
Suggest Treatment For Fatigue And Tingling Sensation In Body After Discontinuing Cymbalta

Possible Fibromyalgia.
Detailed Answer:
Hello, Madam
I can certainly understand your concerns.
I apologize for the delayed response owing to my work schedule.
I worked through your query in detail.
As per your symptoms, you possibly seem to have Fibromyalgia. As a conclusive evidence I advise you to get tested for Antipolymer antibodies.
These are positive in more than 50% individuals with Fibromyalgia.
There is no cure for Fibromyalgia. Lifestyle modification with diet and exercise will offer great improvement.
I generally prescribe my patients with oral pills of Escitalopram and Clonazepam for 6 to 8 months to aid in symptom relief. Following factors help to improve symptoms
1.Diet (e.g. good nutrition, vitamin supplementation, bone health, weight loss)
2.Stress management.
3.Aerobic exercise (eg, low-impact aerobics, walking, water aerobics, stationary bicycle).
4.Sleep therapy (e.g. education/instruction on sleep hygiene).
5.Psychological and behavioral therapy (e.g., cognitive-behavioral, operant-behavioral)
Other useful strategies include the following:
Relaxation training
Activity pacing
Guided imagery
Written emotional disclosure
Distraction strategies.
Consultation with a an expert Psychotherapist will help you to explore above therapies.
Please check with your physician if he shares my view and if can prescribe the same to you.
Further management if any is largely based on test results.
Post your further queries if any.
Thank you

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