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New Meds and concerned
7 Replies
Fibrosukz - November 4

I have tried Cymbalta,Wellbutrin and now im on Paroxetine (10mg). The rheumy told me today that if this doesnt work that there isnt anything else he can do. I also take T3's and Trazadone for sleeping. My concern is what comes next?? Change doctor's? He doesnt seem to be interested in my pain or how i feel. When trying to tell him how stiff and achey, migraines have increased, he just shrugs and says what would u like me to do? Im frustrated!!!



Sounds like you def need to find a new doctor! No doctor should just GIVE UP ON YOU. I had my last doctor do that. Say, There is nothing else I can do. I can't accept a doctor telling me that.
Don't get me wrong, I know that I will never feel 100% better and be COMPLETELY painfree!
But, I do believe that with the right combo of medication and stuff, I can feel ALRIGHT and be able to function.

So, again, I would def find another doc. Ask this one why you are paying them good money if they aren't going to research and see what can be done to make you comfortable!

Good luck and take care!


Noca - November 5

I don't think your doctor knows what he is doing. Paxil, an SSRI, only works on Serotonin and Serotonin does NOT affect fibromyalgia pain. If you are going to go the anti-depressant route you need to either be on the following: Cymbalta, Effexor, Pristiq, Savella, Wellbutrin, or any Tricyclic anti-depressant (Nortriptyline or Lofepramine, etc). You can also try opioids that are stronger than wimpy codeine! The body cannot breakdown and convert codeine to morphine(how codeine works) in the body in doses exceeding 60mg at once or 320mg a day. There is always Tramadol you can try, or stronger opioids like Morphine or Dilaudid. Also there is gabapentinoids like Gabapentin or Lyrica to try that are very effective for most people for fibromyalgia/nerve pain.

As for sleep, there are COUNTLESS meds out there that you haven't tried yet for sleep.

To say that "there isn't anything else he can do" is a pathetic move and a cop out on his part. If that doctor is unwilling to prescribe any of the meds I have suggested then I suggest you drop him like a sack of potatoes and find a new Rheumy or pain clinic physician!



Fibrosukz - November 6

Well, i have found a new pain clinic in my area, so i have contacted them and just waiting on a call back.
My family dr and rheumy wont give me anything more then T#3 which i have been on for the last 5 yrs and really dont work very well. Cymbalta, i cant take, makes me a zombie. Wellbutrin, made me skittish and i took them both for over a month hoping the affects would wear off but no chance. Trazadone seems to work good but in the last couple days my pain has been hard to control, then i dont get the full sleep benefits cause i get up in pain.
Looks like if im gonna change doctors i have to go out of town because we only have the 1 rheumy and i am searching for a new family dr that is aware of FM and is willing to work with me, if not im on for one that can!! :o)


Fantod - November 6

I agree that you need to change doctors immediately. What a pompous ass! You have two options to find a fibro-friendly rheumotologist. You can call your local hospital and ask for the physician referral service. See if they can recommend a rheumy and/or a pain management specialist with an interest in Fibromyalgia (FMS). Or, you can go online to the National Fibromyalgia Association website and find a listing of healthcare providers that treat FMS in your state.

When managing a complicated syndrome like FMS, you must be your own best advocate. Good luck amd take care.


Fibrosukz - November 6

Fantod: Im in Canada and i cant get into any other doctors unless im referred from my family dr, which now i have a problem cause my family dr believes he does his own pain management. Im still gonna give it a try to see if he will refer me to the pain clinic. Today has been a challenging day, crying allday cause of the pain in my shoulders, neck and of course my TMJ.
Noca: Thanks!!! But i have 2 dr's that dont believe in narcotics for FMS. I get T#3 for my TMJ which doesnt work and i have been on it for 5 yrs.

INPAINDAILYJC: Thanks for your input!! Its difficult with the only rheumy in my town but his major is internist so i dont think he cares too much about FMS or isnt too up to date on it.


Fantod - November 6

Well - I'd start jumping up and down until he just gets tired of the hysterics and agrees to send me to see someone else. Tylenol 3 is not effective for Fibromyalgia and he should know that. Honestly, if these doctors had to spend an hour in our shoes, they'd be very quick to change their lazy and misinformed ways. Good luck to you.


Fibrosukz - November 13

Well im now on Tramadol and Flexril. And waiting to get into the pain clinic!!!



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