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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain Due To Fibromyalgia

I am a 37 yr old woman with fibyomyalgia. I have been dealing with this savere pain for so long . I am know on methadone and trying to come off of it at I need some advise.I also have a degenerative joint disease ,and arthritis please give me some advise
Wed, 29 Apr 2015
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General & Family Physician,  's  Response
Dear user,

I really understand your concern.

I suggest you to taper off the methadone, and for the fibyomyalgia I would prescribe Lyrica 75 mg twice a day and Amitriptyline 10 to 50 mg at bedtime for sleep. For both arthritis and fibromyalgia Naproxen 250mg twice a day will help you. In severe forms of arthritis Prednisone 5mg twice a days or more may be required.

Also there are some general measures that will help you:

*Get adequate amounts of sleep. You may require naps during the day.
*For symptoms of discomfort, you may try applying heat to the areas of pain, such as hot showers, heating pad, and whirlpools.
*Gentle massages by a massage therapist may help with comfort.
*Try to eliminate the daily stress in your life.
*Consider alternatives to relieving stress, such as biofeedback, relaxation techniques, and yoga.
*Regular exercise is recommended. Exercise at least 30 minutes for three to five times a week if possible. Even 5 minutes is better than no exercise. Establish a regular sleep time. Adequate and sound sleeping may decrease symptoms. You may require naps during the day.
* Eat a nutritious regular diet. Increase your intake of fruits and vegetables. Avoid foods, caffeine, and alcohol that interfere with your normal sleep.


It will be a pleasure for me if my answer will help you!

All the best!

Dr. Elton Halili
MASTER OF SCIENCE IN GENERAL MEDICINE
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Suggest Treatment For Severe Pain Due To Fibromyalgia

Dear user, I really understand your concern. I suggest you to taper off the methadone, and for the fibyomyalgia I would prescribe Lyrica 75 mg twice a day and Amitriptyline 10 to 50 mg at bedtime for sleep. For both arthritis and fibromyalgia Naproxen 250mg twice a day will help you. In severe forms of arthritis Prednisone 5mg twice a days or more may be required. Also there are some general measures that will help you: *Get adequate amounts of sleep. You may require naps during the day. *For symptoms of discomfort, you may try applying heat to the areas of pain, such as hot showers, heating pad, and whirlpools. *Gentle massages by a massage therapist may help with comfort. *Try to eliminate the daily stress in your life. *Consider alternatives to relieving stress, such as biofeedback, relaxation techniques, and yoga. *Regular exercise is recommended. Exercise at least 30 minutes for three to five times a week if possible. Even 5 minutes is better than no exercise. Establish a regular sleep time. Adequate and sound sleeping may decrease symptoms. You may require naps during the day. * Eat a nutritious regular diet. Increase your intake of fruits and vegetables. Avoid foods, caffeine, and alcohol that interfere with your normal sleep. It will be a pleasure for me if my answer will help you! All the best! Dr. Elton Halili MASTER OF SCIENCE IN GENERAL MEDICINE