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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Demerol APAP100mg Be Proper Medication For Fibromyalgia?

I have had Fibromyalgia since age 26/yrs. (I just turned 80/yrs. old 4/2014! Fibromyalgia is clearly the disease from hell ! About 2/yrs. ago, I saw an advertisement on tv for Requip {restless leg syndrome} & the symptoms were clearly me! I expected nothing from the Requip because I had taken Darvacet N-100 for 30/yrs. only to experience it being suddenly removed from the market! Why, I continue to take the Darvon all those yrs. is because I m severely allergic to ASA {swells my brain} with all the symptoms of a brain-stem stroke! This happened to me twice, because my Rhumatologist {sp} had Not listened to me & prescribed Dolabid after, I had clearly made it known of my severe allergy to aspirin! I ve been pleasantly surprised about the relief I receive from taking 1 Ultram {non-asa} + 2/Tylenol + 1/Requip but there are still times that I ve needed something stronger! My doctor gave me Hydrocodone which made me very ill from nausea. I just, now remembered, the pain relief I received after disc surgery{L-5} with Demerol combined w/ Vistarel & wondered if I would be out of line asking my doctor for Demerol APAP 100 mg. tablets?I m a retired nurse & the very thought of being rejected causes me to endure more pain than I should?Would you advise me to ask my doctor for Demerol Tabs? I was given Morphine tabs following Mesh Vaginal Sling Surgery & it, too make me very nauseated! ps: The surgery did Not work!
Mon, 18 Jun 2018
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Addiction Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Cannot say in your particular case, but generally, fibromyalgia is considered to be a problem with the opiate system not working. Therefore, giving high doses of something that isn't supposed to work does not make sense. Alternatively, fibromyalgia might be in some people be depression or narcotic addiction. Neither of these would be a good reason to take narcotics. In some people, they don't have fibromyalgia. They have a real disease like broken bones, disk disease, or severe arthritis. Saying it is fibromyalgia is like having someone hit in the chest and having their chest pain being evaluated as a heart problem (seen it many times; surprisingly it was never due to heart problems!) Narcotics are reasonable in some pain conditions. Just not fibromyalgia.

Hope I have answered your query. Let me know if I can assist you further.
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Could Demerol APAP100mg Be Proper Medication For Fibromyalgia?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Cannot say in your particular case, but generally, fibromyalgia is considered to be a problem with the opiate system not working. Therefore, giving high doses of something that isn t supposed to work does not make sense. Alternatively, fibromyalgia might be in some people be depression or narcotic addiction. Neither of these would be a good reason to take narcotics. In some people, they don t have fibromyalgia. They have a real disease like broken bones, disk disease, or severe arthritis. Saying it is fibromyalgia is like having someone hit in the chest and having their chest pain being evaluated as a heart problem (seen it many times; surprisingly it was never due to heart problems!) Narcotics are reasonable in some pain conditions. Just not fibromyalgia. Hope I have answered your query. Let me know if I can assist you further.