fibro meds interfere with weight loss?

impoopedx3
on 4/10/11 1:40 am - GA
I'm relatively new to the forum and in the process of jumping through insurance hoops. Should have WLS in August sometime if all goes well. I am 52, have had Fibro for about 12 years, and am on a number of meds (aren't we all?). I take Lyrica for fibro and it takes the edge off the pain enough so that I can function. BUT it makes me hungry all the time!!!  I know WLS helps get rid of that nasty ghrelin hunger hormone by cutting out the portion of the stomach that produces it, but does that mean drugs like Lyrica that stimulate hunger will no longer make me hungry or will I struggle with hunger still and have more trouble losing than the average patient????!!!  Anyone with any experience with this? I know some antidepressants also make you hungry. I can't find ANYTHING that explains how these meds contribute to weight gain, other than they slow down metabolism (not sure how), 

Another concern I have is that my doctor recommends RNY, but he's not too informed about fibro. He said getting the weight off my joints would help. Yeah, but I don't have arthritis doc. It's more complicated!  I'm concerned about being able to find adequate pain relief post RNY. I've heard folks say meds only work 1/2 as long as they are supposed to because of the new anatomy. NSAIDS don't work for fibro pain anyway, so not worried about that.

Thoughts?

Thanks, Beth
            
Hislady
on 4/10/11 5:49 am - Vancouver, WA
As you've probably already learned that different meds work different on each person. From what I've read Lyrica is the worst for making you hungry and weight gain. I used it for awhile but started gaining, no thanks! Now I'm on Cymbalta and I don't seem to have that problem with it. However the only real pain relief for me comes from narcotics, I take morphine 3x a day and oxycodone every 6 hrs.
Not real sure how the RNYers do with pain meds but from what I read they have quite  bit of trouble with all meds. I would prefer getting the VSG if it's available to you because they still absorb normally. Yep losing the weight may help you feel better in general but it won't help the fibro pain, I think everyone here would agree with that. Hopefully some of the RNY folks will chime in and can tell you more about how the meds work for them.
renee_isms
on 4/15/11 5:27 pm - Las Vegas, NV
I'm brand new to joining the forum (but have been reading for quite a while now!) but I have to chime in on this.  I've had severe fibro / cfs for 6 years and over the last 3, have been on Lyrica and Effexor, among other things.  This combo works the best for me, but maybe not for anyone else, we're all very different in re to meds.  For some, NSAIDS DO give relief, I'm not one of them.  I truly believe I have Lyrica to thank for my 150 pound weight gain.   I have a love / hate relationship with it for sure lol
I have read up alot on WLS and the affects it has on firo.   The vast majority of information I've read has said that it "cures" up to 90% of fibro problems.  Now, the 90% figure came from my Rheumatologist, so not all may agree with that.  However, that was enough to get me off my butt and start looking into WLS.    I didn't ask (but have thought about it!) about meds working or not, but I've read that it may affect the meds that are extended release and how to test it is by seeing if it dissolves in a glass of water after 20 mins.  Hope this helps!
Renee

ekolpack
on 5/22/11 8:14 am - Edgar, WI
 WLS  in June of last year and have had fibro for 15 years or so.  Once you have WLS you can't take NSIDS or any time released meds.  I take a lot of different meds and the only one that were changed was time released to regular meds on welbutrian and ambian.  I take vicadan/tylanol and tramadol for pain with no problem.  I recently started with cymbalta so I can't address that one.
I believe getting the weight off has helped a lot but the pain is still there.  One good thing is that after losing so much weight I find it a lot easier to exercise and that seems to have helped also.

Good luck   
The groundwork of all happiness is health.

                                
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