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Tried numerous meds for fibro like lyrica, cymbalta, gabapentin, savella (milnacipran). None work, not fibromyalgia?
Fibromyalgia..MYO facial syndrome.Scoliosis..tried lyrica, Savella (milnacipran) etc.no help...suggestions?
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
Yes: Low dose Naltrexone works well for fibromyalgia. Taper all opioid medications. Wait a few weeks. Start at 4.5 mg taken 2 hours before bedtime. After about 2-3 weeks sleep improves. After about a month pain scores start dropping. Very safe, essentially no side effects. Some people do have vivid dreams. ...Read moreSee 1 more doctor answer
Good Question: Most substances to be addictive must be shown to be associated with a Dopamine release in the brain's reward centers. I'm not aware of evidence for that with Gabapentin but nonetheless it is for some a potent anti-anxiety agent, so it doesn't surprise me that addictive like patterns can emerge. If that's the case it is time to look for other ways to safely and effectively address the anxiety. ...Read more
Yes,: The frequency of clinical depression or anxiety is higher in fibromyalgia patients then the general population. This is also true of other conditions such as rheumatoid arthritis. Current research does not support depression as a cause of fibromyalgia. Fibromyalgia is not depression. However, chronic pain can cause feelings of anxiety and depression, which can worsen fibromyalgia symptoms. ...Read moreSee 6 more doctor answers
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
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
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
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
Lyrica is indicated: Lyrica is a prescribed medication that "binds with high affinity to the alpha2-delta site (an auxiliary subunit of voltage-gated calcium channels) in central nervous system tissues." In the U.S., it is indicated for the following conditions: Neuropathic pain associated with diabetic peripheral neuropathy (DPN) ;Postherpetic neuralgia (PHN); Fibromyalgia; Partial onset seizure. ...Read moreSee 1 more doctor answer