Question

I am suffering from fibromyalgia and taking pregabalin 50 for the last six years I want to know I can take for a longer period or you can suggest me any other.

Dr.Julie Mercy J David · Accepted Answer

Widespread muscle pain and tenderness.
Symptoms
requires a medical diagnosis
widespread muscle pain and tenderness are the most common symptoms.
People may experience:
pain areas: in the muscles, abdomen, back, or neck
pain types: can be chronic, diffuse, sharp, or severe
pain circumstances: can occur at night
gastrointestinal: constipation, nausea, or passing excessive amounts of gas
whole body: fatigue, feeling tired, or malaise
muscular: muscle tenderness, delayed onset muscle soreness, or muscle spasms
sensory: pins and needles, sensitivity to cold, or sensitivity to pain
mood: anxiety, mood swings, or nervousness
sleep: difficulty falling asleep or sleep disturbances
cognitive: forgetfulness or lack of concentration
hand: sensation of coldness or tingling
also common: depression, flare, headache, irritability, joint stiffness, painful menstruation, or tingling feet
treatment consists of self care and therapy
medication, talk therapy and stress reduction may help in controlling the symptoms.
Self-carephysical exercise
aerobic activity for 20–30 minutes 5 days a week improves cardiovascular health. If injured, pursuing an activity that avoids the injured muscle group or joint can help maintain physical function while recovering.
Stress management
pursuing an enjoyable activity or verbalising frustration to reduce stress and improve mental health.
Relaxation techniques
deep breathing, meditation, yoga, rhythmic exercise and other activities that reduce symptoms of stress
therapies
support group
a forum for counseling and sharing experiences among people with a similar condition or goal, such as depression or weight loss.
Biofeedback
controlling the body's heartbeat, brainwaves, breathing and blood pressure by monitoring them with sensors.
Cognitive behavioral therapy
a talk therapy focused on modifying negative thoughts, behaviours and emotional responses associated with psychological distress.
Hydrotherapy
using water to relieve pain, treat diseases and maintain health. For example, mineral baths and hot tubs.
Chiropractic treatment techniques
adjusting the spine and massaging the back muscles to relieve pain.
Stretching
stretching exercises can improve flexibility and improve physical function.
Graded exercise therapy
physical exercise that starts very slowly and gradually increases over time.
Massage
relaxes tense muscles.
Acupuncture
insertion of needles into specific points on the body to relieve pain and treat other conditions. A form of traditional chinese medicine.
Medications
selective serotonin reuptake inhibitor (ssri)
eases symptoms of depressed mood and anxiety.
Analgesic
relieves pain.
Nonsteroidal anti-inflammatory drug
relieves pain, decreases inflammation and reduces fever.
Nerve pain medication
blocks pain caused by damaged nerves.
Muscle relaxant
reduces muscle tension and helps relieve muscle pain and discomfort.
Fibromyalgia medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include:
•pain relievers. Over-the-counter pain relievers such as acetaminophen (tylenol, others), ibuprofen (advil, motrin ib, others) or naproxen sodium (aleve, others) may be helpful. Your doctor might suggest a prescription pain reliever such as tramadol (ultram). Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time.
•antidepressants. Duloxetine (cymbalta) and milnacipran (savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep.
•anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (lyrica) was the first drug approved by the food and drug administration to treat fibromyalgia.
Therapy
a variety of different therapies can help reduce the effect that fibromyalgia has on your body and your life. Examples include:
•physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful.
•occupational therapy. An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body.

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