Muscle Soreness - Zyprexa, Polymyalgia Rheumatica, or Fibromyalgia?

[rcmwsu]

I have been having muscle soreness and fatigue for about 8 months now. It seems to depend on which muscles I work the most. My groin muscles are always sore. My calves, thighs, hips, buttocks, back, shoulders, arms, and neck get sore too, depending on what I work. I have been on 10mg Zyprexa and 20mg Paroxetine daily for over 5 years and have not had issues. I am a 28 year old male. I smoke but do not drink. I keep thinking I might have fibromyalgia, so I went to the doctor and got some tests done and these are the tests they did - ck cardiac enzyme, tsh thyroid, cemp chemistry panel, cbc white count hemaglobin platelets, esr sed rate, lymes titer. All of the tests were good. At my next appointment the doctor said they thought it was my Zyprexa and told me to get in touch with my psychiatrist. They said they would do more research in the meantime and talk with another doctor. They called me back in a couple days and this time they said they think it might be polymyalgia rheumatica. They said they wanted to do a test where I would take some medicine for a week (I forget what it was called), that it might make me jittery, but if my soreness went away then it was polymyalgia rheumatica. I told them I would get back to them because I'm really not sure what to do now.
If you need to know anything else, please let me know.
Thanks a lot!!!

[klrmu]

i am under zyprexa 2.5 mg and ican tell you that it makes that. i stopeed it for three times without success, and i can say that the last time, i was so healthy and in good shape with good stamina during the week i stopped.

any suggestion?

[Fibrogrrl]

Hi, I just read your post and it doesn't look like he did the trigger point test on you.  This is where the doctor presses on certain points on the body which is the only real way to see if someone has fibromyalgia.  As far as I know, there are no known blood tests that can show if you have fms.  The trigger points are located near collar bone, top of forearms, sides of knees, ankles, some others too but it has been so long I do not remember.  Next time you go in ask him to do this. If he has no idea what you are talking about then get another doctor. I went to ten doctors before I got my diagnosis. Back then most doctors that fms was a crock and psychosomatic.  Good luck.

[Curls]

Trying the med for a week sounds like a reasonable idea.  Can you google it first to see if it's as useful a way to test for poly as they say, and if it's as mild as they are saying, just to make sure you want to do it?  

With FM you'd have more than only muscle soreness in those exercised and fatigue.  Do you have other symptoms?

Are they offering a specialist like a rheumtogoist or neurologist?  There are a lot of conditions that could start with what you are describing.  It's helpful if someone familar with them takes a look.  At least your doctors are working hard for you.  That's valuable.

Was there anything significant in how it started?  Did you change anything, foods, location, job, gym, amount of water drunk?

Drugs can do stuff, but if you've been taking it for five years, doesn't sound likely.  The psychiatrist could be the one to ask on that though, since they'd see the pattern of side effects with it.  

Hope this helps you bounce your thoughts off, and gives you some ideas.