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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fibromyalgia, Anxiety And Depression

Hi Dr Matthew, tq for accepting me, yes my query, i am 58 yrs old. Was surgically menopaused young age in mid thirties. Due to both ovaian cycsts enderometrosis n v painful periods. Till date after a many years i experience fibromyalgia, anxiety panic depression etc.....wason premarin 0.625mg , stped due to migraine. V poor quality life. Plese Dr advise.which hrt.for a complete total hysrectomy done.tq god bless P/S...apologies not aware this was a business site .
Tue, 20 Aug 2019
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General & Family Physician,  's  Response
Hello,

Fibromyalgia, depression, and anxiety can be effectively treated with Amitriptyline or nortriptyline. These are old drugs which in some patients are not well tolerated. If you start at a low dose and very gradually increase it till you find the dose that is effective for you, you may find it very helpful.
If you are not well tolerating these drugs, you can try SSRI such as sertraline or citalopram.
Psychotherapy may be very beneficial as well, especially if combined with the medications.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj,
General and Family Physician
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Suggest Treatment For Fibromyalgia, Anxiety And Depression

Hello, Fibromyalgia, depression, and anxiety can be effectively treated with Amitriptyline or nortriptyline. These are old drugs which in some patients are not well tolerated. If you start at a low dose and very gradually increase it till you find the dose that is effective for you, you may find it very helpful. If you are not well tolerating these drugs, you can try SSRI such as sertraline or citalopram. Psychotherapy may be very beneficial as well, especially if combined with the medications. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. Regards, Dr. Antoneta Zotaj, General and Family Physician