Doctor insights on:
Marinol For Fibromyalgia
NSAID: Etodolac (lodine) is a non-steroidal anti-inflmmatory agent used for many things inflammed. Any soft-tissue pain = myofascial symptom, can benefit from nsaids. Most "fibro" is misdiagnosed and is most likely a form of myofascial soft-tissue pain stemming from primary injury or secondary issues like arthritis. True fibromyalgia doesn't respond well to nsaids. ...Read moreSee 1 more doctor answer
Reservedly: Topiramate is not approved for fibromyalgia (FM) so that benefit is questionable. Perhaps was provided for pain & depression, which is often attendant w. FM, due to restless non-restorative sleep; common w. FM patients, who oft have body pain when reclined on sleep surface. Rational solution is nocturnal pain relief, sleep induction, & mood elevation. Medicinal cannabis provides all three effects. ...Read moreSee 1 more doctor answer
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
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
Fibro?: The first question is: "do you really have fibromyalgia?". It is significantly over-diagnosed in the medical community. Degenerative disease with "myofascial" (soft-tissue) symptoms of the muscles, ligaments, tendons in the associated anatomy is the more typical underlying cause of chronic pain. Savella (milnacipran) "may" help somewhat if, and only if, most of your symptoms are coming from true fm. ...Read moreSee 3 more doctor answers
No: Depending on where you live, for non cancer pain-Cannabis may STILL be illegal even for medicinal purposes. In my opinion, unless if it can be delivered in different way, the SMOKE would cause way too much airway inflammation and put users at risk for COPD. Lyrica (pregabalin) is a proven safe, and great for chronic pain depending on cause. ...Read more
Bipolar II and anxiety disorders. Take klonopin for the anxiety, Neurontin (gabapentin) for mood stability. Recommendation for antidepressants for the depression?
Your doctor: is the best person to answer this question. The answer requires detailed knowledge of your situation, no two are alike, and your struggles with depression. The medications you are taking may, over time, work on your depression as well as your other symptoms. Ask at your next visit or schedule one. If at any time you feel you may harm yourself, have any thoughts of suicide, go right to ER ...Read more
Not very: ? re Topamax (topiramate) for fibromyalgia (FM). FDA approves 3 drugs for FM. All others are shots in the dark. Chemicals have side effects that mask side effects of other chemicals. So avoid them all & go natural w. non-toxic treatments directed at multiple-factors that incite FM. Beyond Topamax (topiramate) are therapies of yoga, aqua therapy, biofeedback, medicinal cannabis, and mindfulness therapies. Study survivors. ...Read moreSee 1 more doctor answer
Medical opinions: nootropics, tcm, &chiropractors a safe alternative to psych meds for ptsd & mood disorders and pain medicines for chronic pain?
Really complicated: So many therapeutic approaches are in your question, it's impossible to answer. Even the "nootropic" part is extremely complicated. These can be food substances like phenethylamine and l-theanine (found in chocolate and green tea) or many other things. Different ones have different characteristics, safety, & effectiveness. An integrative physician could help guide you. www.holisticboard.org. ...Read moreSee 1 more doctor answer
Reuptake inhibitor: Milnacipran blocks reuptake of neurotransmitters serotonin and norepinephrine, thus increasing the availability of those neurotransmitters at neuronal synapses. The mechanism is similar to duloxetine, which is also indicated for fibromyalgia (and major depression). It is taken orally, 100-200mg per day, and can cause side effects similar to other serotonin reuptake inhibitors (e.g. Fluoxetine). ...Read moreSee 1 more doctor answer
Duloxetine for Fibro: There are now three drugs that have been approved by the fda for the treatment of fibromyalgia-duloxetine (cymbalta), lyrica (pregabalin), (pregabalin) and milnacipran (savella). Studies has shown no difference in effectiveness between savella and cymbalta. We usually use one of the two along with lyrica (pregabalin). This combination has been the first medications to provide real benefit to fibromyalgia patients in years. ...Read moreSee 2 more doctor answers
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