Medications to Treat Fibromyalgia

Medications to Treat Fibromyalgia

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    A Rheumatology, answered on behalf of
    Although they can seem to work in the short term, it's usually best to avoid narcotic painkillers if you have fibromyalgia. Narcotics such as Vicodin, codeine, Percocet and oxycodone provide short-term relief from pain, but ultimately they may cause more problems than they solve. That's because when you use these medications, your body actually increases its sensitivity to pain in order to make up for the pain-numbing effect of the medication. Over time, this can make your fibromyalgia symptoms worse.
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    A , Emergency Medicine, answered
    If you are taking an ACE inhibitor, a central nervous system depressant, rufinamide, or a selective serotonin reuptake inhibitor, pregabalin may not be a good option for you.

    If you are taking azelastine, orphenadrine, paraldehyde, or thalidomide, pregabalin can lead to side effects and should be avoided. 

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor. 
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    It is important for the doctor of a patient with fibromyalgia to discover whether there is a cause for sleep disturbances. Such sleep problems include sleep apnea, restless legs syndrome and teeth grinding. If the cause for a person's sleep disturbance cannot be determined, low doses of an antidepressive group of drugs, called tricyclic antidepressants, or short-acting sleeping medications, such as zolpidem (Ambien), may be beneficial. People need to understand these medications are not addictive when used in low dosages (e.g., amitriptyline 10 mg at night) and have very few side effects. In general, routine use of sleeping pills such as Halcion, Restoril, Valium, etc., should be avoided as they impair the quality of deep sleep. It is claimed that zolpidem avoids this problem. 
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    A , Emergency Medicine, answered
    Pregabalin (Lyrica) is a drug that was developed to treat epilepsy. Pregabalin works by blocking nerve signals in the brain that transmit pain. It can help to reduce pain, fatigue, and anxiety. It also helps improve sleep. Pregabalin may help control low back pain when combined with other treatments, but has not been shown to be effective on its own. 

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor. 
  • 1 Answer
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    A , Emergency Medicine, answered
    If you have New York Heart Association (NYHA) class III or IV heart failure, pregabalin may not be a good option for you.

    If you have had angioedema, pregabalin may not be a good option for you.

    If you are pregnant, planning to become pregnant, or may be pregnant, pregabalin may not be a good option for you. It is not known if it is safe for pregnant women.

    You should not take pregabalin if you are breastfeeding.

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor. 
  • 1 Answer
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    A , Cardiology (Cardiovascular Disease), answered
    A variety of medications can help you cope with fibromyalgia and its symptoms. But at present there is no cure for this frustrating condition. Scientists are studying fibromyalgia, however, and slowly uncovering clues that are helping them to understand what causes it. Discovering why people develop fibromyalgia could help pharmaceutical companies develop medications that may one day offer a cure.
  • 1 Answer
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    A , Pharmacy, answered
    Lyrica has two general uses: It calms pain and helps control seizures. The U.S. Food and Drug Administration has approved Lyrica for the treatment of four medical conditions. They are:
    • fibromyalgia, a chronic condition that causes pain, fatigue, and other symptoms
    • pain related to nerve damage in people with diabetic peripheral neuropathy
    • post herpetic neuralgia, which is a condition causing long-term pain that can occur after a person has shingles
    • certain types of seizures.
    Doctors may prescribe Lyrica for other conditions, too.
  • 2 Answers
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    A , Pharmacy, answered
    You may not feel instant pain relief when you start taking Lyrica, but you may not have to wait long. In studies, some people with fibromyalgia who took Lyrica said their pain levels decreased in the first week. Everyone is different, so you may not feel the full benefit of Lyrica for a few weeks. However long it takes, once your pain begins to improve, keep taking Lyrica as prescribed.
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  • 2 Answers
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    A , Pharmacy, answered
    Before taking Lyrica, you should tell your doctor if you are allergic to pregabalin, any other medications, or any ingredients found in pregabalin capsules. Also, tell your doctor about any prescription or non-prescriptions medications that you currently take, including vitamins, supplements or herbal products. You should discuss your history of alcohol use and tell your doctor if you have ever used street drugs or abused prescription medications.

    If you have ever had swelling of your eyes, lips, tongue or throat, be sure to tell your doctor. Also, mention if you have ever had any vision concerns or problems with blood clotting or bleeding.

    You should always tell your doctor if you are pregnant or plan to become pregnant before taking any new medication. Also, if you are having surgery , including dental surgery, your doctor should know about scheduled procedures.

    Talk with your doctor openly about your medical history and any previous health problems. A complete medical history is important before you take any new medication. Of course, you should read the additional precautions stated on the drug packaging before taking Lyrica.
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  • 3 Answers
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    A , Pharmacy, answered
    Combining Lyrica with other medications usually doesn't cause side effects, studies have shown. There are exceptions, though. Taking certain anti-anxiety drugs or narcotics can cause drowsiness and other symptoms; combining them with Lyrica could exaggerate those effects. (The same can happen if you mix Lyrica and alcohol.) Also, combining Lyrica with certain diabetes drugs and medications for high blood pressure could make you more likely to develop swelling, weight gain, and hives. Be sure to tell your doctor about all medications you're using before taking Lyrica. 
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