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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Gabapentin A Good Alternative For Citalopram In Patients With Pscoriatic Artheitus?

Hi, I have Psoriatic Arthritus, Fibromyalgia, Hypermobility, IBS, Depression and Anxiety. Currently taking Biologic therapy (Simponi 50mg monthly injection) Sertraline (100mg) Amitriptaline (30mg) Cocodamol (30/500) and Tramadol. I am not finding my antidepressent working and would like to try Citalopram (I took it before and it worked well for me) My doctor wont allow me to take it because of interaction with amitryptaline. Is a good alternatice Gabapentin with Citalopram? I need pain relief and something to tackle my depression and anxiety too. Thank you
posted on Fri, 23 May 2014
Twitter Tue, 17 May 2016 Answered on
Twitter Wed, 18 May 2016 Last reviewed on
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Physical Therapist or Physiotherapist,  's  Response
hi,

thank-you for providing the brief history of you.

A thorough clinical examination is advised.

As you have fibromyalgia, arthritis etc you need to focus on three major activities.

Meditation
Breathing exercises
Physical therapy

with meditation you will be able to fight against the anxiety and depression.

with breathing exercises you will have a relaxation of the body, also it will help improve the blood carrying oxygen cells more which will inturn help reduce the pain and improve your metabolism & endurance

physical therapy will help reduce pain with Therapeutic ultrasound therapy and TENS therapy. Also exercises are a must to remove the excess lactic acid formed at the end of the activity called the glycolysis cycle.

Taking an anti depressants pill will lead to a complication of back ache, muscle and joint aches schedule too.

Dealing something with a nature way has always helped my patients in clinical practice.

Regards
Jay Indravadan Patel
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Is Gabapentin A Good Alternative For Citalopram In Patients With Pscoriatic Artheitus?

hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As you have fibromyalgia, arthritis etc you need to focus on three major activities. Meditation Breathing exercises Physical therapy with meditation you will be able to fight against the anxiety and depression. with breathing exercises you will have a relaxation of the body, also it will help improve the blood carrying oxygen cells more which will inturn help reduce the pain and improve your metabolism & endurance physical therapy will help reduce pain with Therapeutic ultrasound therapy and TENS therapy. Also exercises are a must to remove the excess lactic acid formed at the end of the activity called the glycolysis cycle. Taking an anti depressants pill will lead to a complication of back ache, muscle and joint aches schedule too. Dealing something with a nature way has always helped my patients in clinical practice. Regards Jay Indravadan Patel