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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment To Be Taken For Fibromyalgia Chronic Fatigue Syndrome And Migraines?

HELLO. HERE ARE MY SYMPTOMS. I HAVE FYBROMYALGIA, CHRONIC FATIGUE SYNDROME AND MIGRAINES. RECENTLY AN OPTOMETRIST WAS CONCERNED I HAD OPTIC NEURITIS. SHE THOUGHT I COULD HAVE MS. I SAW AN OPTHALMALAGIST AND HE STATED NO ALTHOUGH HE MEASURED MY OPTIC NERVE AND I HAVE TO RETURN IN 3 MONTHS. IN THE PAST FEW DAYS, NEW SYMPTOMS HAVE DEVELOPED OF FACIAL NUMBNESS, BLURRED VISION AND MY LEGS ACHE CONSTANTLY. I SEEM TO SAY THE WRONG WORDS AT TIMES AND MY GAIT IS OFF SLIGHTLY (I DON T WALK STRAIGHT). I ALSO FORGOT TO MENTION I HAVE TMJ.
Mon, 25 Feb 2019
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Neurologist,  's  Response
Hello,

In the setting of fibromyalgia and migraines, the most appropriate treatment would be an antidepressant-like Amitriptyline which is effective in fibromyalgia and headache treatment. Anticonvulsants like gabapentin would be another option.

I would advise consulting a neurologist gait and numbness issues, if abnormalities are found on neurological exam an MRI might be considered to exclude MS definitely.

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

Regards,
Dr. Olsi Taka, Neurologist
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What Treatment To Be Taken For Fibromyalgia Chronic Fatigue Syndrome And Migraines?

Hello, In the setting of fibromyalgia and migraines, the most appropriate treatment would be an antidepressant-like Amitriptyline which is effective in fibromyalgia and headache treatment. Anticonvulsants like gabapentin would be another option. I would advise consulting a neurologist gait and numbness issues, if abnormalities are found on neurological exam an MRI might be considered to exclude MS definitely. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist