Severe pain all over my body, I need to know how i can treat it ! I've been diagnois with it / how to control the pain, I'm alirgic to codene !!
If you are solely looking for medication to treat Fibromyalgia then the Doctor that diagnosed you should have gone through the options with you. If codeine is what s/he prescribed you and you can't tolerate it then there are other direct pain relief options as well as long term treatments you can enquire about or request from your Doctor. All of the approved medications for Fibromyalgia treatment are prescription based so make an appointment as early as possible. Pregabalin, Duloxetine and Milnacipran are the 3 main medications approved by the FDA to have some beneficial results in Fibromyalgia although they are not solely used to treat Fibromyalgia. Pregabalin is an anit-seizure medication which is also used for neuropathic related pain which makes it suitable for Fibromyalgia.
Duloxetine is an anti-depressant, also used to treat anxiety but there have been findings that it relieves pain related to Fibromyalgia. Milnacipran works on your serotonin levels and is approved as an anti-depressant in Europe but not the USA, it has also be used to treat clinical Fibromyalgia. Amitriptyline is another medication with many uses, most of which are listed in the 3 medications above. It is often used to treat long term chronic pain, including Fibromyalgia. The previously listed medications are long term treatments meaning they won't just make the problem go away over night, it will take weeks or even months of regular dosing to achieve the desired relief, despite that, it is still the best option in my opinion. The next section will cover painkillers will come with the risk of addiction and numerous side effects depending on which you opt for. I would like to emphasize that the Withdrawal from most "strong" painkillers can be very, very hard to deal with and painful. Tramadol is considered to be the same strength as codeine and is more easily available, it also has anti-depressant properties due to it's effects on serotonin levels. It has shown effectiveness for the treatment of Fibromyalgia although Tramadol does comes with some serious side effects such as seizures. From my personal experience with Tramadol it is a drug that I would avoid but as everyone's body chemisty is different it may work for you where it hasn't for me. It's not a controlled drug so it is easily available but addiction rate is far higher than emphasized by doctors and the physical withdrawal symptoms have been compared to that of more serious drugs such as Morphine and Heroin. There are far too many other opiate and non opiate based painkillers for me to cover but if your doctor has given you codeine then there isn't much more available at around the same potency assuming you're on the full strength codeine 30mg codeine to / 500 apap. The last option medication wise in my opinion would be muscle relaxants which come in many forms as with opiates, but the most commonly used is a very low dose of Valium (Benzodiazepam). There are also physical alternatives such as physiotherapy to strengthen the worse areas. Aerobics has been found to have potential in Fibromyalgia patients, especially the cardiovascular exercises. I hope the information I have provided is insightful and I wish you the best of luck treating such a horrible illness.
There are numerous non opiate type meds that are used to treat fibromyalgia. They include Cymbalta, Lyrica, Neurontin and Savella. Each of these have their own pros and cons and what works for one person won't necessarily work for the other. Just have to discuss with the doctor and try ones until you find what works for you.
I think you've gotten some great info!! The only thing I can add is I've recently started Baclofen, which is a muscle relaxer, and it has truly been a Godsend for me!! I really cannot believe the amount of relief it has afforded.
Best wishes and stay on top of your Fibromyalgia, that will help you cope.
I have been suffering with Fibromyalgia for over 27 years and to top it all off, I have all the underlying illnesses that go along with it. So, I hope I can help you. First, the other people who responded to you first, gave you some good information. My first recommendation to you is to find a good Rheumatologist, someone who really understands Fibro and a pain management Doc. A pain management Doc. will work with you in handling your pain. Now some of the meds you can try were mentioned. They are: Cymbalta, Savella, Lyrica, Neurontin, Ultram, Flexeril, Vicodin, Methodone. Vicodin and Methodone work well, are widely used and do not have codeine in them. Cymbalta is for pain and depression. Ultram and Flexeril are for muscle relief. There are other pain meds out there that the Doc. can try. You can also try the Lidoderm patch. It is locally applied and Lidoderm gel.
Try other homepathic things too. Try relaxing in a tub. Use aromatherapy. Light some nicely scented candles. I do all the time and it helps. I use a lot of vitamins and minerals. I take magnesium and vitamin B and D. This helps with pain and fatigue. Try massage. If your leg hurts, massage it. Pick up some nicely scented massage oils at target or walmart. Try a sleep mask on your face when you sleep. It helps you get a more relaxed sleep. Sleep to soothing music. Try meditation. Anything you find soothing in your life, give it a try. People even find comfort in their pets.
I even had a spinal cord stimulator implanted and this helps with my back pain.
I hope I gave you some good ideas. If I can think of anything else. I will send them along. I hope you feel better soon.
Well MsNina I believe you are getting a lot of really good answers here. I think I have tried most of them. I was diagnosed (finally) in 1992 with fibro by a good Rheumatologist who expalined it all to me ,& thought I had probably had it most of my life . I had run from doc to doc looking for answers as to what all my pain was about, & not sleeping well to name a few. Understanding what causes fibromyalgia may give some clues as to how to treat it also. Some believe it is caused by a trumatic event in ones life. I beleive mine was caused by failed back surgery way back in 1973. Sleep Apnea can cause fibromyalgia also, so sometimes sleep studies are required for a correct diagnosis as most fibro sufferers do not sleep well or go into the needed deep REM sleep needed for our brain to release the dopamine necessary for our pain control. This makes it a central nervous system process disorder.
About 90% of fibro sufferers are women, & most fibro sufferers tend to be caregiver type of personalities. Foods are also thought to play a part in the fibro process, & sometimes testing for food allergies or intolerances is needed. An elimination process can also work. Supplements are very important ,but especially ammino acids. Some newer thoughts are that this is a CNS disorder of too much adrenaline being released & the adrenal glands being depleted . There is a nerve that runs from the adrenal gland to the base of the skull where the dopamine is released. Dopamine is the "flight or fight" response from the brain. When adrenal glands are depleted you cannot control the pain ergo fibromyalgia. A newer unproven in all cases treatment are drugs for Parkinsons to help make adrenaline. They make dopamine 3, & are off label uses for fibro like Mirapex & Requip. I don't personally know the cost of either of these meds as my insurance wouldn't pay for them anyway because they are off label meaning not made for fibromyalgia. I have many other issues that cause me chrontic pain so I personally have resorted to a narcotic pain releiver called oxycodone. I have been on all different kinds of narcotics like Vicodin, Methadone (don't go there please)yes methadone is used for chrontic pain not just drug addiction, tylenol # 3, hydrocodone which is generic vicodine, & now the oxycodone. I once took Darvocet N100, but it is now off the market. Usually a good Rheumatologist will give you something to help with sleep like an antidepressant, & something for pain. Stretching & just keep moving even if it hurts are too of the best solutions. Massage, & chiropractic care helps also without drugs or along side drugs. another thing that helps is warm water eercising. Along with the Arthristis Foundation, most YMCA's have a special time or day they let fibro patients & others with arthristis & such use their pool for such exercises. Some physical therapy places have their own pools, or if you have a pool use it. It's really early in the morning, & have only had 1 cup of coffee so please excuse any typos, & hopefully I have given you a few ideas without forgetting too much. Welcome to our group. You will find a lot of support here as many of us have fibromyalgia & usually other conditions as well. This seems to be turning into a book so won't take up too muchmore of your time. The other suggestion I give to you is learning.& reading about fibromyalgia & your boday. How it acts & reacts & so on. You will get the hang of it. Most of us do. If you find night you just can't sleep no matter what come on aboard. There alwys a few night fibro sufferers as yourself that are roaming the board usch as I am now. Good luck to you. I wish you well.
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