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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Body Pain. Taking Pregabalin, No Relief. Overweight, Diabetic And Have Fibromyalgia. Treatment?

I m 50 year old female, very over weight,type 2 diabetes, B12 deficiency, fibromyalgia to mention a few. My GP says that if I managed to lose a few stone in weight that all my pain will disappear ! Fibromyalgia was only diagnosed a few months ago although I have had the symptoms for a good couple of years, the worse part of it is the fatigue and all over aches and pains. Was first told it was ME but after having a full body bone scan and given the all clear on that by a rheumatologist, he sent me to the chronic. Pain clinic who diagnosed the FM. Have tried Pregabalin for a few months, increasing the dosage but that had no effect and my feet swelled up, so have been put on Gabapentin, only for two weeks so am not feeling any benefit at the moment. I work as a home carer so am on the go all the time whilst at work,but have had to drastically cut down my hours recently and dread taking on new service users for fear of not being able to do their care ie. bending over, stretching over etc as I m limited in my movements. Getting out of bed is the worst part of the day and any more than about 5 or 6 hours in bed is no good as the longer I m laying down the worse I feel. I cannot remember the last time I woke up actually feeling like I ve had a good nights sleep, it has literally been years. I m sick to death of feeling like this and being constantly told it s all down to my weight! The meds clearly state that one of the main side effects are weight gain, which really doesn t help me!! I just want to wake up one day and not be in pain or constantly knackered ....
Mon, 25 Nov 2013
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General & Family Physician 's  Response
Hello. Overweight is a factor that increases the pain but is not the cause of fibromyalgia.The cause of fibromyalgia is unknown.Besides Pregabalin,there are other drugs that have demonstrated efficacy in fibromyalgia for example duloxetine and tramadol.I think it is important also prescribe some anxiolytic-hypnotic to take at night for example lorazepam.Addition to the drugs ,the practice of moderate physical exercise improves pain in fibromyalgia.
Please consult your local doctor for a prescription.
You deserve and can get a better life, your doctors can help you.
I wish you good health.
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Constant Body Pain. Taking Pregabalin, No Relief. Overweight, Diabetic And Have Fibromyalgia. Treatment?

Hello. Overweight is a factor that increases the pain but is not the cause of fibromyalgia.The cause of fibromyalgia is unknown.Besides Pregabalin,there are other drugs that have demonstrated efficacy in fibromyalgia for example duloxetine and tramadol.I think it is important also prescribe some anxiolytic-hypnotic to take at night for example lorazepam.Addition to the drugs ,the practice of moderate physical exercise improves pain in fibromyalgia. Please consult your local doctor for a prescription. You deserve and can get a better life, your doctors can help you. I wish you good health. (If the answer has helped you, please indicate this)