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She has pain in the body and fibromyalgi
She has pain in the body and doctor diagnosed with fibromyalgia. Than she started Dulexotine tablet but that time she got good response but now again pain in the body started. We did all advance and basic test for health but there is no finding.Is it similar to fibromyalgia? Nauseaeptive, Neuropathic, Nosyplastic pain , Can we proceed with diagnosis with Amitriptyline drug?
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I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.
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Self management, patient education, targetted physical therapy program to the patient combined with non pharmacological therapy
For pain - paracetamol, Tramadol or both
Gabapentinoids, TCA- Amitriptyline
Snri- duloxietine, milnacipiran
For fatigue - self management/ energy chart, sleep management, behaviour therapy, CBT
SNRI- Duloxetine, Milnacipiran
For sleep- same as fatigue.
Mood changes- exercise, BT, CBT, SNRI
For refractory cases- Multimodal rehabilitation program
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Assess for associated underlying treatable conditions, lab CBC,TSH,CK,HCV, VITAMIN D, Any other test as per history and clinical examination
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There are better medications for fibromyalgia of duloxetine does not work. Consult any psychiatrist online or in person and seek remedy. Good luck.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.