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Neurology (Expert Forum)
Re: Would you see a Internest, Neuro or Psyc. for medication management for FM trea
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Re: Would you see a Internest, Neuro or Psyc. for medication management for FM trea
by CCF neurology MD MM, Jan 01, 1995 12:00AM
Posted By CCF neuro MD MM on November 12, 1998 at 19:46:29:
In Reply to: Would you see a Internest, Neuro or Psyc. for medication management for FM trea posted by MS'er on November 10, 1998 at 09:11:26:
Thank you for your response to me earlier. You suggest seeing my Dr. but which one for FM? I have an Interest who is my PCP Dr., my Neuro and a Psyc. for medication management and depression, or would another type Dr. be best for treatment of FM?
I am 47 yrs old with MS, FM and Osteoarthritis. Used to be on Flexeril which gave me sleep but got to where this did not work. My new Neuro started me on Paxil then referred me to Psyc for depression and medication management. The Paxil seemed to be helping my pain but I started seeing people, hallucinating. Your clinic suggested it could be caused by med.s since I was also on Ultram and Paxil. Took that message to my Psyc. & she changed me to Serzone for a month which made me feel like a bad arthritic. She then changed me to Zoloft (been on 5-6 wks now) which does not seem to have any side affects but I can tell little else help.
Suggested she put me back on Paxil since it helped my pain, take me off of the Ultram, I could take 3-4 Ibuprofen and the Hydrocodone ONLY as needed, not every day. She said okay but I want to wait till I have oral surgery overwith. What do you think of this idea?
None of my Dr.s have suggested the amitripline or nortriptyline and I read an article that it causes weight gain which I don't need ( 5'4" 220 LB). You said "a small dose 10-50 MG of these meds. with my anti-inflammitory would give 50% relief. DO you mean to take this new med every day or only when I'm having a bad occurance? If not every day, perhaps it would not cause the weight gain.
=
I think it is always ideal to take medications as little as possible,
sometimes this is not possible in order to gain the optimum effect but
my suggestions would be as follows :
Hydrocodone - as required only because of the potonetial for addiction.
Ibuprofen - As required only because of the potential for stomach problems
and kidney damage with prolonged use.
Amytriptyline - This does not work in an immediate "as required" fashion
and would need to be taken on a regular basis.
The same applies to Nortriptyline.
The best specialty to see for FM would be eirther Neurology or Rheumatology
I hope this answers your remaining questions, due to the huge volume of unanswered
questions at the moment, it will not be possible to answer supplementary
questions for several days to weeks.
In Reply to: Would you see a Internest, Neuro or Psyc. for medication management for FM trea posted by MS'er on November 10, 1998 at 09:11:26:
Thank you for your response to me earlier. You suggest seeing my Dr. but which one for FM? I have an Interest who is my PCP Dr., my Neuro and a Psyc. for medication management and depression, or would another type Dr. be best for treatment of FM?
I am 47 yrs old with MS, FM and Osteoarthritis. Used to be on Flexeril which gave me sleep but got to where this did not work. My new Neuro started me on Paxil then referred me to Psyc for depression and medication management. The Paxil seemed to be helping my pain but I started seeing people, hallucinating. Your clinic suggested it could be caused by med.s since I was also on Ultram and Paxil. Took that message to my Psyc. & she changed me to Serzone for a month which made me feel like a bad arthritic. She then changed me to Zoloft (been on 5-6 wks now) which does not seem to have any side affects but I can tell little else help.
Suggested she put me back on Paxil since it helped my pain, take me off of the Ultram, I could take 3-4 Ibuprofen and the Hydrocodone ONLY as needed, not every day. She said okay but I want to wait till I have oral surgery overwith. What do you think of this idea?
None of my Dr.s have suggested the amitripline or nortriptyline and I read an article that it causes weight gain which I don't need ( 5'4" 220 LB). You said "a small dose 10-50 MG of these meds. with my anti-inflammitory would give 50% relief. DO you mean to take this new med every day or only when I'm having a bad occurance? If not every day, perhaps it would not cause the weight gain.
=
I think it is always ideal to take medications as little as possible,
sometimes this is not possible in order to gain the optimum effect but
my suggestions would be as follows :
Hydrocodone - as required only because of the potonetial for addiction.
Ibuprofen - As required only because of the potential for stomach problems
and kidney damage with prolonged use.
Amytriptyline - This does not work in an immediate "as required" fashion
and would need to be taken on a regular basis.
The same applies to Nortriptyline.
The best specialty to see for FM would be eirther Neurology or Rheumatology
I hope this answers your remaining questions, due to the huge volume of unanswered
questions at the moment, it will not be possible to answer supplementary
questions for several days to weeks.
