The naltrexone dose used to treat fibromyalgia is less than 10 times that of treatment for any alcohol disorder. For some the pain minimizing effect is very obvious. For me it just wasn't noticeable enough.
Milnacipran is not available in the UK and as Lisa has mentioned LDV is used in conditions in tiny amounts compared to the normal therapeutic dose as an opioid antagonist. This means obtaining it requires a private prescription and some hoops to jump through in the UK. It works for some and not others.
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