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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid The Fibromyalgia, Depression And Chronic Pain?

i have been diagnosed with fibromyalgia, depression and chronic pain. i am on cymbalta 60mg once aday, soma 3x day, percocet 7.5/325 every 4-6 hours,gabapentin 300mg 3x a day. i am still in constant pain always at a 8 pain rate, depression is worse, cannot sleep for more than 2-3 hours at a time.any suggestions on any other type of meds that could help, or should we up any of the meds i already take? i have Doctors appointment on monday and would like to go to Doctor with suggestions so i can get some relief. having a second opinion may really help in my treatment. Thank you! terri
Mon, 6 Nov 2017
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Addiction Medicine Specialist 's  Response
Those are not different diagnoses. Just thought you should know. Depression produces body sensations. Mostly that is what fibromyalgia is. Cymbalta is a crap anti-depressant and a crap nerve pain pill. The main thing is that the good anti-depressants do nothing on pain and the good nerve pain medicines do nothing for pain.
There is about a 1 month time period needed for the cymbalta to work.
So, treeating depression is helpful.

Alternatively learning to have a very high pain context is helpful. Very large amounts of exercise have proven benefitial n fibromyalgia.
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How To Get Rid The Fibromyalgia, Depression And Chronic Pain?

Those are not different diagnoses. Just thought you should know. Depression produces body sensations. Mostly that is what fibromyalgia is. Cymbalta is a crap anti-depressant and a crap nerve pain pill. The main thing is that the good anti-depressants do nothing on pain and the good nerve pain medicines do nothing for pain. There is about a 1 month time period needed for the cymbalta to work. So, treeating depression is helpful. Alternatively learning to have a very high pain context is helpful. Very large amounts of exercise have proven benefitial n fibromyalgia.