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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Which Is Better Medicine For Fibromyalgia?

yes please. i have fibromyalgia lyrica makes me fat skin sores and red spots loosing hair. am now weaning off of 200mg as i go on cymbalta am now dwn to 50 mg lyrica was on 60mg cymbalta just been givin another 60mg cymbalta will be taking 120mg daily of cympbalta. as i am feeling the affects of the fibro again. i want to ask you your opinion of the two. which do you think is better?
Mon, 6 Apr 2015
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Addiction Medicine Specialist,  's  Response
There are many effective drugs for fibromyalgia. I would avoid any narcotics. Depending on which theory you believe on fibromyalgia either it is a syndrome of depression (narcotics bad), dysregulation of the opiate receptors so they don't work (narcotics useless and bad) or some odd inflammatory condition (narcotics bad).
Antiinflammatories should be tried. Amitryptiline often helps. muscle relaxants often help. And, the single most effective drug is not a drug but exercise.
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Which Is Better Medicine For Fibromyalgia?

There are many effective drugs for fibromyalgia. I would avoid any narcotics. Depending on which theory you believe on fibromyalgia either it is a syndrome of depression (narcotics bad), dysregulation of the opiate receptors so they don t work (narcotics useless and bad) or some odd inflammatory condition (narcotics bad). Antiinflammatories should be tried. Amitryptiline often helps. muscle relaxants often help. And, the single most effective drug is not a drug but exercise.