Finding a Physician for You

Management for pain associated with fibromyalgia may involve working with a variety of healthcare professionals. This can be the case whether you have been diagnosed with fibromyalgia or you are trying to determine if you have the condition. In addition to a variety of physicians, you may also see physical therapists, chiropractors, and pain management specialists as part of your care.

It's important to make sure you are comfortable with the people you select as part of your healthcare team. Working with someone who is familiar with your background and condition can help you make sure you get the care you need. It also can help ensure that changes in your situation or condition are properly addressed.

Generally, most patients may see different kinds of healthcare providers for their fibromyalgia. Depending on each patient's situation, an individual may see one or several of these physicians as part of their treatment.

Primary care physicians: Primary care physicians, or PCPs, usually provide first contact with persons with undiagnosed health concerns. PCPs may include general practitioners, family practitioners, internists, and obstetricians/gynecologists.

Rheumatologists: A rheumatologist is a physician who specializes in the diagnosis and treatment of rheumatologic, inflammatory, and autoimmune disorders. Some rheumatologists conduct research to determine the cause and better treatments for these diseases. Rheumatologists are often the first specialists that patients with fibromyalgia are referred to.

In addition to the help that physicians can provide, there are a number of organizations and support groups available to help those with fibromyalgia. For more information about some of them, please refer to our resources section.

Create your Fibromyalgia Doctor Discussion Guide to help you discuss your symptoms with your healthcare provider.

If a friend or loved one has been diagnosed with fibromyalgia, learn more about being a caregiver.

Important Safety Information About Cymbalta

Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Suicide is a known risk of depression and some other psychiatric disorders. Call your doctor right away if you have new or worsening depression symptoms, unusual changes in behavior, or thoughts of suicide. Be especially observant within the first few months of treatment or after a change in dose. Approved only for adults 18 and over.

What should I talk about with my healthcare provider?

Patients on antidepressants and their families or caregivers should watch for new or worsening depression symptoms, unusual changes in behavior, thoughts of suicide, anxiety, agitation, panic attacks, difficulty sleeping, irritability, hostility, aggressiveness, impulsivity, restlessness, or extreme hyperactivity. Call your healthcare provider right away if you have thoughts of suicide or if any of these symptoms are severe or occur suddenly. Be especially observant within the first few months of antidepressant treatment or whenever there is a change in dose.

Who should NOT take Cymbalta?

You should not take Cymbalta if:

  • You have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI)
  • You have uncontrolled narrow-angle glaucoma (increased eye pressure)
  • You are taking Mellaril® (thioridazine)

What other important information should I discuss with my healthcare provider?

Before starting Cymbalta, talk with your healthcare provider:

  • about all of your medical conditions, including kidney or liver problems, glaucoma, diabetes, seizures, or if you have bipolar disorder. Cymbalta may worsen a type of glaucoma or the control of blood sugar in some patients with diabetes
  • about your alcohol use
  • if you are taking nonprescription or prescription medicines, including those for migraine, to address a possible life-threatening condition
  • if you are taking NSAID pain relievers, aspirin, or blood thinners. Use with Cymbalta may increase bleeding risk
  • if you are pregnant, plan to become pregnant during therapy, or are breastfeeding an infant

While taking Cymbalta, talk with your healthcare provider:

  • if you have itching, right upper belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of liver problems. Severe liver problems, sometimes fatal, have been reported
  • if you have high fever, confusion, and stiff muscles to address a possible life-threatening condition
  • before stopping Cymbalta or changing your dose
  • if you experience dizziness or fainting upon standing, especially when first starting Cymbalta or when increasing the dose
  • about your blood pressure. Cymbalta can increase your blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
  • if you experience headache, weakness, confusion, problems concentrating, memory problems, or feel unsteady while taking Cymbalta which may be signs of low sodium levels
  • if you develop problems with urine flow

If you have any questions, talk to your healthcare provider before taking Cymbalta.

What are the possible side effects of Cymbalta?

The most common side effect of Cymbalta was nausea. Other common side effects included dry mouth, sleepiness, constipation, decreased appetite, and, increased sweating. This is not a complete list of side effects.

Other safety information about Cymbalta:

Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you should not drive a car or operate hazardous machinery.

Please read additional Safety Information and Boxed Warning for a complete list.

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