72 patient evaluations for Milnacipran

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Jan 16, 2012 (Started Jul 15, 2011)

  • Effectiveness
    None (for fibromyalgia)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 mg Daily
Advice & Tips: This Medication did wonder;s in the begining of the treatment, however over time the medication stopped working, and when I stopped I had run out of medication, before it had came in to the clinic, and I couldn't tell any difference in not taking it been off for nearlyy 6 weeks, and still no difference's at all.
Cost: < $25 monthly

  • 0 helpful marks

Aug 1, 2011 (Started Jul 13, 2011)

  • Effectiveness
    None (for fibromyalgia)
  • Side effects
    Severe (nausea, diarrhea)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: Be careful of stomach upset, such as nauseousness and diarrhea. If it continues, talk with your doctor. I let mine go on for 3 weeks, and I became very, very ill. I thought the symptoms would get better with time. Also, be careful of any drug interactions with this drug.
Cost: < $25 monthly
Side effects: nausea, diarrhea

  • 0 helpful marks

May 9, 2011 (Started Apr 23, 2011)

  • Effectiveness
    Major (for fibromyalgia)
  • Side effects
    Moderate (irritability)
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 50 mg Daily
Cost: $100-199 monthly
Side effects: irritability

  • 0 helpful marks

May 5, 2011 (Started Jul 03, 2010)

  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    Severe (fatigue)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Advice & Tips: Made me extremely tired. Had serotonin syndrome for the second time so my pain mgmt. dr. switched me to Pristiq. It's only been a few days on the Pristiq so it is too soon to tell but I think I got much more pain relief from the Savella, but my mood and energy level are better now. Savella stays in your system longer and can build up and serotonin syndrome is too dangerous to take a chance with. I won't ever be able to take Savella again so now we have to figure out how to help the pain more, it is very severe now. It is nice to have less fatigue!
Cost: $50-99 monthly
Side effects: fatigue

Dec 4, 2010 (Started Jul 03, 2010)

  • Effectiveness
    Can't tell (for fibromyalgia)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 156.25 mg Daily
Advice & Tips: I think the Savella helps a lot with fatigue. I used to be on Cymbalta and was always so tired I could barely function. Had such a hard time staying awake I had to stop watching my great niece until I could get it under control. I had major fatigue before starting Cymbalta but can't honestly say if the fatigue was so bad because of the Cymbalta or if it was just not giving me any help with the fatigue from the fibromyalgia and it was naturally getting worse. Fatigue is much better since I have been on Savella. So either the Savella helps with the fatigue or the Cymbalta was making it worse. Or some combination of the 2.
Cost: $50-99 monthly
Side effects: fatigue

Aug 20, 2010 (Started Jul 03, 2010)

  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 156.25 mg Daily
Advice & Tips: Great, new drug. I take 1 tablet in the morning, which is easy, and the other mid afternoon, which is harder to remember. Dr. advised me not to take it too close to bedtime so this was his advice. It doesn't help with the pain, but neither has anything else and I have tried many different meds. It does help tremendously with fatigue and that used to be a major problem for me. Nuvigil and Phentermine were useless for me. This is wonderful.
Side effects: fatigue

  • 3 helpful marks

Mar 9, 2011 (Started Jan 12, 2011)

  • Effectiveness
    Major (for Improve flexibility/strength)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: Seems to be helping with overall pain and brainfog associated with fibromyalgia
Cost: $25-49 monthly

  • 0 helpful marks

Feb 21, 2011 (Started Jan 25, 2011)

  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    Mild (hot flashes, dry mouth)
  • Adherence
    Usually
  • Burden
    Somewhat hard to take
Dosage: 100 mg Daily
Advice & Tips: hard for me to remember 2 does per day makes my mouth dry problems with urinary tract
Cost: $25-49 monthly
Side effects: dry mouth, hot flashes

  • 0 helpful marks

Feb 2, 2011 (Started Jan 01, 2010)

  • Effectiveness
    Slight (for Chronic Pelvic Pain)
  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    Severe (elevated blood pressure)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: This drug worked well but my blood pressure went up to 159/100 with a pulse of 102 while sitting. It has gone back to 128/70 pulse 78 since going off Savella
Side effects: elevated blood pressure

