Curious what medication to discuss with doctor regarding fibromyalgia

I was diagnosed with fibro many years ago. So, I've managed the pain with Duloxetine and pregabalin. But my pain has increased (old age?) so next week I'm starting on low dose naltrexone. It has no known side effects and apparently is very effective. I had to work to find a doctor who would prescribe it but I finally did. I'll let you know how it goes.

@ericamonique
Naltrexone is great. You have to give is 6 months to see the full effect. I got the best results taking 1.5 mg in the morning and night.

I have given my doctor the NIH article - https://pmc.ncbi.nlm.nih.gov/articles/PMC10039621/ to assist in their Naltrexone learning and get my prescription written.

I hope your pain is reduced.

Thank you for this opportunity to voice my experience and concerns with what has been a 20-year pain fest with what is known as fibromyalgia. What seems to be the common denominator in my case with this "condition, since no one seems to be able to classify fibromyalgia in any medical term of body ailment. My belief is: It all began with a major surgery 20 years ago... a few months after I began to experience a continuous pain throughout my body, especially on the outer peripheries of the arms, legs, and across the mid-secsion of the back... oddly, on the top of my head in a horseshoe shape...starting from the Occiptical area, and along the Temparal sides of the skull...when pressed on these areas, it is if I have brused them. To add a level of curiouity to this, I had two other surgeries: one, I experienanced no pain for almost 9 months and the thrid gave me a 3 month reprive of any pain... Both came back within those time periods. However, a fourth, under general, did nothing to change the pain. My thought on what brought this condition on is this: When in surgery, under general anaesthesia; nerve signals are blocked from reaching the brain, preventing the sensation of pain... my thought is... the system never quite returns to it's full working state
It's my take on why I sufer from this awful ... and unclassified "condition." Be well. 🤔 😌 🫱🏽‍🫲🏽

@memphismes LDN also helped me too by reducing pain a lot and fixing my severe insomnia.

@wshirew57 Very interesting! Beginning at age 21 I’ve had 4 lithotripsies (lazar to break down kidney stones.m). Doctors refer to it as surgery because you have to go under general anesthesia. Also had tubal ligation, gall bladder surgery and 2 breast surgeries. So it could be.

@hudson757 Why did you stop taking tramadol? I take but my fatigue has gotten pretty bad lately and wondering if I should take less and less and get off completely. Will discuss that with my doctor. Thanks

@hudson757
I wish you luck! 15 years ago I took tramadol for my Fibro. Then 10 years ago weaned off by doc to Savella. He was worried about addiction. Now I’m 70 and pain all day. Thinking of asking new doc for Tramadol. I mean I hope to have a good ten years of much less pain so GIVE me the opioid. Tired of only getting out a few hours a day.

A good first one might be naltrexone. This was not available when I first got fibromyalgia. It works in the brain to turn off some pain signals. It’s a compounded drug and it has no side effects. They usually start you with 1.5 and you can go up to 4.5, which I am on.

@leoandbear LDN has helped me very much too. I encourage anyone suffering from fibromyalgia to try it, although I read it doesn't help everyone. Here's some info on it:
https://www.verywellhealth.com/low-dose-naltrexone-ldn-for-fibromyalgia-cfs-716070