Peggy, There are some medication that is tested for fibro which has about
20% success rate. They are namely Sevella, Lyrica and Cymbalta. As far as a doc's opinion go, if they think you're on decent dose of Tramadol and it's managing your pain, they won't be tinkering with your meds. There are a few reasons for their method.
1. Tramadol is cheap, it's not and opiod and will manage the pain reasonbly well.
2. The docs is probably still thinking, if they can improve your muscular skeletal structure eg by exercise, diet and alternative therapy, they can easily dial down your tramadol and take you off it.
3. Sevella is very very expensive, what are the chances of someone staying on it for their whole life, and with 20% success rate, who wants to take the risk. Ditto for Lyrica and Cymbalta. In addition to that, all the 3 drugs targetting fibro have lots of side effects, in fact if you search through the forum, you'll find out many people have found that they got severely ill using Lyrica and Cymbalta. In summary, the doctors are playing it safe. They don't want to change things and make matters worse.
The down side of Tramadol is, that's it's only a pain killer. It doesn't help with the fibro fog or depression part of things.
The catch 22 side of things, if they prescribe you with an anti-depressant, they will need to take you off tramadol because there is an interaction between many anti-depressants with tramadol causing serotonin syndrome which can be deadly. Having said that, there has been many studies that has suggest that anti-depressant may help cronic pain sufferers control their pain, hence Cymbalta is used as one of the medication for Fibro. Problem is, the success rate is low, the drug side effect rate is quite high. It'll all come down to how you and your doctor want to manage your condition.
Post Edited (Fibro$ufferer) : 4/17/2013 4:21:04 AM (GMT-6)