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I was diagnosed with fibromyalgia in 1997. I was originally prescribed Effexor XR, and when that was discontinued, I was switched to brand-name Cymbalta 30 mg. It worked wonderfully for me for 20 years and gave me the relief I needed to function and live my life
Unfortunately, I can no longer get the brand-name Cymbalta I relied on because it was discontinued, and the generic did not work for me. I was then switched to Savella, but after trying different dosages, from 50 mg down to 12.5 mg, it… read more

October 14
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MyFibroTeam

What a frustrating and exhausting journey — 20 years of relief and then having the rug pulled out from under you is genuinely heartbreaking. You're not alone in this struggle, and it makes complete sense to be searching for better support.

Unfortunately, specific doctor recommendations for your area aren't something that can Show Full Answer

What a frustrating and exhausting journey — 20 years of relief and then having the rug pulled out from under you is genuinely heartbreaking. You're not alone in this struggle, and it makes complete sense to be searching for better support.

Unfortunately, specific doctor recommendations for your area aren't something that can be provided here. However, some helpful ways to find a fibromyalgia-experienced specialist near Marietta or Atlanta include:

- Searching the American College of Rheumatology physician finder at rheumatology.org
- Checking the National Fibromyalgia Association at fmaware.org for provider resources
- Looking for a rheumatologist who lists fibromyalgia as a specialty focus
- Asking your current doctor for a referral to a pain management specialist familiar with fibromyalgia On the medication front, there are still other FDA-approved and off-label options worth discussing with a knowledgeable specialist. Beyond the SNRI class (which includes Cymbalta and Savella), other options that doctors use include:

- Pregabalin (Lyrica) — FDA-approved for fibromyalgia; helps calm overactive nerves
- Gabapentin (Neurontin) — used off-label with similar nerve-calming effects
- Tricyclic antidepressants like amitriptyline — often used as an initial treatment
- Tonmya (cyclobenzaprine) — a newly FDA-approved muscle relaxant for fibromyalgia as of 2025, delivered as a tablet that dissolves under the tongue

A specialist may also explore combinations of medication and non-drug therapies like psychotherapy or structured sleep support.

It's worth noting that opioids are no longer recommended for fibromyalgia due to dependence risks, and while Motrin can offer some short-term relief, it's generally not considered a primary treatment for fibromyalgia pain.

Bringing a detailed history — like your 20-year success with brand-name Cymbalta — to a new specialist will be really valuable in helping them understand your sensitivities and find the right path forward.

October 14

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