HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Fibromyalgia Causing Chronic Fatigue And Roving Pain?

Posted on Fri, 28 Mar 2014

Question: Hi, my name is XXXXXXX & I'm 56yrs old & have been diagnosed with Fibromyalgia 10yrs ago following a complete hysterectomy!! My signs & symptoms have exacerbated over the years both with chronic fatigue & roving pain each day! I'm at the point where I don't know what else to do! I have owned & now work at Curves fitness for women. I workout when I can however the intensity has waned along with frequency! I can't take endep or cybalta! Just don't know where to go as it limits my hours of work & I must pace myself!!

Answered by Dr. Vaddadi Suresh (15 minutes later)

Brief Answer: Please post what drugs you are presently using Detailed Answer: Hi Mrs XXXX, I can see your suffering. Fibromyalgia is tough to combat, but let me assure you, it will respond to some drugs, but you need to trail each one and see which fits you most. Please post what drugs you are presently using for better suggestions. Waiting for reply.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaddadi Suresh (2 hours later)

Hi Dr, I presently take a good multi vitamin every other day as well as Krill Oil 1500mg, chrondroitin, panadol osteo three times a day & at night I take one mersyndol tablet otherwise I would only sleep for a couple of hrs a night!! Fatigue is my biggest problem & at present I can only manage to work 11hrs a week & I struggle with that! I believe I have some anxiety but cognitively I'm fine! I have had issues with PND 22yrs ago & did suffer some depression in the past but not since I had a hysterectomy 10yrs ago! I have tried to take Endep & Cymbalta & had the same reaction with both, feeling very anxious with visible shaking & thinking I was in for the flu. I have acid reflux from the fibromyalgia & tried to take nexium for the symptoms which worked for a few days then I had a similar reaction to nexium as I did with the other medications! Just don't know what to do anymore!! Never wake up feeling great let's start the day everything is an effort & sometimes I need to go & lie down after I have a shower!!! Sooooo fatigued!

Answered by Dr. Vaddadi Suresh (1 hour later)

Brief Answer: there are other options for fibromyalgia Detailed Answer: hi, Sorry that you could not tolerate two very good drugs. yet, there are other options for fibromyalgia. PREGABALIN is a proved drug that can improve your symptoms in high doses. It can also reduce the dose of opiate you are taking (mersyndol). You can try starting with 75 mg and can go upto 300 mg /day at nights. ESCITALAPRAM (5,10,20 mg) is another very good drug that has proven wonders in my experience (5 out of 7 patients of mine had dramatic improvement while two others had none). Try each of these and don't forget we have many more options (later). I want to reassure you that there will be a certain drug that helps you atleast to a major extent. keep faith and all the best.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaddadi Suresh (2 hours later)

I just remembered in the past I've taken Escitalopram & had the same experience as the other two!! I had an infection in a molar tooth about 3 years ago & my signs & symptoms have exacerbated considerably without relief!! I just want something that will relieve the fatigue factor along with a reduction in pain levels! I don't have to be cured completely! I believe my father may have had this as well although was never talked about just my memory, observation & hindsight! Do you have any thoughts on the above? Thank you, sincerely XXXXXXX

Answered by Dr. Vaddadi Suresh (4 hours later)

Brief Answer: you may try pregabalin Detailed Answer: Hi, In that case, you may try Pregabalin which hopefully will help you out, and give it some time to work (all these drugs will take atleast 3 weeks to work) There is no proved association of heriditory factors for fibromyalgia, however it may overlap to progeny. Please use this post to put your queries in future. you may directly post to my ID in healthcare magic. All the best. (A 5 star rating from you will encourage us to help those in need. Thank you in advance)

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar