What treatments work best for fibromyalgia? I am in constant pain but narcotics give me "rebound" headaches.

I suffer from migraines as well as depression and have been on so many different drugs over the last 3 yrs I could start my own pharmacy. Nacotics trigger migraines. The anit-depressants make me more tired. I am not sleeping well and feeling like I just cannot see another damn doctor. Anyone have anything that helps??? Is there a specialist out there for this type of thing. I am seeing a primary care, a psychologist and a phychiatrist. Its getting too expensive and not helping me very much. Any suggestions would be appreciated. Thanks

Written By Soniamiller

{ 1 comment… add one }
  • soulroute™ March 27, 2009, 7:22 pm

    "The use of NSAIDs (e.g., ibuprofen, aspirin, etc.) is usually disappointing; it is unusual for Fibromyalgia patients to experience more than a 20% relief of their pain, but many consider this to be worthwhile. Narcotics (propoxyphene, codeine, and oxycodone) often provide a worthwhile relief of pain. In most patients, concerns about addiction, dependency and tolerance are ill founded. Ultram (Tramadol) and Ultracet (tramadol + Tylenol), are the most useful pain medications in many patients. They both have the advantages of having a low abuse potential and is not a prostaglandin inhibitor; tramadol reduces the epileptogenic threshold and it should not be used in patients with seizure disorders."

    "There are several points that need to be stressed about exercise in Fibromyalgia patients: (i) Exercise is health training, not sport’s training. (ii) Exercise should be non-impact loading. (iii) Aerobic exercise should be done for 30 minutes each day. This may be broken down into three 10 minute periods or other combinations, such as two 15 minute periods, to give a cumulative total of 30 minutes. This should be the aim — it may take 6-12 months to achieve this level. (vi) Strength training should emphasize on concentric work and avoid eccentric muscle contractions. (vii) Regular exercise needs to become part of the usual lifestyle; it is not merely a 3-6 month program to restore them to health. Suitable aerobic exercise includes: regular walking, the use of a stationery exercycle or Nordic track (initially not using the arm component). Patients who are very deconditioned or incapacitated should be started with water therapy using a buoyancy belt (Aqua-jogger)."

    "The common treatable cause of chronic fatigue in fibromyalgia patients are: (1) inappropriate dosing of medications (TCAs, drugs with antihistamine actions, benzodiazepines etc.), (2) depression, (3) aerobic deconditioning, (3) a primary sleep disorder (e.g. sleep apnea), (4) non-restorative sleep and (5) neurally mediated hypotension. A new drug called Provigil is of some help when used intermittently for management of fatigue."

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