Dec 6, 2010 (Started Jan 01, 2010)

  • Effectiveness
    Can't tell (for Chronic Pelvic Pain)
  • Effectiveness
    Can't tell (for fibromyalgia)
  • Side effects
    Moderate (elevated blood pressure)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: Check with your doctor as my blood pressure and heart rate went up considerably
Side effects: elevated blood pressure

Jun 10, 2010 (Started Jan 01, 2010)

  • Effectiveness
    Slight (for Chronic Pelvic Pain)
  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    Mild (elevated blood pressure)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: I went off of this due to High Blood Pressure and didn't realize how much it was helping the pain until I was taken off. I went back on Savella for pain on 5/27/10...noticed difference right away. Sweating, is that from Savella?
Side effects: elevated blood pressure

Jan 7, 2010 (Started Jan 01, 2010)

  • Effectiveness
    Slight (for Chronic Pelvic Pain)
  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    Mild
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: The nausea goes away after a week or two and then some pain relief with gained energy. Side effect though is insommnia but...with less pain.
Side effects: elevated blood pressure

  • 1 helpful mark

Jan 24, 2011 (Started Aug 10, 2010)

  • Effectiveness
    Slight (for fibromyalgia)
  • Side effects
    Severe (brain fog, difficulty with orgasm, dizziness with nausea)
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 100 mg Daily
Advice & Tips: the store does not carry it sometimes and its difficult to go back to pick it up when I could get it it gave me a bad migraine and vomited
Cost: < $25 monthly
Side effects: dizziness with nausea, difficulty with orgasm, brain fog

Oct 25, 2010 (Started Aug 10, 2010)

  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    Mild (brain fog, difficulty with orgasm, dizziness with nausea)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 100 mg Daily
Cost: < $25 monthly
Side effects: dizziness with nausea, difficulty with orgasm, brain fog

Sep 22, 2010 (Started Aug 10, 2010)

  • Effectiveness
    Slight (for fibromyalgia)
  • Side effects
    Mild (brain fog, dizziness with nausea)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Cost: < $25 monthly
Side effects: dizziness with nausea, difficulty with orgasm, brain fog

Sep 8, 2010 (Started Aug 10, 2010)

  • Effectiveness
    Slight (for fibromyalgia)
  • Side effects
    Moderate (brain fog, dizziness with nausea)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Cost: < $25 monthly
Side effects: dizziness with nausea, difficulty with orgasm, brain fog

Aug 24, 2010 (Started Aug 10, 2010)

  • Effectiveness
    Slight (for fibromyalgia)
  • Side effects
    Moderate (brain fog, dizziness with nausea)
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 50 mg Daily
Side effects: dizziness with nausea, difficulty with orgasm, brain fog

  • 0 helpful marks

Jan 13, 2011 (Started Dec 10, 2010)

  • Effectiveness
    Major (for fibromyalgia)
  • Side effects
    Moderate (nausea, racing heart feeling, brain fog, restless feeling in legs, giddiness, jittery feeling)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 100 mg Daily
Advice & Tips: I was joking with my partner yesterday that "Save-ella" is aptly named :) I've been on it for almost a month now and just refilled for the next three months at my new stable dosage (100mg/day). I requested, and got, a rx for one 100mg tab a day instead of two 50mg tabs because it would be half the cost through my insurance that way. I noticed a HUGE difference with Savella. Clearly whatever that's wrong with me Savella fixes. I do notice the odd nausea or "hot flash" from time to time, but it's gone down in intensity and frequency considerably. And, frankly, the side effects are worth the benefits for me. Actually -- and this could be because it's winter -- I've felt colder in general than I did when I was taking tramadol daily, which also made me sweat. The only problem that I'm still struggling with is an amplification of RLS symptoms, which is common with anything that increases serotonin. I feel almost normal again. I haven't felt like this in four years or so. For people considering taking Savella, two recommendations are to advance dosage MUCH slower than the mfgr suggests. I didn't up my dose until I was OK at the dose I was already at. Also, take it with food. This forced me to eat breakfast every day, which I never did before. Savella is not a 100% cure. I'd say it's muted my pain by about 40-50%, which is a huge improvement. It's given me the "space" to actually consider exercising, which is also supposed to help FM.
Cost: $25-49 monthly
Side effects: jittery feeling, racing heart feeling, giddiness, restless feeling in legs, excessive sweating, brain fog, nausea

