Talk to Rheumatologist on Fibromyalgia

Hello Doctors,

I recently had a consultation with another rheumatologist, as advised, and wanted to discuss the treatment options they recommended for my pain management and fibromyalgia:

1. Pregabalin:I have been advised to continue with 150 mg of pregabalin.

2. Memantine:The other doctor suggested memantine as an option for managing pain by blocking glutamate involved in pain perception. Could you please provide your opinions on its safety and potential benefits for my condition?

3. Trapezius Trigger Point Treatment:They recommended considering either steroids or Botox for treating my trapezius trigger point. In your experiences, which of these treatments typically offers longer-lasting relief, and are there significant differences in their effectiveness or side effects?

4. Ketamine:I've heard that ketamine can help with pain perception and may even put fibromyalgia into remission. Have any of you used ketamine for pain management in your patients? Given that I've been in pain