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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Fibromyalgia Be The Reason For Migraine?

I ve had chronic migraines foer 3-4 years. I have tried everything from chiropractor to medications; botox, imetrex, toradol, relpx, medrol dose pak, propanolol, fioricet, zomig, maxalt, Just about everything. Is there a possibility i may hay fibromyalgia because of the following symptoms that may be causing the migraine? Fatigue, anxiety, depression, insomnia, memory problems, R side pain: shoulder, hip, knee, and foot. Numbness and tingling in hands and feet. Ringing in ears. lower back pain. sensitivity in hands with cold. Constipation, menstrual problems, and vision problems. I m 25 years old. Before all this i never took any medication and now i m constantly taking medications and i m very tired of it. no one seems to know what is wrong. Labs are normal minus vitamin d that was at 3.9 taking 50k units of vit d. Zoloft, clonazpam, and flexeril almost daily. Norco 5 as needed for when the pain gets bad. Please help me i m very frustrated. Thank you
Tue, 12 Feb 2019
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Neurologist,  's  Response
Hello,

Fibromyalgia in itself is not a cause of a migraine, however, the two can often coexist, migraine patients have a higher risk of fibromyalgia and vice versa, probably because both have anxiety and depression as risk factors.

Your case seems to be a complicated one and more information on characteristics of pain and medication history would be needed to make more precise recommendations. One thing I would reconsider would be the antidepressant you are using, I would prefer a tricyclic like amitriptyline which is used both for migraine prevention and fibromyalgia. Zoloft is used at times but not the first and proven choice. Anticonvulsants are another option which might be considered, I don't see them mentioned among the things you've tried.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Olsi Taka, Neurologist
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Will Fibromyalgia Be The Reason For Migraine?

Hello, Fibromyalgia in itself is not a cause of a migraine, however, the two can often coexist, migraine patients have a higher risk of fibromyalgia and vice versa, probably because both have anxiety and depression as risk factors. Your case seems to be a complicated one and more information on characteristics of pain and medication history would be needed to make more precise recommendations. One thing I would reconsider would be the antidepressant you are using, I would prefer a tricyclic like amitriptyline which is used both for migraine prevention and fibromyalgia. Zoloft is used at times but not the first and proven choice. Anticonvulsants are another option which might be considered, I don t see them mentioned among the things you ve tried. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist