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Doctor insights on: Lupus And Cymbalta

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Can a fibromyalgia patient on nortriptyline take cymbalta (duloxetine) for depression ?

Can a fibromyalgia patient on nortriptyline take  cymbalta (duloxetine)  for depression ?

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 more

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Taking cymbalta, lyrica, (pregabalin) dilaudid and oxycontin for avn and peripheral neuropathy any ideas on drug changes or resistances?Thank you in advance.

Taking cymbalta, lyrica, (pregabalin) dilaudid and oxycontin for avn and peripheral neuropathy  any ideas on drug changes or resistances?Thank you in advance.

See neurologist.: I recommend that you have to cut back on the Oxycontin and Dilaudid because they are not just addictive but eventually you need to use more to achieve the degree of pain control you have. The Cymbalta and Lyrica (pregabalin) have been used a lot for chronic pain which is also experienced in pn. I would suggest that you consider other pain control besides the opiates for a long term basis through a pain clinic. ...Read more

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Anxiety, depression, weakness, fasciculations, neuropathy sensations, tinnitus along with lupus symptoms. Possible to have CNS lupus with negativeana?

Anxiety, depression, weakness, fasciculations, neuropathy sensations, tinnitus along with lupus symptoms. Possible to have CNS lupus with negativeana?

Complex question : Large differential diagnosis here. See a neurologist and rule out ms and other neurological, tumors, toxic, metabolic, infectious causes .... Labs and imaging studies. ...Read more

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I have Cymbalta, (duloxetine) Wellbutrin and celexa combo. Is it harmful? fibro and depression

I have Cymbalta, (duloxetine) Wellbutrin and celexa combo. Is it harmful?  fibro and depression

I'd be concerned: Definitely discuss the combination w/ your Dr - ALL three are risky in combo w/ the others. On top of serotonin syndrome, the Wellbutrin (bupropion) in combo can cause seizures and other bad things. If needed, the risk may be necessary but if there are options, this is not a good one. Ask yourself, are you satisfied? A therapist might help you think it through. ...Read more

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Can topamax (topiramate) cause dilupus? On plaquenil/nifedipene for raynaud. And have extreme swelling. Low complement. Headaches/dizziness.

Can topamax (topiramate) cause dilupus? On plaquenil/nifedipene for raynaud. And have extreme swelling. Low complement. Headaches/dizziness.

No: I have never seen discoid lupus be caused by topamax (topiramate), (topiramate) but discoid on occasion can transition to systemic lupus. If you are having swelling of your lower extremities, you need to see your rheumatologist as soon as possible. If swelling of lower extremities is present with elevated blood pressure, that may explain the headaches/ dizziness or the headaches/dizziness could be side effects of topamax (topiramate). ...Read more

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UCTD. MTX, celebrex, (celecoxib) plaquenil, and prednisone. After weening off prednisone I feel terrible joint and muscle pain. Any adjustments recommend to meds?

Tell your doctor.: You may be tapering the prednisone too quickly. Call your doctor today because you shouldn't be this miserable. Also something else could be causing your pain. ...Read more

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Lupus nephritis and liprinosil ok treatment?

Lupus nephritis and liprinosil ok treatment?

Probably yes: There is no reason why Lisinopril cannot be used to treat high blood pressure in patients diagnosed with lupus nephritis. In fact, it may be the drug of choice in lupus patients who are also spilling protein in their urine. It may be need to be used with some caution in those patients with more advanced cases of lupus-related kidney disease as it may contribute to high levels of potassium. ...Read more

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I am taking cymbalta (duloxetine) for fibromyalgia and have gained 20lbs with hand and feet swelling. Are there other drugs that treat fibromyalgia with less side ?

I am taking cymbalta (duloxetine) for fibromyalgia and have gained 20lbs with hand and feet swelling. Are there other drugs that treat fibromyalgia with less side ?

Make sure is Fibro: Fibromyalgia is one of the most overly diagnosed condition today. There are many underlying conditions that can explain many of the symptoms that are more common-place and actually treatable. Conditions of the neck and low back will frequently have "myofascial" (muscle, tendon, ligament=soft-tissues) related pain that will spread quite far at times. Seek pain specialist eval. If needed for options. ...Read more

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I have high blood pressure, going through menopause, and ra. Currently taking humira, (adalimumab) losartin, and jinteli. Can these meds be taken well together?

I have high blood pressure, going through menopause, and ra.  Currently taking humira, (adalimumab) losartin, and jinteli.  Can these meds be taken well together?

RA and HTN: The combination of Humira (adalimumab) , Losartan and Jinteli will need the monitoring of kidney, liver function, electrolytes and the blood count. These meds can be taking together. The blood pressure should be controlled with the medicine and the diet. Healthy diet, normal lipids level in the blood and regular exercises will be recommended too. ...Read more

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Can I take both cymbalta (duloxetine) and elavil for nerve pain?

Can I take both cymbalta (duloxetine) and elavil for nerve pain?

Yes, but...: You need to be careful of something called serotonin syndrome. The combination of these two drugs (both of which act to increase serotonin levels) can in rare situations cause a severe bad reaction. ...Read more

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How lose weight while on Lyrica, (pregabalin) cymbalta, IVIG, Xolair and many others? I have CVID, HIES, IBS, Depression, Spinal Problems + allerigic to NSAids.

How lose weight while on Lyrica, (pregabalin) cymbalta, IVIG, Xolair and many others?  I have CVID, HIES, IBS, Depression, Spinal Problems + allerigic to NSAids.

There Are Many Ways: A full dietary consult is beyond the scope of this answer, but you can help weight loss by exercise, portion control, removing sugary drinks or other high carbohydrate foods from your diet. Bariatric surgery is certainly an option for some. You might also ask your primary care doctor for a referral to a nutritionist for a consult. ...Read more

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is Cymbalta (duloxetine) work well with Risperdal? for anxiety and depression?

is Cymbalta (duloxetine) work well with Risperdal? for anxiety and depression?

Reasonable combo: Cymbalta (duloxetine) is a SNRI for depression, anxiety and pain and Risperdal is a med that helps with agitation, paranoia. A low dose of Risperdal added to antidepressants can boost the antidepressant effects esp as it helps anxiety/agitation. Additional side effects are possible but can be monitored by prescriber. All patients on these meds should be regularly monitored. ...Read more

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Cymbalta (duloxetine) and stavella are they a lot alike?

Yes: I assume you meant savella (milnacipran). They are the same class of medications and have the same mechanisim of action. Most individuals respond differently to the two medications. You may have to try both to see which works best for you. ...Read more

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Diagnosed at 29 with severe osteoarthritis and fibromyalgia. Lyrica (pregabalin) 150 bid. Think I have autoimmune disorder, and possible cidp. Is this possible?

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 more

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I have diabetic neuropathy and RLS! Can I take Lyrica (pregabalin) and Mirapex together?

I have diabetic neuropathy and RLS!  Can I take Lyrica (pregabalin) and Mirapex together?

Yes.: Yes. The line between neuropathic pain and RLS pain is often very blurred. The symptoms often tend to run together. That's why some drugs can be used to treat both. ...Read more

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