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My Urologist put me on Elavil (amitriptiline) and slowly worked me up to the maximum of 50mg and I have been taking it for nearly two years. About a year ago I was also diagnosed with Fibromyalgia and the Orthopedic doctor that diagnosed me also put me on Pamelor (noretriptiline). (I think I have the spelling right for the generics of those right). My Urologist then explained she uses both interchangeably because Pamelor just metabolizes into Elavil and for her it just depends on insurances which one is approved. Basically though taking both of those at the same time was putting me at a clinically appropriate level of that medication to treat depression despite I was not diagnosed with it, but it did do wonders for the pain I've had in my abdomen but it did not help with the outer pain of Fibro. I was doing physical therapy for both Fibro and Sciatica so stretching and core strengthening, and they knew I had to make sure not to trigger my pelvic floor wall to spasm as well. I ended up not liking the orthopedic doctor that prescribed Pamelor, but when I last saw my Urologist that was what I was taking and I told her bladder wise I felt better than I have for a long time. But the doctor I continued to see for the Fibromyalgia suggested I take Cymbalta 30mg and possibly raise it if I can tolerate it, and discontinue Pamelor.
Since then I feel like my urinary pain has gotten worse and worse and I was sure I had a UTI but it came back negative or very few bacteria and white blood count in my urine. I had that done at my primary doctor's office because it's within walking distance, but I'm wondering if my Urologist would have still treated me because even a slight infection can be extra painful to me. The primary doctor may have assumed the slight readings were because of contamination and not a clean catch.
I looked through several of these threads about medications to take for both of these illnesses and several seem to have the possibility of making the IC worse if the Fibro is helped. But I saw Ultram listed as a pain medication and wondered if the Urologist or the doctor you see for Fibro was more likely to be familiar with it. Or is there one of those antidepressants used as nerve blockers that seems to work with both nerve sets because it feels like some things help with nerve pain internally and other things work externally.
I also saw both Savella and Cysttoprotek mentioned, does anyone know of a combination of meds or one that seems to work well for both these conditions and IBS as well? Or any other suggestions? I had been doing a lot of naproxen sodium but it gets to be harsh on my stomach after a while.
Thank you if you have any suggestions.
Since then I feel like my urinary pain has gotten worse and worse and I was sure I had a UTI but it came back negative or very few bacteria and white blood count in my urine. I had that done at my primary doctor's office because it's within walking distance, but I'm wondering if my Urologist would have still treated me because even a slight infection can be extra painful to me. The primary doctor may have assumed the slight readings were because of contamination and not a clean catch.
I looked through several of these threads about medications to take for both of these illnesses and several seem to have the possibility of making the IC worse if the Fibro is helped. But I saw Ultram listed as a pain medication and wondered if the Urologist or the doctor you see for Fibro was more likely to be familiar with it. Or is there one of those antidepressants used as nerve blockers that seems to work with both nerve sets because it feels like some things help with nerve pain internally and other things work externally.
I also saw both Savella and Cysttoprotek mentioned, does anyone know of a combination of meds or one that seems to work well for both these conditions and IBS as well? Or any other suggestions? I had been doing a lot of naproxen sodium but it gets to be harsh on my stomach after a while.
Thank you if you have any suggestions.
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