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Supplement Recommendations and Interaction Warnings for Fibromyalgia Management

A comprehensive guide to supplements like Magnesium, Vitamin D, B-Vitamins, CoQ10, and Omega-3s for fibromyalgia management while considering potential interactions with medications like citalopram, Cymbalta, Levothyroxine, and hormone replacement therapy.


  • I have fibromyalgia and suffer from constant pain and fatigue. Can you suggest supplements to improve my health? I take multiple medicines including citalopram and cymbalta. I have no working thyroid so I also take Levothyroxine and also hormone replacement treatment for menopause

  • Managing fibromyalgia, especially while taking multiple medications like citalopram, Cymbalta, Levothyroxine, and hormone replacement therapy, requires careful consideration due to potential interactions.

    Supplement Recommendations for Fibromyalgia

    1. Magnesium: May help with muscle cramps and fatigue. Consult with your doctor, particularly because magnesium supplements can interact with thyroid medication.

    2. Vitamin D: Low levels of Vitamin D have been linked to increased pain sensitivity. Ensure that Vitamin D supplements do not interfere with your medications by consulting your doctor.

    3. B-Vitamins: B12 and B6 can help manage fatigue. Checking with your physician first is essential since certain medications can alter how these vitamins are metabolized.

    4. Coenzyme Q10 (CoQ10): This may help combat fatigue and pain. Again, discuss this with your healthcare provider to ensure safety given your current medications.

    5. Omega-3 Fatty Acids: Known for their anti-inflammatory effects, omega-3s can also support overall health. However, their interaction with other medications needs to be monitored.

    Potential Interactions with Existing Medications

    • Levothyroxine can be affected by supplements containing calcium, iron, and antacids. For optimal absorption, take these supplements several hours apart from your thyroid medication1.
    • Biotin: Can affect the accuracy of thyroid function tests, so consistent communication with your doctor is advisable if considering this supplement2.
    • Kelp: Avoid supplements containing kelp due to its high iodine content, which can worsen thyroid conditions2.

    Next Steps

    Consult your healthcare provider before adding any supplements to your regimen. They can help manage potential interactions and ensure that your supplements provide the desired benefits without compromising your current treatments.

    Would you like to search for specific product recommendations for any of these supplements?

    Footnotes

    1. NHS - Levothyroxine: a medicine for an underactive thyroid (hypothyroidism)

    2. NHS - Levothyroxine: a medicine for an underactive thyroid (hypothyroidism) 2

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