your doctor is doing the right thing. nsaids trial is standard procedure with concomitant alternative therapies. if not responding then addition of antidepressants like nortriptyline is standard choice and wise one. do as directed by your doctor. visit our fibromyalgia health center for further guidance. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and can not be an alternative to actual visit to a doctor. take care khan
my family doctor and i have concluded (yesterday) after various tests and trials of other things over the last 1. 5 years that i have fibromyalgia. the symptoms coincidentally (or not) started when menopause started for me (i'm 54). i have been on hrt for one year and it has relieved the hot flashes but not the body/muscle pain and sleep problems. since all otc nsaids and arthritis type creams don't help he prescribed voltaren gel and to continue with all of the alternative therapies i'm trying: yoga walking monthly visit to chiropractor acupuncture and massage and meditation. he said to try the gel for 4 weeks and if that didn't work for me he'd prescribe nortriptyline for sleep/pain. do you agree with his assessment/plan? he didn't think diet had any impact do you agree? i am trying to eat a more plant based diet. any suggestions you have would be most welcome. thank you!