Hi All! I was diagnosed with Fibromyalgia in late 2020 following a burnout in late 2019. A GP diagnosed me as my local Rheumatology team 'don't deal with Fibromyalgia'...Anyway, I have tried various meds (Amitriptyline, Pregabalin, Gabapentin, Nefopam, Celebrex, Tramadol, Codeine, Co-codamol), and nothing works. Last September I ended up in hospital and got diagnosed with Pancreatitis and was treated with oral morphine and ALL of my pain was resolved. I believe that my pain doesn't respond to typical Fibro meds because it's not Fibro; the pain is not somatic, however my GP will not prescribe anything stronger than the Buprenorphine patches that I'm on (10mcg, which also don't help). I'm currently on long term sick leave and have gone through 4 jobs since the end of 2019 due to the amount of sick leave I've had to take.
So...does anyone have any ideas as to what I can ask for, or what I can do going forward???
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ButterflyWine
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I've not had a steroid injection there! I've had several in my shoulders and elbows though (to no avail).
It's being considered that I might have Lupus due to some other symptoms that fit with that diagnosis plus my CRP and ESR levels have been consistently raised for many years and I have been told that Fibro isn't inflammatory?
I have a Pain Consultant so is it worth asking to try a steroid injection?
Hi , how long did you try Pregabalin for? It takes time to build up an effective dose and is not just for muscle pain it’s for nerve pain and helps a great deal as I have 7 slipped discs as well as fibro, the usual codine pills don’t work for me so , no tramadol, or muscle relaxants that is quite usual for fibromyalgia I believe, our pleasure receptors decline apparently. Infections and inflammatory arthritis raises CRP levels I became ill the same time as you but I think they believe I had early Covid as I was exhausted and had a type of flu. Duloxetine worked to give me energy as it increases adrenaline levels not just serotonin. The docs do not like giving morphine analogues as this is reserved for cancer patients and doesn’t serve to benefit fibromyalgia patients, according to NICE guidelines. Hope this helps
I was on Pregabalin for about 3 years. My pain isn't somatic and I do respond to morphine, therefore my new GP also thinks I don't have Fibromyalgia. It's possible that I actually have SLE due to my actual symptoms, and this is finally being looked into by Rheumatology.
I can't take any antidepressants as I also have bipolar disorder and they can trigger mania unfortunately, so duloxetine is out.
I do also have a condition called MBL, which is the precursor to a type of Leukaemia. I have a very complex medical history sadly but I was wondering what else I could try or ask for in relation to the symptoms. I have considered alternative therapies and have also heard about Low Dose Naltrexone. Any opinions on that?
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