1. Kim Hurrell Kim Hurrell New Zealand says:

    Thanks for posting Mary - Rose. Yest I finally got a rheumatologist diagnosis of fibromyalgia. I've Ave been symptomatic for 10 mths now with gastritis TMJ pain & muscle aches since thyroidectomy 11 mths ago. No meds from docs only more tests!!! I have now been  put on a serotonin uptake antidepssent as a trial. Initially was insulted but gonna give it a    go. Have you had any success with antidepressant type meds for   pain relief? My post exertion aches and nausea last for days. So  is bloody all so impact full & life changing. I was a spring chicken  a year ago and now feel like an old hen! Thanks again for sensible suggestions. Kim

    • Melissa Janeway Melissa Janeway United States says:

      I know it's been awhile since your post... but it's not like the issue goes away, so I'm going to answer your question.  Many psych meds can be helpful for neuropathic pain.  The basic serotonin mmeds aren't really one of them.  For pain, the SNRI's (cymbalta, effexor, prestiq, and there's another out now) are the primary first-line meds.  Then you have the TCA Amytriptyline (which is also commonly used).  Finally, the biggest fibro med that's classified as psych (but in a class all of it's own) is Lyrica.  Topamax is also sometimes used... but I'd refuse that one, personally.  For nausea, I take Zofran.  I highly recommend it above the others.

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