrative or functional medicine. ...Read moreSee 1 more doctor answer
Husband taking gabapentin and cymbalta (duloxetine) for neuropathy. Now can't have an ejaculation, close to it. Should he seek another opinion or check prostrate?
To be honest: His ejaculation issues could be related to his medications and/or his neuropathy. Be aware, it's very uncommon that prostate issues are responsible for ejaculatory problems. You could visit this issue with a urologist if you're really inclined to have a second opinion. ...Read moreSee 1 more doctor answer
Are there any medicines like Lyrica, (pregabalin) Cymbalta, and Gabapentin that don't cause weight gain?
COMMENTS: Of the listed three, Cymbalta causes nausea in 40%, and is the least likely to cause weight gain. Savella (milnacipran) may be of value in pain syndromes such as fibromyalgia, and seems to also be less troublesome. A possible alternative to gabapentin could be Grailise or Horizant, and due to duration of action may be also less weight gain. The meds cause appetite change, so less caloric intake can prevent. ...Read more
Is it safe to take a TCA or a SSNRI for nerve pain if I had palpitations on low doses of first Cymbalta (duloxetine) (60mgOD), then gabapentin(100mgBID)?
Palpitations: although there is some electrophysiologic effect with the above medicines in the absence of a clinical trial tolerability can not be assessed. Following initial dosing to steady-state an ECG may be of value in assessing the potential for arrhythmia by observing intervals such as the QT. Discuss this with the prescribing physician ...Read more
I take cymbalta (duloxetine) and gabapentin for small fiber n. Gained 7 lbs in the 5 weeks i've been on GABA . Is there a med that won't cause weight gain?
Not Realy: Weight gain with either or both of these medications are pretty typical. However, i would hope you are starting to feel better and now you can get out an exercise more to loose the extra weight. Hang in there. These medications are good ones, and worth trying for 90-120 days. ...Read moreSee 1 more doctor answer
Would lyrica (pregabalin) be a good choice for radiculopathy pain caused by nerve root compression in lumbar even if gabapentin and cymbalta failed to work?
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