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Physical Therapy with or without pain medication?

Bones, Joints & Muscles | Last Active: Feb 5, 2023 | Replies (38)
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@colleenyoung

Good point, @jip499.
@kaptainkat @karenann01 and others in this discussion. Use caution when taking multiple prescriptions and CBD or medical marijuana and supplements. Don't be fooled by thinking CBD and supplements are "natural".

A number of over-the-counter and prescription drugs may be associated with serotonin syndrome, especially antidepressants. Illicit drugs and dietary supplements also may be associated with the condition. Read more from Mayo Clinic here:
- Serotonin syndrome https://www.mayoclinic.org/diseases-conditions/serotonin-syndrome/symptoms-causes/syc-20354758

If you have questions about drug, prescription and supplement interactions, don't forget that a pharmacist is a really useful member of your health team. They can provide more information about possible interactions.

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Replies to "Good point, @jip499. @kaptainkat @karenann01 and others in this discussion. Use caution when taking multiple prescriptions..."
kaptainkat | @kaptainkat | Sep 18, 2022

Thank you for the response and concern.

I don't use CBD per se, I inhale burning 'flower' via water pipe.

'We' built up to 90mg of Cymbalta over a several month period, carefully watching for changes.

ALL of my 'health care team' - GP, cardiologist, pulmonary specialist, pain specialist, psychiatrist, internist (hernias), AND physical therapist OUGHT be aware that I am in the state's Medical Marijuana program, as I am not shy about it when we discuss my formulae, aches, or pains.

It has been a few months since my last blood workup, but with no issue apparent, there isn't really a need.

I have a dietary disorder that also keeps me on my toes about the 'big picture'. I am on the dietary list here at the Mayo for issues from repair of an 'esophageal stricture' and extreme GERD.

I either cannot or will not eat, 'we' are not sure which. See that thread for those issues.

Three of my meds list 'dizziness' as a 'possible side effect'.

Insomnia and agitation are more influenced by my pain level at the moment. When 'Spike' bites, 'polite' gets lost.

And I do have some 'motor' and dexterity issues, but I blame that on the neuropathy, neuralgia or radiculopathy from the damage in my neck.

I can't really say I experience any of the other symptoms on the list. But I will be diligent in being alert.

Once again, thank you for the heads up.
KK

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