A Answers (5)
Mehmet Oz, MD, Cardiology, answeredFibromyalgia is such a great mimic that it could probably headline its own show in Vegas. It can mimic other diseases, such as thyroid disease (hypothyroidism), polymyalgia rheumatica, lupus, and rheumatoid arthritis. When you come to the doctor with symptoms such as pain and trouble sleeping, he or she may do certain tests to find out if one of these other conditions is causing your symptoms. For example, if you had hypothyroidism, your blood levels of TSH (thyroid stimulating hormone) would show it; if you had polymyalgic rheumatica, a test for ESR (erythrocyte sedimentation rate) would tell the tale. Similarly, rheumatoid arthritis and lupus both cause inflammation in the joints, which a doctor can test for. Knowing what you don't have can be part of determining whether you do have fibromyalgia.
Michael Roizen, MD, Internal Medicine, answeredFibromyalgia is tough to diagnose. People may go from doctor to doctor for many years seeking answers only to be treated for chronic pain or depression. To make a diagnosis, your doctor may order a few basic lab tests to rule out more serious medical problems. Your doctor may order a complete blood count (CBC), a test to check your thyroid levels, a test for Lyme disease, a test for arthritis, a test for lupus, and tests for your prolactin and calcium levels (parathyroid abnormalities). Your doctor may do a test to check for rheumatoid factor and for pain sensitivity. People with fibromyalgia have tender or trigger points on the body that extend from the knees to the neck. When a doctor touches these trigger points, it may cause great pain. If someone has pain at 11 of these 18 trigger points, fibromyalgia may be the diagnosis.
Pfizer LYRICA™ (pregabalin) Team answeredFibromyalgia may mimic other conditions. Seemingly unrelated symptoms may lead your doctor to suspect other diseases. Doctors may often rule out other conditions such as rheumatoid arthritis, lupus, multiple sclerosis, Lyme disease, and mononucleosis before reaching a fibromyalgia diagnosis.
If you are diagnosed with fibromyalgia and experiencing chronic widespread pain and tenderness, talk to your doctor about your treatment options. Prescription treatment, such as LYRICA, is one option you and your doctor may consider to help relieve fibromyalgia pain. In clinical studies, LYRICA was proven to provide significant relief from fibromyalgia pain compared with a placebo, so patients felt better and could do more.*
*Individual results may vary.
This answer is sponsored by Pfizer. Any other answer is the responsibility of the party posting it. Any product information provided is intended only for residents of the U.S. Products may have different labeling in different countries.Please scroll for LYRICA™ indication.
Important Safety Information (ISI)
LYRICA is not for everyone. LYRICA may cause serious, even life threatening, allergic reactions. Stop taking LYRICA and call your doctor right away if you have any signs of a serious allergic reaction. Some signs are swelling of your face, mouth, lips, gums, tongue, throat or neck, or if you have any trouble breathing, or have a rash, hives or blisters.
Drugs used to treat seizures increase the risk of suicidal thoughts or behavior. LYRICA may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Patients, family members or caregivers should call the doctor right away if they notice suicidal thoughts or actions, thoughts of self harm, or any unusual changes in mood or behavior. These changes may include new or worsening depression, anxiety, restlessness, trouble sleeping, panic attacks, anger, irritability, agitation, aggression, dangerous impulses or violence, or extreme increases in activity or talking. If you have suicidal thoughts or actions, do not stop LYRICA without first talking to your doctor.
LYRICA may cause swelling of your hands, legs and feet, which can be serious for people with heart problems. LYRICA may cause dizziness and sleepiness. You should not drive or work with machines until you know how LYRICA affects you. Also, tell your doctor right away about muscle pain or problems along with feeling sick and feverish, or any changes in your eyesight including blurry vision, or if you have any kidney problems or get dialysis.
Some of the most common side effects of LYRICA are dizziness, blurry vision, weight gain, sleepiness, trouble concentrating, swelling of your hands and feet, dry mouth, and feeling “high.” If you have diabetes, tell your doctor about any skin sores.
You may have a higher chance for swelling and hives if you are also taking angiotensin converting enzyme (ACE) inhibitors so tell your doctor if you are taking these medications. You may have a higher chance of swelling of your hands or feet or gaining weight if you are also taking certain diabetes medicines. Do not drink alcohol while on LYRICA. You may have a higher chance for dizziness and sleepiness if you take LYRICA with alcohol, narcotic pain medicines, or medicines for anxiety.
Before you start LYRICA, tell your doctor if you are planning to father a child, or if you are pregnant, plan to become pregnant, or are breast-feeding. If you have had a drug or alcohol problem, you may be more likely to misuse LYRICA.
In studies, a specific type of blood vessel tumor was seen in mice, but not in rats. The meaning of these findings in humans is not known.
Do not stop taking LYRICA without talking to your doctor. If you stop suddenly you may have headaches, nausea, diarrhea, trouble sleeping, increased sweating, or you may feel anxious. If you have epilepsy, you may have seizures more often.
LYRICA is indicated to treat fibromyalgia, diabetic nerve pain, spinal cord injury nerve pain, and pain after shingles. LYRICA is also indicated to treat partial onset seizures in adults with epilepsy who take 1 or more drugs for seizures.
Piedmont Heart Institute answered
Because there is no test for fibromyalgia, this condition is usually diagnosed after excluding other conditions. Any condition that has pain as a component of the condition must be excluded first and the presenting symptoms vary from patient to patient.
Jacob Teitelbaum, Integrative Medicine, answered
This takes a thorough evaluation. Nutritional deficiencies, hormonal deficiencies, history of triggering infections or trauma, and especially autoimmune diseases need to be looked for along with the fibromyalgia. The pattern of symptoms determines whether there is a mix of problems present that include fibromyalgia or other illnesses.
Basically, if you have widespread pain associated with severe insomnia, you probably have fibromyalgia even if other conditions are present. If you do not have difficulty sleeping, you likely do not have fibromyalgia.