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Doctor insights on: Naltrexone Fibromyalgia

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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

Dr. Laurence Badgley
1,370 doctors shared insights

Fibromyalgia (Definition)

A condition that affects the muscles and soft tissue of the body, causing widespread ...Read more


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Fibromyalgia..MYO facial syndrome.Scoliosis..tried lyrica, Savella (milnacipran) etc.no help...suggestions?

Fibromyalgia..MYO facial syndrome.Scoliosis..tried lyrica, Savella (milnacipran) etc.no help...suggestions?

Do the fibrotrifecta: The fibromyalgia trifecta for therapy is: 1. exercise, 2. sleep evaluation 3. Psychiatric evaluation. You can continue or changes the prozac (fluoxetine) but you need to be certain that you get a full evaluation of the trifecta and act on them. ...Read more

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Is lyrica (pregabalin) a narcotic?

Is lyrica (pregabalin) a narcotic?

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 more

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Could taking naltrexone help with fibromyalgia?

Could taking naltrexone help with fibromyalgia?

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 more

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Cure for alcoholism naltrexone?

Cure for alcoholism naltrexone?

Not a cure: Naltrexone will help alcoholism by staving off the effect and making you sick if you drink. Alcoholism is not curable but treatable addiction disordet. ...Read more

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Is fibromyalgia autoimmune?

Is fibromyalgia autoimmune?

No: There is no known autoimmune cause of fibromyalgia. Current thinking is that is is a central nervous system disorder. ...Read more

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Is gabapentin addicting?

Is gabapentin addicting?

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

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Is fibromyalgia linked to depression?

Is fibromyalgia linked to depression?

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 more

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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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Should savella (milnacipran) or cymbalta be taken for fibromyalgia?

Should savella (milnacipran) or cymbalta be taken for fibromyalgia?

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 more

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How effective are lyrica (pregabalin) and tofranil for treating fibromyalgia?

Lyrica, (pregabalin) at times: Lyrica (pregabalin) may be beneficial, but I do not recommend tofranil. Restore sleep directly, reduce stress and consider electroprobe therapy or trigger point injections. ...Read more

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Has anyone tried fluoxetine or duloxetine for fibromyalgia?

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 more

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Is lyrica (pregabalin) an ssri?

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 more

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Is Lyrica (pregabalin) a controlled substance?

Is Lyrica (pregabalin) a controlled substance?

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 more

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Dr. Jeff Blixt
214 doctors shared insights

Naltrexone (Definition)

Naltrexone is an addiction reducing agent which is a ...Read more


Dr. Ana Adelstein
67 doctors shared insights

Depade (Definition)

Depade is an addiction reducing agent which is a ...Read more