iCliniq Logo
HomeAnswersPain Medicinefibromyalgia

What are the new options for fibromyalgia pain and fatigue?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I was diagnosed with fibromyalgia a few years ago. Over the past three years, it has gotten much worse. I take Lyrica two times a day and Tramadol as needed for the pain. I still have a great deal of pain every day. The Lyrica makes me feel like I cannot think straight, and the Tramadol just does not work anymore.

I was prescribed Cymbalta, which I took for approximately two years. It did nothing for me either. It was after that that I started taking Lyrica. I have been taking it now for about six months. I recently saw my provider, and he did some trigger point injections, which do help in the areas injected.

He told me he did not know what else to do for me. I just feel like there are no doctors who want to even try to help people with fibromyalgia. Especially those for which all the current medications do not work. I am terribly frustrated and very tired of being in pain every day.

I never get a break from the pain anymore. What other treatments are out there now? Anything new that I may not have heard of? Any help would be greatly appreciated. I work full-time, and I just do not want to be so miserable while doing it. Apart from Lyrica and Tramadol, I am also taking Estradiol, Progesterone, Levothyroxine, and Fluoxetine.

Please help.

Hi,

Welcome to icliniq.com.

Fibromyalgia is a very frustrating condition, but with the help of the patient, a doctor can treat it. I have treated my patients with all the drugs you have mentioned by managing the doses, but I always ask my patients to do meditation, which would help the most in this problem.

In your case, I would recommend you take Lyrica (Pregabalin) at a dose of 50 mg at night, which would not affect your thinking process. You should also take Cymbalta at doses of 60 mg per day. Your doctor would adjust these doses according to the symptoms you have been getting, as well as the side effect profile.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.

Medically reviewed byDr. Vinodhini J.

Published At February 28, 2020
Reviewed AtOctober 10, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

default Img
Dr. Anshul Varshney

Pulmonology (Asthma Doctors)

Consult this doctor
Listen to related tracks in our music library

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.