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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can fibromyalgia be treated?

I have been diagnosed with fibromyalgia. I have tried several meds like Cymbalta, Lyrica, Diclofenac. I recently had a mini stroke so I was advised by the pharmacist not to take it anymore. I also take sertralene at nigh but now I have no meds to help me sleep and nothing too get rid of the pain anymore. Lyrica made me so loopy I failed in school. Cymbalta was good but I cannot remember what it did to me. I need help because it seems as if I am not going to be approved for Disability. My hearing was July 10, 2017. Can you make me some suggestions, P.S. Gabapentin just makes me sleep. I need something that will last me at least 12 hours even if I have to split the time because of the way I have to take the medication. Can you help me?! PLEASE!!!
Mon, 27 Nov 2017
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern
1. Since diagnosis is made by a specialist, [Rheumatologist], even then consider the second opinion for available options and conservative management.

PS. the immune marker will help establish prognosis and available options for the disease, thus are worth pursuing.

2. because there is no identifiable cause thus treatment is symptomatic, as a result, both pharmacological and nonpharmacological measures are used as an adjuvant to get a good control of pain and extended symptom-free period, such as:

. Relaxation and stress management [stress is trigger response to fibromyalgia symptoms], thus yoga & Pranayama are helpful
. Physiotherapy: wax massage, ultrasound/infrared technique to minimize pain.
. Diet rich in omega 3 is considered helpful in alleviating fibromyalgia symptoms.
. Sleep. Getting plenty of sleep is key to managing the symptoms of both syndromes, so it is important that they maintain good sleep habits and avoid caffeine, alcohol, and tobacco.
. Cognitive behavioral therapy [CBT]: it teaches people how to recognize symptoms and self-treat using a variety of strategies such as relaxation therapy, cognitive pain management, and rest.

3. cat's claw [uncaria tomentosa] is a herbal remedy which has antioxidant and anti-inflammatory properties and prevents the activation of several inflammatory substances in your body, so it can prevent damage to your body’s cells by interacting with harmful molecules (free radicals) which are produced within your cells.

PS. You should be cautious about taking cat’s claw if you take the drug for hypertension because it may increase the effect of these drugs. You should also be cautious about using cat’s claw if you take immunosuppressive drugs.
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