Dec 24, 2010 (Started Dec 10, 2010)

  • Effectiveness
    Major (for fibromyalgia)
  • Side effects
    Moderate (nausea, racing heart feeling, brain fog, restless feeling in legs, jittery feeling)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: Now that I've finally stabilized my Savella dosage, I have to say that's I'm extremely pleased with this drug. I feel like myself again for the first time in five years. The strongest positive effect has been with my energy level. I don't have to drag myself to and from bed anymore. I don't dread going up the stairs to fetch something. I actually can do something after work at night instead of collapse in my recliner. I'm still tired at the end of the day, but it's a normal, ready-to-go-to-bed tired instead of exhaustion. I'd say it's muted my pain level by about 40-50%, which feels wonderful. I'm still managing what's left through other medications, but having the fatigue lifted makes a big difference in my mood. If I have to rest because of physical pain I can still be mentally active, which I wasn't able to do before because of brain fog. Lots of people complain about side effects with Savella. As long as I eat a few bites of something in the morning I have no nausea. I'm not sweating anymore either, which is nice, because I was sweating constantly on the tramadol. I think if you want to give this drug a try, make the commitment to go up SLOWLY on your dose, and give it a little time before you expect to see anything. I didn't advance my dose until I was fully adjusted to the dose I was already on, so it was fairly painless.
Cost: $25-49 monthly
Side effects: jittery feeling, racing heart feeling, giddiness, restless feeling in legs, excessive sweating, brain fog, nausea

Dec 20, 2010 (Started Dec 10, 2010)

  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    Moderate (nausea, racing heart feeling, brain fog, restless feeling in legs, jittery feeling)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 75 mg Daily
Advice & Tips: Yesterday and today were the first days I really started to feel better. Last week I noticed I was feeling more cheerful overall, but it wasn't until I hit the 75mg/day mark that it started to make an impact on my pain. I stepped up pretty gradually -- each time I had a little bit of nausea (unless I forgot to eat when I took it, and then I had a LOT of nausea). I feel a LOT more energetic, almost a nervous, over-caffeinated energy which is a little annoying. I expect that to go away after awhile. I take my afternoon dose about 3/4pm so it doesn't interfere with my sleep. Last week I was having a terrible time with RLS symptoms, which might have been because I was coming off of tramadol which is often used for RLS. Last couple of nights were better but I stayed awake until I was exhausted and then took a double does of melatonin when I finally did go to bed. So far feeling REALLY positive about this drug. I feel like "myself" for the first time in years. I hope it continues!
Cost: $25-49 monthly
Side effects: jittery feeling, racing heart feeling, giddiness, restless feeling in legs, excessive sweating, brain fog, nausea

Dec 15, 2010 (Started Dec 10, 2010)

  • Effectiveness
    Can't tell (for fibromyalgia)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 25 mg Daily
Advice & Tips: On day 5 of my titration for Savella. Doc was worried about nausea so he started me on 12.5mg a day. When I took the rx to the pharamcy I found out I could get 25mg tablets instead and split them for a cost savings. My insurance copay was $10 for 15 tablets instead of $17.75 for 30 12.5mgs, which the pharmacy didn't stock. Note: 25mg tablets are frickin' tiny! Anyway, I did the 12.5mg a day, with my bedtime medicine cocktail, for 4 days. No effects, bad or good. Started 2 x 12.5mg at lunch and bedtime yesterday and today. If nothing happens, I will go to 2 x 25mg tomorrow. Because of the possible serotonin interaction with Savella, I have to discontinue my tramadol, which I've been on for over a year. I've halved my dose and plan to be done by Friday. I feel like crap, so clearly the tramadol has been doing something for me.
Side effects: jittery feeling, racing heart feeling, giddiness, restless feeling in legs, excessive sweating, brain fog, nausea

  • 2 helpful marks

Jan 3, 2011 (Started Dec 01, 2010)

  • Effectiveness
    Moderate (for fibromyalgia)
  • Side effects
    Mild (weight gain)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 50 mg Daily
Advice & Tips: TRY IT
Side effects: weight gain, weight gain

  • 0 helpful marks
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