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Doctor insights on: Lyrica And Cymbalta

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What meds can b used for fibromialgia and neropathy, if u can't take nurotin, lyrica, (pregabalin) cymbalta?

What meds can b used for fibromialgia and neropathy, if u can't take nurotin, lyrica, (pregabalin) cymbalta?

Many options: There are multiple other medications that can be helpful in individual cases, including amitryptiline, lamotrigine, and others. A neurologist or rheumatologist can help guide your treatment. ...Read more

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Ok, I had 2 be taken off my celexa 4 fibro due 2 reaction ! right now I need sugg of another drug 2 take 4 fibro, can't be lyrica, (pregabalin) cymbalta, mo.Medicaid ?

Ok, I had 2 be taken off my celexa 4 fibro due 2 reaction ! right now I need sugg of another drug 2 take 4 fibro, can't be lyrica, (pregabalin) cymbalta, mo.Medicaid ?

Try gabapentin: Fibromylagia is a chronic pain syndrome and may respond to Gabapentin (neurontin). It can be dosed 100mg at night initially then increased up to 600-800mg 3x/day. Tricyclic antidepressants (e.g. Elavil) have been used for chronic pain also. I have treated 'trigger points' with injections with success or used topical Lidocaine (lidoderm patch). Do not forget about alternatives: accupuncture, etc. ...Read more

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Are there any medicines like Lyrica, (pregabalin) Cymbalta, and Gabapentin that don't cause weight gain?

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

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Severe paresthesia in extremities. Negative for MS (brain and spinal MRIs), negative EMG & NCS. On Lyrica (pregabalin) & Cymbalta but no relief. Recommendations?

Severe paresthesia in extremities. Negative for MS (brain and spinal MRIs), negative EMG & NCS. On Lyrica (pregabalin) & Cymbalta but no relief. Recommendations?

More info req'd: It sounds like you've had a complex Neurological work-up and are intereted in seeking a second opinion. I would be glad to help, yet would need to see more data before throwing a diagnostic assumption at you. Please gather your medical records (labs/imaging/etc) and schedule a virtual consult with me for further details. I'm interested and available. ...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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I have fibromyalgia and I want a baby should I stop taking my lyrica (pregabalin) and cymbalta?

I have fibromyalgia and I want a baby should I stop taking my lyrica (pregabalin) and cymbalta?

Yes: Cymbalta (duloxetine) is an excellent drug. It is a psychotropic medication and the drugs manufacturer will never say it is ok to take. They say you must weigh the risk of stopping versus the risk of continuing. They really would like to say continue but risk to the fetus is very important also. No testing is possible so they say to talk to your obstetrician about it. I would say taper off slowly. ...Read more

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What drug has the least side effects to treat pain...Gabapentin lyrica (pregabalin) or cymbalta?

Would pich gabapenti: Any day i would pick Gabapentin over other based on clinical experience with side effects unless Gabapentin is not working well for patient. ...Read more

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What other drugs are available for nerve pain if Gabapentin, Lyrica (pregabalin) and Cymbalta don't work ?

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 more

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Tried numerous meds for fibro like lyrica, cymbalta, gabapentin, savella (milnacipran). None work, not fibromyalgia?

Tried numerous meds for fibro like lyrica, cymbalta, gabapentin, savella (milnacipran). None work, not fibromyalgia?

Fibromyalgia: Certainly the diagnosis may not be correct. Make sure you have had a Rheumatology work -up. Also it may be that the meds are just not working on you. ...Read more

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What other treatments are there for chronic fatigue or fibromyalgia other than lyrica (pregabalin) and cymbalta? How do you diagnose them?

What other treatments are there for chronic fatigue or fibromyalgia other than lyrica (pregabalin) and cymbalta? How do you diagnose them?

Psychotherapy: There is usually an emotional component that is associated with the e xperience of these disorders that can be addressed with psychotherapy. There are many causal theories but beingh able to deal with the psychological component can be very helpful ...Read more

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What is an option to lyrica (pregabalin) and cymbalta for treating comorbid major depressive disorder and neuropathy seconday to surgical errors at l5-s1?

Other med regimens: There are multiple options but you will need to discuss with your physician to see if appropriate for you. Effexor can replace Cymbalta but works in a similar manner, some people prefer one verse the other. Lyrica (pregabalin) and Gabapentin are similar and comparable. Topical pain creams, especially those including small amounts of ketamine can help a great deal. Try adjunct therapies like contrast baths also. ...Read more

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I've tried gabapenten, lyrica, (pregabalin) Elavil, cymbalta, oxycodone for sudden onset neuropathy.Guess that's it.Any answers, cause I don't havevany.I give up.

Neuropathy: The important thing is diagnosis FIRST, treatment second. Don't give up. Get to the reason for the neuropathy. Something is causing it. (Nerve compression, chemical damage, diabetes, etc) If nothing else, radically change your diet to gluten free, high protein, low carb all organic for one month. No alcohol/smoking. You might get surprised. ...Read more

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I'm not responding to any meds given for sudden onset peripheral neuropathy of the feet. Can dilaten help.Tried gabapenten lyrica (pregabalin) Elavil cymbalta.

I'm not responding to any meds given for sudden onset peripheral neuropathy of the feet. Can dilaten help.Tried gabapenten lyrica (pregabalin) Elavil cymbalta.

Dilantin: The use of Dilantin is unlikely to reduce the pain of peripheral neuropathy if the other anti-convulsant medications have failed to relieve the pain. Alternative treatments such as transcutaneous electrical nerve stimulation, capsaicin cream, Lidocaine patches and identifying and treating the cause of the neuropathy may help you feel better. ...Read more

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What treatment is available for bilateral burning in the legs and feet other than medication like Gabapentin, Lyrica (pregabalin) or cymbalta? I'm 21

What is the cause?: What is the cause for your bilateral burning? Are you a diabetic? Do you have peripheral neuropathy? Those meds that you listed are the standard meds for painful peripheral neuropathy. If you haven't already, go get a nerve test (EMG) to determine if this is true peripheral neuropathy. Bilateral nerve pain is usually neuropathy, and there are a multitude of causes other than diabetes. ...Read more

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I have fibromyalgia what would you recommend for acute flare ups (once a month for a couple days)? Been on lyrica, (pregabalin) neurotin and cymbalta before.

See details: There is no one best answer. One would need to review the doses of the previous meds you took to determine if any should be restarted. Exercise may help. Some fm patients also believe acupuncture helps acute flares. ...Read more