Doctor insights on:
Gabapentin Vs Cymbalta For Fibromyalgia
It depends: Every fibromyalgia patient is different and a medicine that works for one patient may not work for another. Cyclobenzaprine (flexeril) is a muscle relaxant that belongs to a class of drugs called the tricyclic antidepressants. Lyrica (pregabalin) is a seizure medicine that is also used to treat pain. While many patients benefit from these medicines, others don't tolerate them. You will have to try. ...Read moreSee 1 more doctor answer
Neuropathy: They are different. Often they can used in combination. I tend to reserve Amitriptyline for use at night for patients who are also having trouble with insomnia. Gabapentin must be titrated to minimize side effects. The most common problem i see is practitioners titrating to a high enough dose to get a reduction in pain. ...Read more
Either might work: There are three fda approved approaches, lyrica, cymbalta, and savella (milnacipran). Would note that the latter two can cause nausea, and perhaps risk a little higher with cymbalta, but, if taken after food, can be mitigated. Would recommend you get some samples, and try for about 4 weeks, and see how you tolerate both the effects and side effects. ...Read moreSee 2 more doctor answers
See below: Endep (amitriptyline) (amitriptylline) is a medication that is often used for fibromyalgia in certain people. One of the way it helps is that it causes drowsiness and helps people sleep which is a big problem in fibromyalgia. Because of its many side effects, it may not be well tolerated by older people. It should be avoided in people who have heart problems, prostate problems and glaucoma. ...Read moreSee 1 more doctor answer
Fibromyalgia: Dear butterfly78765, nortriptyline is an older tricyclic antidepressants which has cardiac and anticholinergic side effects. It would be best to optimize one medication, either one would be fine, Cymbalta (duloxetine) would be preferred due to lesser side effects, major one being 10% patients can get high blood pressure. The answer is purely for educational purposes, please contact your md. ...Read moreSee 1 more doctor answer
No but......: Narcotic is more a legal term than a medical term. It does not necessarily refer to just opiate type medications. In general i think Lyrica (pregabalin) is a very helpful medicine, and i rarely see any addiction problems, however i did have a recent case of Lyrica (pregabalin) dependence. With that said most patients even with addiction history may still try this med if indicated and monitored. ...Read moreSee 2 more doctor answers
Niether: Niether have strong evidence supporting their use in anxiety. Neurontin's effects on anxiety are thought to be mediated through its effects on the inhibitory neurotransmitter gaba (similar to, but much more subtly than, benzodiazepines). Lamictal is still being investigated for use in anxiety because it can reduce activity of the excitatory neurotransmitter glutamine. ...Read more
What is the best combo. Tramadol with Lyrica (pregabalin) or Tapentadol with Lyrica (pregabalin) ?
Check with your DOC: tapentadol has some serious interaction with effexor (venlafaxine) a medicine you are taking.but tramadol has the same interaction. tapentadol has more addiction potential than tramadol. both have dose adjustment in case of renal and hepatic impairment.same as tramadol. the final world is really to the physician who is willing to prescribed it. ...Read more
Please describe efficacy difference in Lyrica (pregabalin) vs Gabapentin for migraine/headache of a very nervey type?
It depends: Efficacy refers to proven and clear superiority based on objective evidence. Hence, I doubt you'll find an answer for your efficacy question. Even the effectiveness question is problematic and in my clinical experience all I can say is that gabapentin is possibly preferable when nerve pain is associated with less rather than more anxiety. ...Read moreSee 1 more doctor answer
It is individual: Lyrica (pregabalin) at night can help pain and improve sleep in some fm patients. However, Lyrica (pregabalin) does not help others and can cause side effects that limit effectiveness. Since all fm patients are different, individualized treatment is necessary. Find a provider who will work with you to find the most effective treatment for your fibromyalgia. ...Read moreSee 2 more doctor answers
No: Pregabalin is an anticonvulsant drug used for neuropathic pain and as an adjunct therapy for partial seizures with or without secondary generalization in adults. It has also been found effective for generalized anxiety disorder and is (as of 2007) approved for this use in the european union. It was designed as a more potent successor to gabapentin. ...Read moreSee 2 more doctor answers
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