A patient diagnosed with Fibromyalgia and has been taking medication. She came into the clinic though because she has been experiencing: nausea, dry mouth, HA, somnolence, fatigue, constipation, and decreased appetite. What medication was she taking?
Cymbalta/Duloxetine-an SNRI for tx fibromyalgia
A patient diagnosed with Fibromyalgia and has been taking medication. She came into the clinic though because she has been experiencing: dizziness, somnolence, blurred vision, unbelievable weight gain, and massive peripheral edema. What medication was she taking? And what else can this medication be used for?
Pregabalin (Lyrica)-for neuropathic pain associated with DM peripheral neuropathy, post herpetic neuralgia and fibromyalgia
A patient recently diagnosed with fibromyalgia was taking a mediation for it, but she had a HA and decided to take an NSAID. A few moments after, she began having massive epistaxis. She noted bruising the following days. She also noted that she was having suicidal thoughts. What 2 medications could she possibly be taking?
- Milnacipran (Savella)
2. Duloxetine (Cymbalta)
All fibro pts should have a goo therapeutic trial of what?
low dose tricyclic compounds
- cyclobenzaprine
- amitriptyline
- nortriptline
Fibro patients with comorbid depression or fatigue should have what tx?
should then try an SNRI
Fibro patients with comorbid anxiety or sleep issues should have what tx?
gabapentanoid
T/F: the use of opioids is discouraged
true
What can be used to treat “peripheral pain generators”?
NSAIDS and acetaminophen
