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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Degenerative Joint Disease

I have fibromyalgia and and have had it for several yrs now. I take Lyrica and Ambien and Voltaren to help with my degenerative joint disease. Lab work has shown that my electrolytes are fine, potassium, calcium, magnesium and oh gosh I went brain went dead, but something else came back normal. My TSH came back normal too, but I started having severe leg cramps that wake me up during the night as well as upon rising for the day. He started me on Requip which helped for a month. I take 1mg. Have any ideas of what it could be? I thrive on my sleep and this isn t cutting it. I didn t realize there would be money involved. I was just hoping for a suggestion.
posted on Mon, 3 Oct 2016
Twitter Fri, 12 Apr 2019 Answered on
Twitter Mon, 15 Apr 2019 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi,

Requip (Ropinirole)is used for 'Restless legs syndrome'. Lyrica (pregabalin) and Ambien (zolpidem) have nothing to do with degenerative joint disease. Voltaren (diclofenac) is NSAID (Nonsteroidal anti-inflammatory drug) and is not recommended for long-term use due to adverse effects for Osteoarthritis-commonest degenerative joint disease. Topicals are prefered over oral. If NSAID is prescribed >1 week, you need to have co-prescription of PPI (proton pump inhibitor like pantoprazole etc.) to reduce gastrointestinal risk.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Tushar Kanti Biswas, Internal Medicine Specialist
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Suggest Treatment For Degenerative Joint Disease

Hi, Requip (Ropinirole)is used for Restless legs syndrome . Lyrica (pregabalin) and Ambien (zolpidem) have nothing to do with degenerative joint disease. Voltaren (diclofenac) is NSAID (Nonsteroidal anti-inflammatory drug) and is not recommended for long-term use due to adverse effects for Osteoarthritis-commonest degenerative joint disease. Topicals are prefered over oral. If NSAID is prescribed 1 week, you need to have co-prescription of PPI (proton pump inhibitor like pantoprazole etc.) to reduce gastrointestinal risk. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist