September 26, 2016

Medical Approach

Female doctor holding her patient's hands.

In addition to a physical exam, we will order a comprehensive labs including but not limited to :

Complete blood count

Erythrocyte sedimentation rate

Thyroid function tests

Our Fibromylagia Program is multidisciplinary to include natural and medical approaches to help alleviate your symptoms.

Medications offered for Fibromyalgia that can help reduce the pain of fibromyalgia and improve sleep include:

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1-    Pain relievers. Over-the-counter pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful.

2- We might suggest a prescription pain reliever such as tramadol (Ultram, Conzip). Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time.

Other Fibromyalgia medications includes :

3-   Antidepressants. Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia.Or we  prescribe amitriptyline at night to help promote sleep.

4- Anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (Neurontin, Gralise) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia.

5-Provigil May Work in Chronic Fatigue Syndrome (ME/CFS) and FM because many patients have symptoms of ADD, such as lack of attention, poor concentration and Provigil can help with this. Provigil is also prescribed for daytime sleepiness, which many chronic fatigue syndrome (ME/CFS) patients have, and obstructive sleep apnea, which some do.


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