MND: This study was authored by a Portuguese and French team and published in the Journal of  Rheumatology, “ an improvement from both baselines was shown in all groups on pain, fatigue, sleep, and quality of life measures…”

Milnacipran come added to pregabalin (Lyrica) and duloxetine (Cymbalta) in the arsenal against Fibromyalgia.  The Mayo Clinic also present  Milnacipran in a favorable light, click here.  the drug increases serotonin and norepinephrine suply to the brain .

However, the FDA approval is not without warning, particularly about a serotonin syndrome

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