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Alternative to CYMBALTA to treat FIBROMYALGIA.

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My mom has been diagnosed wirh fibromialgya and has been prescribed cymbalta 30mg and magneseum B6 ( 4 x 470 mg) pills per day, after 3 weeks she started having dry mouth and started urinating every 30 min or so, she stopped the magneseum pills as she thought it was because of them, urination went back to normal, however dry mouth has been the same starting around 2 or 3 PM until midnight, she called her doctor, doctor told her it was because of cymbalta and that she has to continue taking it for another 2 weeks and then they do a check up and see what to do next, maybe increasing to a 60mg dosage per day. My question is, Is there an alternative to cymbalta and if not what can she take for the dry mouth as she is taking some sugar free sweets and water but it doesnt have a long term effect. Thanks

Category: Family Physician-GP

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Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
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Expert:  Dr. Jaydeep Tripathy
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Hello,
Thanks for yourquery at DoctorSpring.com
I understand your concern.
Fibromylgia is a diesese of unknown cause widespread pain in diferent parts of the body and other symptoms such as sleep disturbences, depression, fatigue etc. Your doctor is on the right path by tretting him with antidepressant cymbalta.Let's try it for another 2 weeks with increased dose if it doesn't help other medicines such pregabalin, gabapentin. Over the counter pain relievers such as tramadol, ibuprofen, diclofenac can be used along with it.
For dry mouth she need to take plenty of water, chew sugarless gums, ice chips. Avoid salty and dry foods (crackers, biscuits, cookis , toast etc. Alcohol and caffein need to be avoided.
Hope it helps.
Regards


Patient replied :

Thank you for the reply doctor, i would like to know also if Cymbalta can be taken with OSTRONG (calcium hydrogen phospate 600mg + vitamin D3 500i.u) + STAVIn(simvastatin 20) for cholesterol + Concor 2.5mg (for tachi-cardia Bisoprolol Fumarate cardio-selective Beta blocker) + biocalcin with Mena Q7 and vitamin D3 + Vital G (herbal) as she is taking them on a daily basis. Thanks alot


Expert:  Dr. Jaydeep Tripathy
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Yes, these medicines can be taken together.
They do not have any interactions among themselves.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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