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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fibromyalgia And Chronic Headaches

I have fibromyalgia and chronic headaches since I was born and tonight my migraine feels super bad. Myhead hurts on every part of my head all the time, but the major pain is on my right side and right jaw.The pain has been on going for an hour.I have taken a bc powder about thirty minutes ago. I also took my usual nighttime meds which are two Zzzquil liquid caps, 2.5 mg of Melatonin, a probiotic, and a fish oil. Advil and Ibuprofen do not work on me as do similar medications. Should I just go to sleep and see how I feel tomorrow?
Fri, 13 Feb 2015
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Neurologist 's  Response
Hello !
I understand your concern.
I would recommend you to take an antidepressant like Duloxetine if you don't have problems with your sleeping.
If you have problems with sleeping I would recommend Amytriptiline or Fluoxetine . Amytriptiline can cause constipation,hypotension, heart problems and an EKG should be done before starting treatment.
The treatment with one of these therapy should be started slowly, with gradual increase of the dose up to an optimal dose , and should last for at least 3 months.
During this period you can keep taking occasionally also Acetaminophen or Ibuprofen for the pain.
I am sure it will help you a lot with your body pain and headaches.
Hope to have been helpful!
Best wishes, Dr. Abaz Quka
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Suggest Treatment For Fibromyalgia And Chronic Headaches

Hello ! I understand your concern. I would recommend you to take an antidepressant like Duloxetine if you don t have problems with your sleeping. If you have problems with sleeping I would recommend Amytriptiline or Fluoxetine . Amytriptiline can cause constipation,hypotension, heart problems and an EKG should be done before starting treatment. The treatment with one of these therapy should be started slowly, with gradual increase of the dose up to an optimal dose , and should last for at least 3 months. During this period you can keep taking occasionally also Acetaminophen or Ibuprofen for the pain. I am sure it will help you a lot with your body pain and headaches. Hope to have been helpful! Best wishes, Dr. Abaz Quka