7 doctors weighed in:

Is an ssri for fibro such as celexa (citalopram) much better for a fibro pat. Than just opiods, or also even if on opiods regularly due 2 chronic pain disablled!?

7 doctors weighed in
Dr. Julian Bragg
Neurology
3 doctors agree

In brief: Yes

Opioid medications, while they often seem helpful in the short term, do not provide sustained benefit in patients with fibromyalgia, and can often make things worse.
Ssri and snri medications, in association with a comprehensive multidisciplinary plan of care, are more reliably helpful.

In brief: Yes

Opioid medications, while they often seem helpful in the short term, do not provide sustained benefit in patients with fibromyalgia, and can often make things worse.
Ssri and snri medications, in association with a comprehensive multidisciplinary plan of care, are more reliably helpful.
Dr. Julian Bragg
Dr. Julian Bragg
Thank
Dr. David Rosenfeld
Pain Management
3 doctors agree

In brief: Opioids can be bad

Many physicians argue that opioids have no role in fibro.
I would certainly stay with an snri like Cymbalta or savella (milnacipran) along with a membrane stabilizing drug like lyrica.

In brief: Opioids can be bad

Many physicians argue that opioids have no role in fibro.
I would certainly stay with an snri like Cymbalta or savella (milnacipran) along with a membrane stabilizing drug like lyrica.
Dr. David Rosenfeld
Dr. David Rosenfeld
Thank
Dr. Stuart Wasser
Addiction Medicine
2 doctors agree

In brief: Opioids the problem

If you have been on opioids for a while for other causes of pain, that may be the reason for your altered sense of pain that a non-sophisticated doctor might try to attribute to fibromyalgia.
You ned to stabilize any opioids you are already on . Avoid all short acting agents and sedatives.

In brief: Opioids the problem

If you have been on opioids for a while for other causes of pain, that may be the reason for your altered sense of pain that a non-sophisticated doctor might try to attribute to fibromyalgia.
You ned to stabilize any opioids you are already on . Avoid all short acting agents and sedatives.
Dr. Stuart Wasser
Dr. Stuart Wasser
Thank
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